Presentation
The present study examined the agreement between MRI aspect and arthroscopic exploration in traumatic meniscal lesions in children. [ncbi.nlm.nih.gov]
Entire Body System
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Surgical Procedure
Of utmost importance is establishing the correct portal for the arthroscope, and it is time well spent at the beginning of the surgical procedure to verify the proper location of the arthroscope and not simply insert the arthroscope "a thumb-breadth above [ncbi.nlm.nih.gov]
Knee arthroscopy is one of the most commonly performed surgical procedures. In it, a miniature camera is inserted through a small incision (portal). This provides a clear view of the inside of the knee. [orthoinfo.aaos.org]
Codes for surgical procedures are registered according to the classification of healthcare procedures [ 12 ]. In addition, information about the type and level of the health care and the date of the visit is included. [doi.org]
More serious tears may require surgical procedures. Surgery, however, does not appear to be better than non surgical care. [en.wikipedia.org]
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Disability
Abstract We assessed the accuracy of clinical evaluation, arthrography, and arthroscopy in the diagnosis of meniscal lesions in fifty knees in which arthrotomy was performed for disabling symptoms after evaluation by these three methods. [ncbi.nlm.nih.gov]
Roos EM, Roos H, Ryd L, Lohmander LS (2000) Substantial disability after arthroscopic partial meniscectomy: a prospective study of patient relevant outcomes. Arthroscopy 16:619–626 PubMed CrossRef Google Scholar 23. [doi.org]
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Severe Pain
METHODS: This cross-sectional observational pilot study included 50 knee OA patients with moderate to severe pain (VAS 40) in the target knee. The presence of NP was determined based on the PainDETECT questionnaire. [ncbi.nlm.nih.gov]
Musculoskeletal
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Knee Pain
METHODS: In the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. [ncbi.nlm.nih.gov]
The most common cause of anterior knee pain is patellofemoral pain syndrome. Magnetic resonance imaging (MRI) is rarely helpful in managing this syndrome. [choosingwisely.org]
Credit: Courtesy of Wexner Medical Center Christopher Kaeding, the executive director of Ohio State’s Sports Medicine, was recently the first surgeon in the U.S. to implant a new plastic meniscus device for patients suffering from persistent knee pain [thelantern.com]
Once it's damaged, it doesn't always heal, which can cause a person to experience chronic knee pain. It can lead to arthritis, and sometimes patients end up needing knee replacement surgery. [cbsnews.com]
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Contusion
Prevalence of bone contusions seen on MRI was as follows: 60.6% LFC, 73.1% LTP, 6.2% MFC, and 21.2% MTP. [ncbi.nlm.nih.gov]
Psychiatrical
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Suggestibility
Our data suggest that the menisci appear to play only a minor role for the sensorimotor induced anterior posterior knee stability. [ncbi.nlm.nih.gov]
Treatment
Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58%. LEVEL OF EVIDENCE: Prospective cohort study, Level II. [ncbi.nlm.nih.gov]
Nonoperative treatment is rarely successful for treating meniscal tears in young athletes, and therefore repair of the torn menisci is often required. [doi.org]
Prognosis
These data combined with recent reports of the poor long-term prognosis after meniscectomy in children stress the need for making an accurate diagnosis by arthroscopy and arthrography before embarking on meniscectomy. [ncbi.nlm.nih.gov]
While younger patients have a more favorable prognosis, successful healing has been reported in older patients. • Higher rates of failure have been noted in the setting of unstable knees secondary to excessive shear forces that prevent healing. [sportsmd.com]
Future research will be important to identify the prognosis of these patients. [doi.org]
Prognosis of pain and physical functioning in patients with knee osteoarthritis: a systematic review and meta-analysis. Arthritis Care Res (Hoboken) 2016 ; 68 : 481 - 92. doi:10.1002/acr.22693 pmid:26316234. [bmj.com]
Etiology
Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg 43:752–757 Google Scholar 20. [doi.org]
Epidemiology
In this article, we review the anatomy and function of the meniscus, the epidemiology of meniscal tears, and mechanism(s) of injury. Important concomitant injuries are also discussed. [ncbi.nlm.nih.gov]
Pathophysiology
Abstract The pathophysiologic mechanism of osteoarthritis is not well known. [ncbi.nlm.nih.gov]
Meniscus injuries of the knee joint: pathophysiology and treatment principles, in Baillière’s Clinical Orthopedics: Baillière Tindall. London,1997, pp123-44. Google Scholar 14. Warren RF, Arnoczky SP, Wickiewicz TL. Anatomy of the Knee. [doi.org]
Prevention
CONCLUSIONS: Better safety measures in high-risk sports and weight control would likely improve the prevention of meniscal lesions in populations. [ncbi.nlm.nih.gov]
Regardless of what the activity is, it is important to take the correct precautions to prevent a meniscus tear from happening. There are three major ways of preventing a meniscus tear. [en.wikipedia.org]
The initial goal is to prevent excessive weight bearing and joint compressive forces that could disrupt the healing meniscus repair or transplant. [citeseerx.ist.psu.edu]