The Formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT Initiative Part II-Prevention,...

Area of Science:

• Orthopedics
• Sports Medicine
• Physical Therapy

Background:

• Meniscus injuries are common in athletes and the general population.
• Current treatment guidelines require updates based on the latest evidence.

Purpose of the Study:

• To establish evidence-based recommendations for the prevention of meniscus injuries.
• To outline nonoperative treatment strategies for acute and degenerative meniscus tears.
• To define criteria for return to sports and patient-reported outcome measures after meniscus injuries.

Main Methods:

• A consensus methodology was followed, involving 67 experts from 14 countries.
• Evidence was screened, statements were proposed, and recommendations were graded.
• Statements were assessed by rating groups and peer-reviewed for global applicability.

Main Results:

• Low to moderate evidence necessitated a consensus approach, yielding 23 statements.
• Prevention is achievable through general knee injury reduction programs and activity modification.
• Nonoperative treatment, including physical therapy, is the primary approach for degenerative meniscus lesions and some acute tears.
• Return to sports should be criterion-based and time-based, utilizing patient-reported and performance-based outcomes.

Conclusions:

• This international consensus provides updated recommendations for meniscus injury prevention, nonoperative rehabilitation, and return-to-sport criteria.
• These guidelines are intended for application by orthopedic surgeons and physical therapists worldwide.
• The recommendations address the management of nonoperated patients and those undergoing surgical interventions for meniscus tears.