{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:48:06Z","timestamp":1783604886115,"version":"3.55.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"10","funder":[{"name":"Department of Physical Medicine and Rehabilitation, Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR), Uniformed Services University","award":["HU00011920011"],"award-info":[{"award-number":["HU00011920011"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Meniscus injuries occur at a higher rate in the military than the general population. Appropriate management and rehabilitation of meniscus injuries is important for maintaining readiness. The purpose of this study was to describe the health burden of meniscus injuries in the Military Health System (MHS) to identify the surgical intervention rate for meniscus injuries, and to determine which injury characteristics and demographic variables were associated with the likelihood of surgery after injury. The U.S. Department of Defense Management Analysis and Reporting Tool, a database of health care encounters by military personnel and dependents, was queried for encounters associated with a meniscal injury diagnosis between January 1, 2010, and December 31, 2011. Meniscus injuries were categorized into (1) isolated medial, (2) isolated lateral, (3) combined medial and lateral, and (4) unspecified cohorts. Patients under 18 and over 51 years were excluded, as well as patients without records at least 1 year prior to diagnosis or 2 years after. Relevant surgical procedures were identified with the Current Procedural Terminology (CPT) codes for arthroscopic surgery of the knee, meniscus repair, meniscectomy, and anterior cruciate ligament (ACL) reconstruction. There were 2,969 meniscus injuries meeting inclusion criteria during the study period. There were 1,547 (52.1%) isolated medial meniscus injuries, 530 (17.9%) isolated lateral meniscus injuries, 452 (15.3%) involved both menisci, and 435 (14.7%) were unspecified. The mean age was 35.5 years (standard deviation [SD]\u2009=\u20099.3). An adjacent ligamentous injury occurred in 901 patients (30.3%). The treatment course led to arthroscopic surgery in 52.8% (n\u2009=\u20091,568) of all meniscus injuries. Eighty-five percent (n\u2009=\u2009385) of combined medial and lateral tears, 54.9% of medial tears, and 51.6% of lateral tears underwent surgery. Partial meniscectomy was the most common procedure performed while 47.2% (n\u2009=\u20091,401) of tears were not treated surgically. Bilateral meniscus injuries had 4.57 greater odds of undergoing knee arthroscopy (95% confidence interval [CI]: 3.46, 6.04), 2.42 times odds of undergoing a meniscus repair, and 4.59 times odds for undergoing a meniscus debridement (95% CI: 3.62, 5.82). The closed nature of the MHS allows reliable capture of surgical rates for meniscus injuries within the military population. Meniscus injuries are common in the military and impose a significant burden on the MHS. Appropriate management and rehabilitation of this injury is important for maintaining readiness.<\/jats:p>","DOI":"10.1055\/s-0042-1744189","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:10:42Z","timestamp":1646784642000},"page":"1048-1055","source":"Crossref","is-referenced-by-count":11,"title":["Epidemiology of Meniscus Injuries in the Military Health System and Predictive Factors for Arthroscopic Surgery"],"prefix":"10.1055","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8126-0987","authenticated-orcid":false,"given":"Jordan G.","family":"Tropf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"},{"name":"Department of Surgery, The Uniformed Services University of the Health Sciences, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald F.","family":"Colantonio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"},{"name":"Department of Surgery, The Uniformed Services University of the Health Sciences, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Tucker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"},{"name":"Department of Surgery, The Uniformed Services University of the Health Sciences, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4320-990X","authenticated-orcid":false,"given":"Daniel I.","family":"Rhon","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Uniformed Services University of the Health Sciences, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.2106\/00004623-198668010-00009","article-title":"The role of the meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee. Effects of partial versus total excision","volume":"68","author":"S C Shoemaker","year":"1986","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/0363546515617454","article-title":"Posteromedial meniscocapsular lesions increase tibiofemoral joint laxity with anterior cruciate ligament deficiency, and their repair reduces laxity","volume":"44","author":"J M Stephen","year":"2016","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.knee.2015.05.008","article-title":"Tibiofemoral contact pressures in radial tears of the meniscus treated with all-inside repair, inside-out repair and partial meniscectomy","volume":"22","author":"A L Zhang","year":"2015","journal-title":"Knee"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1302\/0301-620X.57B3.349","article-title":"The diagnosis of problems after meniscectomy","volume":"57","author":"D J Dandy","year":"1975","journal-title":"J Bone Joint Surg Br"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1002\/ca.22456","article-title":"The human meniscus: a review of anatomy, function, injury, and advances in treatment","volume":"28","author":"A J Fox","year":"2015","journal-title":"Clin Anat"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"e1007","DOI":"10.3928\/01477447-20130724-15","article-title":"Cross-sectional analysis of trends in meniscectomy and meniscus repair","volume":"36","author":"S R Montgomery","year":"2013","journal-title":"Orthopedics"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1177\/036354658000800102","article-title":"Diagnosis of acute knee injuries with hemarthrosis","volume":"8","author":"K E DeHaven","year":"1980","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1055\/s-0038-1636838","article-title":"Contemporary surgical trends in the management of symptomatic meniscal tears among United States Military Service members from 2010 to 2015","volume":"32","author":"T B Pekari","year":"2019","journal-title":"J Knee Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4085\/1062-6050-47.1.67","article-title":"Incidence and risk factors associated with meniscal injuries among active-duty US military service members","volume":"47","author":"J C Jones","year":"2012","journal-title":"J Athl Train"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.2519\/jospt.2010.0304","article-title":"Knee pain and mobility impairments: meniscal and articular cartilage lesions","volume":"40","author":"D S Logerstedt","year":"2010","journal-title":"J Orthop Sports Phys Ther"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1177\/0363546509332432","article-title":"Increasing incidence of medial meniscal tears in nonoperatively treated anterior cruciate ligament insufficiency patients documented by serial magnetic resonance imaging studies","volume":"37","author":"J C Yoo","year":"2009","journal-title":"Am J Sports Med"},{"issue":"172","key":"ref12","first-page":"32","article-title":"Meniscal lesions associated with anterior cruciate ligament injury","author":"R F Warren","year":"1983","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1177\/036354659302100506","article-title":"The natural history of meniscal tears in anterior cruciate ligament insufficiency","volume":"21","author":"G C Keene","year":"1993","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref14","first-page":"448","article-title":"Analysis of meniscal lesions accompanying anterior cruciate ligament tears: A retrospective analysis of 156 patients [in French]","volume":"92","author":"S Gadeyne","year":"2006","journal-title":"Rev Chir Orthop Repar Appar Mot"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"491","DOI":"10.32098\/mltj.03.2017.12","article-title":"Correlation between time from injury to surgery and the prevalence of ramp and hidden lesions during anterior cruciate ligament reconstruction. A new diagnostic algorithm","volume":"7","author":"G Di Vico","year":"2018","journal-title":"Muscles Ligaments Tendons J"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1177\/036354658801600609","article-title":"Patterns of meniscal injury with acute anterior cruciate ligament tears","volume":"16","author":"F Cerabona","year":"1988","journal-title":"Am J Sports Med"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"S237","DOI":"10.1016\/j.otsr.2017.08.003","article-title":"Management of traumatic meniscal tear and degenerative meniscal lesions. Save the meniscus","volume":"103","author":"P Beaufils","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/S0749-3797(99)00174-9","article-title":"Sports and physical training injury hospitalizations in the army","volume":"18","author":"T D Lauder","year":"2000","journal-title":"Am J Prev Med"},{"issue":"11","key":"ref19","doi-asserted-by":"crossref","first-page":"e1661","DOI":"10.7205\/MILMED-D-15-00589","article-title":"Return to duty rates following meniscal repair surgery in an active duty military population","volume":"181","author":"J W Galvin","year":"2016","journal-title":"Mil Med"},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1097\/CORR.0000000000000915","article-title":"Likelihood of return to duty is low after meniscal allograft transplantation in an active-duty military population","volume":"478","author":"I J Antosh","year":"2020","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"ref21","doi-asserted-by":"crossref","first-page":"e1001885","DOI":"10.1371\/journal.pmed.1001885","article-title":"The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement","volume":"12","author":"E I Benchimol","year":"2015","journal-title":"PLoS Med"},{"issue":"09","key":"ref22","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.jsams.2019.04.001","article-title":"Using causal energy categories to report the distribution of injuries in an active population: An approach used by the U.S. Army","volume":"22","author":"V D Hauschild","year":"2019","journal-title":"J Sci Med Sport"},{"issue":"06","key":"ref23","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1136\/bjsports-2016-096456","article-title":"Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery","volume":"51","author":"S M Tornbjerg","year":"2017","journal-title":"Br J Sports Med"},{"issue":"03","key":"ref24","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.arthro.2018.08.051","article-title":"One-third of meniscal tears are repairable: an epidemiological study evaluating meniscal tear patterns in Stable and Unstable Knees","volume":"35","author":"A Espejo-Reina","year":"2019","journal-title":"Arthroscopy"},{"issue":"08","key":"ref25","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1053\/jars.2000.19434","article-title":"Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older","volume":"16","author":"F R Noyes","year":"2000","journal-title":"Arthroscopy"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"71","DOI":"10.32098\/mltj.01.2016.09","article-title":"Meniscus tear surgery and meniscus replacement","volume":"6","author":"J Vaquero","year":"2016","journal-title":"Muscles Ligaments Tendons J"},{"issue":"05","key":"ref27","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1302\/2058-5241.2.160056","article-title":"The knee meniscus: management of traumatic tears and degenerative lesions","volume":"2","author":"P Beaufils","year":"2017","journal-title":"EFORT Open Rev"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00167-014-3471-x","article-title":"Focusing on results after meniscus surgery","volume":"23","author":"P Beaufils","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"597","DOI":"10.5312\/wjo.v5.i5.597","article-title":"Degenerative meniscus: pathogenesis, diagnosis, and treatment options","volume":"5","author":"R Howell","year":"2014","journal-title":"World J Orthop"},{"issue":"18","key":"ref30","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1056\/NEJMoa1301408","article-title":"Surgery versus physical therapy for a meniscal tear and osteoarthritis","volume":"368","author":"J N Katz","year":"2013","journal-title":"N Engl J Med"},{"issue":"26","key":"ref31","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.1056\/NEJMoa1305189","article-title":"Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear","volume":"369","author":"R Sihvonen","year":"2013","journal-title":"N Engl J Med"},{"issue":"03","key":"ref32","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/s00402-015-2351-2","article-title":"Surgical interventions for meniscal tears: a closer look at the evidence","volume":"136","author":"E L Mutsaerts","year":"2016","journal-title":"Arch Orthop Trauma Surg"},{"issue":"08","key":"ref33","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/S0749-8063(03)00735-7","article-title":"A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up","volume":"19","author":"F Chatain","year":"2003","journal-title":"Arthroscopy"},{"issue":"01","key":"ref34","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s00167-014-3245-5","article-title":"Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years","volume":"23","author":"C Hulet","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"05","key":"ref35","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1177\/036354659402200511","article-title":"Fate of the ACL-injured patient. A prospective outcome study","volume":"22","author":"D M Daniel","year":"1994","journal-title":"Am J Sports Med"},{"issue":"06","key":"ref36","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1302\/0301-620X.75B6.8245089","article-title":"Acute haemarthrosis of the knee in athletes. A prospective study of 106 cases","volume":"75","author":"N Maffulli","year":"1993","journal-title":"J Bone Joint Surg Br"},{"issue":"03","key":"ref37","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/BF01565470","article-title":"Different patterns of meniscal tears in acute anterior cruciate ligament (ACL) ruptures and in chronic ACL-deficient knees. Classification, staging and timing of treatment","volume":"3","author":"M Cipolla","year":"1995","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref38","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1055\/s-0032-1327450","article-title":"Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction","volume":"26","author":"N Ghodadra","year":"2013","journal-title":"J Knee Surg"},{"issue":"02","key":"ref39","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/0749-8063(90)90001-T","article-title":"Long-term assessment of arthroscopic meniscus repair: a two- to six-year follow-up study","volume":"6","author":"R G Stone","year":"1990","journal-title":"Arthroscopy"},{"issue":"03","key":"ref40","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/S0968-0160(02)00017-0","article-title":"Long-term assessment of arthroscopic meniscus repair: a 13-year follow-up study","volume":"9","author":"F Steenbrugge","year":"2002","journal-title":"Knee"},{"issue":"04","key":"ref41","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1007\/s00167-020-05847-3","article-title":"Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus","volume":"28","author":"S Kopf","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"02","key":"ref42","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0968-0160(01)00061-8","article-title":"Review of the clinical results of arthroscopic meniscal repair","volume":"8","author":"S Venkatachalam","year":"2001","journal-title":"Knee"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"h2747","DOI":"10.1136\/bmj.h2747","article-title":"Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms","volume":"350","author":"J B Thorlund","year":"2015","journal-title":"BMJ"},{"issue":"01","key":"ref44","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1186\/s13018-020-01741-3","article-title":"Medical exercise therapy alone versus arthroscopic partial meniscectomy followed by medical exercise therapy for degenerative meniscal tear: a systematic review and meta-analysis of randomized controlled trials","volume":"15","author":"J Ma","year":"2020","journal-title":"J Orthop Surg Res"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1744189.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T22:53:21Z","timestamp":1660863201000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1744189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,8]]},"references-count":44,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,8,18]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1744189","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,8]]}}}