Authors’ reply to Joshi
BMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i4623 (Published 31 August 2016) Cite this as: BMJ 2016;354:i4623
- Nina Jullum Kise, orthopaedic surgeon1,
- May Arna Risberg, physiotherapist and professor2 3 4,
- Lars Engebretsen, orthopaedic surgeon and professor3 5 6,
- Ewa M Roos, physiotherapist and professor7
- 1Department of Orthopaedic Surgery, Martina Hansens Hospital, PO Box 823, N-1306 Sandvika, Norway
- 2Norwegian Research Centre for Active Rehabilitation, Oslo, Norway
- 3Division of Orthopaedic Surgery, Oslo University Hospital, Norway
- 4Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
- 5Faculty of Medicine, University of Oslo
- 6Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway
- 7Research Unit for Musculoskeletal Function and Physiotherapy, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- nina.kise{at}mhh.no
We thank Joshi for his interest in our research article.1 2
We agree that the finding of a degenerative meniscal tear on magnetic resonance imaging (MRI) is no cause for treatment, surgical or non-surgical, and that the common use of MRI in middle aged and elderly patients with chronic knee pain is costly and unwarranted. The increasing accessibility to MRI is indeed a likely contributor to the current high rate of arthroscopic knee surgery in middle aged and elderly people because a tear once shown demands to be treated even without a proven cause of symptoms.
Asymptomatic meniscal tears …
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