{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:19:22Z","timestamp":1777709962607,"version":"3.51.4"},"reference-count":33,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T00:00:00Z","timestamp":1666569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>In the pediatric population, meniscectomy should be exceptional. This study aimed to estimate the incidence and trends of hospitalization of pediatric meniscectomy in Italy. Data were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health. This study referred to the pediatric population (0\u201314 years of age) from 2001 to 2016. A total of 5188 pediatric meniscectomies were performed. The global incidence was 3.9 for every 100,000 Italian residents under 14 years of age. The most frequent age class was 10\u201314 years. The men\/women ratio was 1.1. The average number of days of hospitalization was 1.8 \u00b1 1.4. Men showed more days of hospitalization than women. The 5\u20139 age group presented the highest length of hospitalization (2.3 \u00b1 1.5 days). The main primary codified diagnoses were as follows: derangement of the posterior horn of the medial meniscus, other derangement of the lateral meniscus, old bucket handle tear of the medial meniscus, and derangement of the lateral meniscus. Primary codified procedures were the excision of semilunar cartilage of the knee and knee arthroscopy. The burden of pediatric meniscectomy is relevant in Italy. The information required to develop global standards for managing pediatric meniscal lesions may be provided by conducting further epidemiological studies.<\/jats:p>","DOI":"10.3390\/jcm11216259","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T08:19:06Z","timestamp":1666599546000},"page":"6259","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Epidemiology of Pediatric Meniscectomy: A Nationwide Study in Italy from 2001 to 2016"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4063-9821","authenticated-orcid":false,"given":"Umile Giuseppe","family":"Longo","sequence":"first","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Papalia","sequence":"additional","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0179-109X","authenticated-orcid":false,"given":"Alessandro","family":"Mazzola","sequence":"additional","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Ruzzini","sequence":"additional","affiliation":[{"name":"Orthopedic Unit, Department of Surgery, Bambino Ges\u00f9 Children\u2019s Hospital, 00050 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9111-3638","authenticated-orcid":false,"given":"Sergio","family":"De Salvatore","sequence":"additional","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Piergentili","sequence":"additional","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pier Francesco","family":"Costici","sequence":"additional","affiliation":[{"name":"Orthopedic Unit, Department of Surgery, Bambino Ges\u00f9 Children\u2019s Hospital, 00050 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Denaro","sequence":"additional","affiliation":[{"name":"Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Universit\u00e0 Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.2165\/00007256-199723010-00006","article-title":"Partial meniscectomy and osteoarthritis. Implications for treatment of athletes","volume":"23","author":"Rangger","year":"1997","journal-title":"Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1136\/ard.33.1.111","article-title":"Proceedings: Functions of the menisci. A preliminary study","volume":"33","author":"Seedhom","year":"1974","journal-title":"Ann. Rheum. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/1941738111429419","article-title":"The basic science of human knee menisci: Structure, composition, and function","volume":"4","author":"Fox","year":"2012","journal-title":"Sports. Health"},{"key":"ref_4","first-page":"45","article-title":"Meniscal tears","volume":"1","author":"Maffulli","year":"2010","journal-title":"J. Sports Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s11832-007-0029-1","article-title":"The discoid meniscus","volume":"1","author":"Yaniv","year":"2007","journal-title":"J. Child Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/036354658301100301","article-title":"Meniscectomy in children: A long-term follow-up study","volume":"11","author":"Manzione","year":"1983","journal-title":"Am. J. Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1002\/art.11088","article-title":"Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: A sixteen-year followup of meniscectomy with matched controls","volume":"48","author":"Englund","year":"2003","journal-title":"Arthritis Rheum."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/036354658501300101","article-title":"Review of meniscal injury and associated sports","volume":"13","author":"Baker","year":"1985","journal-title":"Am. J. Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1097\/00005373-199112000-00014","article-title":"Epidemiology of acute knee injuries: A prospective hospital investigation","volume":"31","author":"Nielsen","year":"1991","journal-title":"J. Trauma"},{"key":"ref_10","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":"Jones","year":"2012","journal-title":"J. Athl. Train."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.csm.2019.08.008","article-title":"The Burden of Meniscus Injury in Young and Physically Active Populations","volume":"39","author":"Gee","year":"2020","journal-title":"Clin. Sports Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"352","DOI":"10.2519\/jospt.2013.4295","article-title":"Risk factors for meniscal tears: A systematic review including meta-analysis","volume":"43","author":"Snoeker","year":"2013","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1177\/036354658601400307","article-title":"Athletic injuries: Comparison by age, sport, and gender","volume":"14","author":"DeHaven","year":"1986","journal-title":"Am. J. Sports Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2325967119843355","DOI":"10.1177\/2325967119843355","article-title":"Meniscal Repair in Pediatric Populations: A Systematic Review of Outcomes","volume":"7","author":"Liechti","year":"2019","journal-title":"Orthop. J. Sports Med."},{"key":"ref_15","first-page":"151","article-title":"Youth sport: Positive and negative impact on young athletes","volume":"4","author":"Merkel","year":"2013","journal-title":"J. Sports Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/JSA.0b013e318204d01a","article-title":"Meniscus tears in children","volume":"19","author":"Bellisari","year":"2011","journal-title":"Sports Med. Arthrosc. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1055\/s-0038-1653943","article-title":"Meniscus Repair in Children and Adolescents: A Systematic Review of Treatment Approaches, Meniscal Healing, and Outcomes","volume":"32","author":"Ferrari","year":"2019","journal-title":"J. Knee. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.otsr.2014.12.006","article-title":"Isolated meniscal injuries in paediatric patients: Outcomes after arthroscopic repair","volume":"101","author":"Lucas","year":"2015","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1177\/036354658601400405","article-title":"Meniscal tears: The effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report","volume":"14","author":"Baratz","year":"1986","journal-title":"Am. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1056\/NEJMoa0800777","article-title":"Incidental meniscal findings on knee MRI in middle-aged and elderly persons","volume":"359","author":"Englund","year":"2008","journal-title":"N. Engl. J. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2325967119890325","DOI":"10.1177\/2325967119890325","article-title":"Epidemiology, Injury Patterns, and Treatment of Meniscal Tears in Pediatric Patients: A 16-Year Experience of a Single Center","volume":"7","author":"Jackson","year":"2019","journal-title":"Orthop. J. Sports Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"538","DOI":"10.2106\/00004623-198365040-00018","article-title":"Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury","volume":"65","author":"Clark","year":"1983","journal-title":"J. Bone Joint. Surg. Am."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1177\/03635465020300042001","article-title":"Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age","volume":"30","author":"Noyes","year":"2002","journal-title":"Am. J. Sports Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"847","DOI":"10.2106\/00004623-198668060-00006","article-title":"Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing","volume":"68","author":"Scott","year":"1986","journal-title":"J. Bone Joint. Surg. Am."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0278-5919(20)30109-5","article-title":"Technical considerations in the management of complex meniscus tears","volume":"15","author":"Rubman","year":"1996","journal-title":"Clin. Sports Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1177\/03635465980260050601","article-title":"Meniscal repair in the young athlete","volume":"26","author":"Mintzer","year":"1998","journal-title":"Am. J. Sports Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1097\/BPO.0b013e31821ffb8d","article-title":"Meniscus tears in the young athlete: Results of arthroscopic repair","volume":"31","author":"Vanderhave","year":"2011","journal-title":"J. Pediatr. Orthop."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/BPO.0000000000000482","article-title":"Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injury and Reconstruction","volume":"36","author":"Werner","year":"2016","journal-title":"J. Pediatr. Orthop."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"698","DOI":"10.5435\/00124635-200911000-00004","article-title":"Meniscal tears and discoid meniscus in children: Diagnosis and treatment","volume":"17","author":"Kramer","year":"2009","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1177\/0363546509354055","article-title":"Surgical repair of meniscal tears with concomitant anterior cruciate ligament reconstruction in patients 18 years and younger","volume":"38","author":"Krych","year":"2010","journal-title":"Am. J. Sports Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1177\/03635465980260013301","article-title":"Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears","volume":"26","author":"Rubman","year":"1998","journal-title":"Am. J. Sports Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/01.blo.0000156002.16750.8d","article-title":"Intra-articular traumatic disorders of the knee in children and adolescents","volume":"432","author":"Vaquero","year":"2005","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1177\/0363546508316771","article-title":"Meniscal healing after meniscal repair: A CT arthrography assessment","volume":"36","author":"Pujol","year":"2008","journal-title":"Am. J. Sports Med."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/21\/6259\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:01:39Z","timestamp":1760144499000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/21\/6259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,24]]},"references-count":33,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["jcm11216259"],"URL":"https:\/\/doi.org\/10.3390\/jcm11216259","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,24]]}}}