Occupational risk factors for meniscal lesions: a systematic review and meta-analysis
Abstract Background Meniscal lesions are common and are associated with the development of knee osteoarthritis. Knee-straining activities at work such as kneeling or squatting cause high biomechanical stresses on the knee joints that can lead to acute or chronic injuries. The objective of this syste...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-021-04900-7 |
| _version_ | 1819096147672694784 |
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| author | Carolin Bahns Ulrich Bolm-Audorff Andreas Seidler Karla Romero Starke Elke Ochsmann |
| author_facet | Carolin Bahns Ulrich Bolm-Audorff Andreas Seidler Karla Romero Starke Elke Ochsmann |
| author_sort | Carolin Bahns |
| collection | DOAJ |
| description | Abstract Background Meniscal lesions are common and are associated with the development of knee osteoarthritis. Knee-straining activities at work such as kneeling or squatting cause high biomechanical stresses on the knee joints that can lead to acute or chronic injuries. The objective of this systematic review is to update the evidence on the potential relationship between occupational risk factors and meniscal lesions. Methods We searched the Medline, Embase and Web of Science databases until August 2021 to identify epidemiological observational studies on the association between occupational risk factors and meniscal lesions. Study selection, data extraction and risk of bias assessment were performed independently by two reviewers. Effect measures were extracted from individual studies and pooled with random effects meta-analysis. Heterogeneity analyses were conducted. We used GRADE (Grades of Recommendations, Assessment, Development and Evaluation) to assess the overall quality of evidence. Results The database search resulted in 11,006 references, and 46 additional studies were identified through hand search. Twenty-two studies (represented in 25 publications) met the predefined eligibility criteria and nine records were included in the meta-analysis. There was only one study with an overall low risk of bias. Significant associations between occupational risk factors and the development of meniscal lesions were found for kneeling (effect size (ES) 2.15, 95% CI 1.67–2.76), squatting (ES 2.01, 95% CI 1.34–3.03), climbing stairs (ES 2.28, 95% CI 1.58–3.30), lifting and carrying weights ≥ 10 kg (ES 1.63, 95% CI 1.35–1.96), lifting and carrying weights ≥ 25 kg (ES 1.56, 95% CI 1.08–2.24), playing football on a professional level (ES 5.22, 95% CI 3.24–8.41), working as a hard coal miner (ES 5.23, 95% CI 2.16–12.69) and floor layers (ES 1.99, 95% CI 1.43–2.78). The overall quality of evidence according GRADE was moderate to low. Conclusion We found consistent evidence of an increased risk of meniscal lesions by occupational knee-straining exposures. Our findings are important for the development of preventive strategies to reduce work-related knee disorders and work absence. Trial registration PROSPERO (registration no. CRD42020196279 ). |
| first_indexed | 2024-12-21T23:54:35Z |
| format | Article |
| id | doaj.art-a26ee45e184a4e76a6624036eb26c80e |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-21T23:54:35Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-a26ee45e184a4e76a6624036eb26c80e2022-12-21T18:45:50ZengBMCBMC Musculoskeletal Disorders1471-24742021-12-0122111810.1186/s12891-021-04900-7Occupational risk factors for meniscal lesions: a systematic review and meta-analysisCarolin Bahns0Ulrich Bolm-Audorff1Andreas Seidler2Karla Romero Starke3Elke Ochsmann4Luebeck Institute of Occupational Health (LIOH), University of LuebeckDivision of Occupational Health, Department of Occupational Safety, Regional Government of South HesseInstitute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität DresdenInstitute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität DresdenLuebeck Institute of Occupational Health (LIOH), University of LuebeckAbstract Background Meniscal lesions are common and are associated with the development of knee osteoarthritis. Knee-straining activities at work such as kneeling or squatting cause high biomechanical stresses on the knee joints that can lead to acute or chronic injuries. The objective of this systematic review is to update the evidence on the potential relationship between occupational risk factors and meniscal lesions. Methods We searched the Medline, Embase and Web of Science databases until August 2021 to identify epidemiological observational studies on the association between occupational risk factors and meniscal lesions. Study selection, data extraction and risk of bias assessment were performed independently by two reviewers. Effect measures were extracted from individual studies and pooled with random effects meta-analysis. Heterogeneity analyses were conducted. We used GRADE (Grades of Recommendations, Assessment, Development and Evaluation) to assess the overall quality of evidence. Results The database search resulted in 11,006 references, and 46 additional studies were identified through hand search. Twenty-two studies (represented in 25 publications) met the predefined eligibility criteria and nine records were included in the meta-analysis. There was only one study with an overall low risk of bias. Significant associations between occupational risk factors and the development of meniscal lesions were found for kneeling (effect size (ES) 2.15, 95% CI 1.67–2.76), squatting (ES 2.01, 95% CI 1.34–3.03), climbing stairs (ES 2.28, 95% CI 1.58–3.30), lifting and carrying weights ≥ 10 kg (ES 1.63, 95% CI 1.35–1.96), lifting and carrying weights ≥ 25 kg (ES 1.56, 95% CI 1.08–2.24), playing football on a professional level (ES 5.22, 95% CI 3.24–8.41), working as a hard coal miner (ES 5.23, 95% CI 2.16–12.69) and floor layers (ES 1.99, 95% CI 1.43–2.78). The overall quality of evidence according GRADE was moderate to low. Conclusion We found consistent evidence of an increased risk of meniscal lesions by occupational knee-straining exposures. Our findings are important for the development of preventive strategies to reduce work-related knee disorders and work absence. Trial registration PROSPERO (registration no. CRD42020196279 ).https://doi.org/10.1186/s12891-021-04900-7MeniscusMeniscal lesionOccupationWorkSystematic reviewMeta-analysis |
| spellingShingle | Carolin Bahns Ulrich Bolm-Audorff Andreas Seidler Karla Romero Starke Elke Ochsmann Occupational risk factors for meniscal lesions: a systematic review and meta-analysis BMC Musculoskeletal Disorders Meniscus Meniscal lesion Occupation Work Systematic review Meta-analysis |
| title | Occupational risk factors for meniscal lesions: a systematic review and meta-analysis |
| title_full | Occupational risk factors for meniscal lesions: a systematic review and meta-analysis |
| title_fullStr | Occupational risk factors for meniscal lesions: a systematic review and meta-analysis |
| title_full_unstemmed | Occupational risk factors for meniscal lesions: a systematic review and meta-analysis |
| title_short | Occupational risk factors for meniscal lesions: a systematic review and meta-analysis |
| title_sort | occupational risk factors for meniscal lesions a systematic review and meta analysis |
| topic | Meniscus Meniscal lesion Occupation Work Systematic review Meta-analysis |
| url | https://doi.org/10.1186/s12891-021-04900-7 |
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