Murdoch University Research Repository

Welcome to the Murdoch University Research Repository

The Murdoch University Research Repository is an open access digital collection of research
created by Murdoch University staff, researchers and postgraduate students.

Learn more

Do moments and strength predict cartilage changes after partial meniscectomy?

Hall, M., Wrigley, T.V., Metcalf, B.R., Cicuttini, F.M., Wang, Y., Hinman, R.S., Dempsey, A.R.ORCID: 0000-0001-8219-6120, Mills, P.M., Lloyd, D.G. and Bennell, K.L. (2014) Do moments and strength predict cartilage changes after partial meniscectomy? Medicine & Science in Sports & Exercise, 47 (8). pp. 1549-1556.

PDF - Authors' Version
Download (1MB) | Preview
Link to Published Version:
*Subscription may be required


Higher knee load and quadriceps weakness are potential factors involved in the pathogenesis of knee osteoarthritis following arthroscopic partial meniscectomy (APM). In people following APM, this study evaluated the association between external knee joint moments and quadriceps strength and 2-year change in indices of cartilage integrity in the medial tibiofemoral compartment and patella.

70 people with medial APM were assessed 3-months following APM (baseline) and reassessed 2 years later (follow-up). At baseline, isokinetic quadriceps strength and the external knee adduction moment (peak and impulse), and knee flexion moment (peak) during walking were assessed. Magnetic resonance imaging was used to assess cartilage (cartilage volume and cartilage defects) in the medial tibial compartment and patella at baseline and follow-up.

Increased peak knee adduction moment during fast pace walking at baseline was associated with onset or deterioration of medial tibiofemoral cartilage defects (OR = 2.06, 95% CI 1.03 to 4.12, p=0.042) over 2 years. Increased peak knee flexion moment during normal pace walking at baseline was associated with loss of patellar cartilage volume over 2 years (β = -0.24, 95% -0.47 to -0.01, p = 0.04). No significant association was observed for quadriceps strength.

In middle-aged adults following APM, a higher peak knee adduction moment and peak knee flexion moment at 3 months following medial APM may be associated with adverse structural changes at the medial tibia and patella over the subsequent 2 years. These preliminary findings warrant further investigation as interventions aimed at reducing these moments may be designed if appropriate.

Item Type: Journal Article
Murdoch Affiliation: School of Psychology and Exercise Science
Publisher: Lippincott Williams & Wilkins
Copyright: (C) 2014 American College of Sports Medicine
Notes: Post Acceptance: November 13, 2014
Item Control Page Item Control Page


Downloads per month over past year