THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport
# Purpose Part-two of this consensus aimed to provide recommendations for the prevention of meniscus injuries, non-operative treatment of acute tears and degenerative lesions, return to sports, and patient-reported outcome measures. # Methods This consensus followed the European Society of Knee Surg...
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North American Sports Medicine Institute
2025-06-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.140661 |
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| author | Robert Prill C. Benjamin Ma Stephanie E. Wong Philippe Beaufils Juan Carlos Monllau Elanna K. Arhos Roland Becker Francesco Della Villa J. Brett Goodloe James J. Irrgang Jitka Klugarova Emma L. Klosterman Aleksandra Królikowska Aaron J. Krych Robert F. LaPrade Robert Manske Nicky van Melick Jill K. Monson Marko Ostojic Mark V. Paterno Tomasz Piontek Simone Perelli Alexandre Rambaud James Robinson Laura C. Schmitt Eric Hamrin Senorski Thorkell Snaebjornsson Adam J. Tagliero Airelle O. Giordano Nicolas Pujol |
| author_facet | Robert Prill C. Benjamin Ma Stephanie E. Wong Philippe Beaufils Juan Carlos Monllau Elanna K. Arhos Roland Becker Francesco Della Villa J. Brett Goodloe James J. Irrgang Jitka Klugarova Emma L. Klosterman Aleksandra Królikowska Aaron J. Krych Robert F. LaPrade Robert Manske Nicky van Melick Jill K. Monson Marko Ostojic Mark V. Paterno Tomasz Piontek Simone Perelli Alexandre Rambaud James Robinson Laura C. Schmitt Eric Hamrin Senorski Thorkell Snaebjornsson Adam J. Tagliero Airelle O. Giordano Nicolas Pujol |
| author_sort | Robert Prill |
| collection | DOAJ |
| description | # Purpose
Part-two of this consensus aimed to provide recommendations for the prevention of meniscus injuries, non-operative treatment of acute tears and degenerative lesions, return to sports, and patient-reported outcome measures.
# Methods
This consensus followed the European Society of Knee Surgery, Sports Traumatology and Arthroscopy (ESSKA) formal consensus methodology. For this combined ESSKA- American Orthopedic Society for Sports Medicine (AOSSM) - American Academy of Sports Physical Therapy (AASPT) initiative, 67 experts from 14 countries, including orthopedic surgeons and physiotherapists, were involved. The 26 Steering Group members established guiding questions, screened the existing evidence, and proposed statements, and provided Grades of recommendations. The 41 Rating Group members assessed the statements according to a Likert scale (1-9). Final documents were assessed by an international peer review group for geographical adaptability.
# Results
Low to moderate scientific level of evidence was available, so that grades of recommendations were low (three Grade A ratings, four Grade B, three Grade C and 13 Grade D), underlining the relevance of this consensus. One strong and 17 relative agreements with overall median of 8 (8-9) and a mean of 7.92 +/- 0.37 were achieved for 23 statements on 18 questions. Prevention of meniscus injuries is possible with general knee injury reduction programs and through avoidance of certain activities. Non-Operative treatment including physical therapy is the first line approach for degenerative meniscus lesions and may be an option for some acute tears. Return to sports after meniscus tear surgery should be both criterion-based and time-based. Patient reported outcomes in combination with performance-based measures are recommended to evaluate the rehabilitation process.
# Conclusion
This international EU-US consensus established recommendations for prevention strategies, describes rehabilitation of non-operated patients and of patients after partial meniscectomy, meniscus repair and meniscus reconstruction, and establishes return to sport criteria. These updated and structured recommendations may be applied by surgeons and physiotherapists.
# Level of Evidence
I, Formal Consensus. |
| format | Article |
| id | doaj-art-a64dd3150d7b4bfb97fe648b92698c3d |
| institution | OA Journals |
| issn | 2159-2896 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-a64dd3150d7b4bfb97fe648b92698c3d2025-08-20T02:38:25ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962025-06-0120710.26603/001c.140661THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to SportRobert PrillC. Benjamin MaStephanie E. WongPhilippe BeaufilsJuan Carlos MonllauElanna K. ArhosRoland BeckerFrancesco Della VillaJ. Brett GoodloeJames J. IrrgangJitka KlugarovaEmma L. KlostermanAleksandra KrólikowskaAaron J. KrychRobert F. LaPradeRobert ManskeNicky van MelickJill K. MonsonMarko OstojicMark V. PaternoTomasz PiontekSimone PerelliAlexandre RambaudJames RobinsonLaura C. SchmittEric Hamrin SenorskiThorkell SnaebjornssonAdam J. TaglieroAirelle O. GiordanoNicolas Pujol# Purpose Part-two of this consensus aimed to provide recommendations for the prevention of meniscus injuries, non-operative treatment of acute tears and degenerative lesions, return to sports, and patient-reported outcome measures. # Methods This consensus followed the European Society of Knee Surgery, Sports Traumatology and Arthroscopy (ESSKA) formal consensus methodology. For this combined ESSKA- American Orthopedic Society for Sports Medicine (AOSSM) - American Academy of Sports Physical Therapy (AASPT) initiative, 67 experts from 14 countries, including orthopedic surgeons and physiotherapists, were involved. The 26 Steering Group members established guiding questions, screened the existing evidence, and proposed statements, and provided Grades of recommendations. The 41 Rating Group members assessed the statements according to a Likert scale (1-9). Final documents were assessed by an international peer review group for geographical adaptability. # Results Low to moderate scientific level of evidence was available, so that grades of recommendations were low (three Grade A ratings, four Grade B, three Grade C and 13 Grade D), underlining the relevance of this consensus. One strong and 17 relative agreements with overall median of 8 (8-9) and a mean of 7.92 +/- 0.37 were achieved for 23 statements on 18 questions. Prevention of meniscus injuries is possible with general knee injury reduction programs and through avoidance of certain activities. Non-Operative treatment including physical therapy is the first line approach for degenerative meniscus lesions and may be an option for some acute tears. Return to sports after meniscus tear surgery should be both criterion-based and time-based. Patient reported outcomes in combination with performance-based measures are recommended to evaluate the rehabilitation process. # Conclusion This international EU-US consensus established recommendations for prevention strategies, describes rehabilitation of non-operated patients and of patients after partial meniscectomy, meniscus repair and meniscus reconstruction, and establishes return to sport criteria. These updated and structured recommendations may be applied by surgeons and physiotherapists. # Level of Evidence I, Formal Consensus.https://doi.org/10.26603/001c.140661 |
| spellingShingle | Robert Prill C. Benjamin Ma Stephanie E. Wong Philippe Beaufils Juan Carlos Monllau Elanna K. Arhos Roland Becker Francesco Della Villa J. Brett Goodloe James J. Irrgang Jitka Klugarova Emma L. Klosterman Aleksandra Królikowska Aaron J. Krych Robert F. LaPrade Robert Manske Nicky van Melick Jill K. Monson Marko Ostojic Mark V. Paterno Tomasz Piontek Simone Perelli Alexandre Rambaud James Robinson Laura C. Schmitt Eric Hamrin Senorski Thorkell Snaebjornsson Adam J. Tagliero Airelle O. Giordano Nicolas Pujol THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport International Journal of Sports Physical Therapy |
| title | THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport |
| title_full | THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport |
| title_fullStr | THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport |
| title_full_unstemmed | THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport |
| title_short | THE 2024 FORMAL EU-US MENISCUS REHABILITATION CONSENSUS: AN ESSKA-AOSSM-AASPT INITIATIVE – PART II: Prevention, Non-Operative Treatment, and Return to Sport |
| title_sort | 2024 formal eu us meniscus rehabilitation consensus an esska aossm aaspt initiative part ii prevention non operative treatment and return to sport |
| url | https://doi.org/10.26603/001c.140661 |
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