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Previous studies reporting the incidence of meniscal tears are outdated and not representative of current practice. The aim of this study was to report the current incidence of MRI confirmed meniscal tears in patients with a symptomatic knee and the current intervention rate in a large NHS trust.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Radiology reports from 13,358 consecutive magnetic resonance imaging scans between 2015 and 2017, performed at a large UK hospital serving a population of 470,000, were assessed to identify patients with meniscal tears. The hospital database was interrogated to explore the subsequent treatment undertaken by the patient. A linear regression model was used to identify if any factors predicted subsequent arthroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1737 patients with isolated meniscal tears were identified in patients undergoing an MRI for knee pain, suggesting a rate of 222\u00a0MRI confirmed tears per 100,000 of the population aged 18 to 55 years old. 47% attended outpatient appointments and 22% underwent arthroscopy. Root tears [odds ratio (95% CI) 2.24 (1.0, 4.49); <jats:italic>p<\/jats:italic>\u2009=\u20090.049] and bucket handle tears were significantly associated with subsequent surgery, with no difference between the other types of tears. The presence of chondral changes did not significantly affect the rate of surgery [0.81 (0.60, 1.08); n.s].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Meniscal tears were found to be more common than previously described. However, less than half present to secondary care and only 22% undergo arthroscopy. These findings should inform future study design and recruitment strategies. In agreement with previous literature, bucket handle tears and root tears were significant predictors of subsequent surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06458-2","type":"journal-article","created":{"date-parts":[[2021,1,31]],"date-time":"2021-01-31T22:02:31Z","timestamp":1612130551000},"page":"3892-3898","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Meniscal tears are more common than previously identified, however, less than a quarter of people with a tear undergo arthroscopy"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2774-9954","authenticated-orcid":false,"given":"Imran","family":"Ahmed","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chetan","family":"Khatri","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Staniszewska","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Parsons","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Price","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Metcalfe","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Warwick Clinical Trials Unit, Clinical Sciences Research Laboratories University Hospital Coventry and Warwickshire Clifford Bridge Road CV22DX Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520934766"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2019.08.008"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120950306"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.101B6.BJJ\u20102019\u20100126.R1"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104407\u20104"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201005847\u20103"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0800777"},{"key":"e_1_2_8_9_2","unstructured":"AbramSGF HopewellS MonkAP BaylissLE BeardDJ PriceAJArthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta\u2010analysis.Br J Sports Med(2019)10.1136\/bjsports\u20102018\u201010022330796103"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010038681"},{"key":"e_1_2_8_11_2","doi-asserted-by":"crossref","unstructured":"PihlK EnsorJ PeatG EnglundM LohmanderS JorgensenUet al. 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All other others declared no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study, which used routinely collected anonymised data only, was registered at the UHCW research and development team as a service evaluation project (ref. SE0168). In addition, ethical approval was granted by the University of Warwick Biomedical and Scientific Research Ethics Committee (ref. BSREC 09\/19-20) on the 11th October 2019.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}