Although meniscal allografts that are secured with the suture-only technique tend to show a greater degree of extrusion than the bony-fixation techniques, bony-fixation techniques still show high extrusion rates (2550%). After healing occurs, a doctor will recommend a rehabilitation program of exercises to improve range of motion and strength. Google Scholar, Okada K, Yamaguchi S, Sato Y, Enomoto T, Ogawa Y, Ohtori S et al (2019) Comparison of meniscal extrusion and osteophyte formation at the intercondylar notch as a predictive biomarker for incidence of knee osteoarthritis-Data from the Osteoarthritis Initiative-. 1. WebArthroscopic meniscus repairs typically takes about 40 minutes. Cant fully bend or straighten your leg without knee pain. Therefore, with this article we aim to provide an up-to-date review of the literature with an emphasis on the clinical significance and new concepts in the treatment and reduction of ME in the different knee pathologies in which it is encountered. Future research should focus on the role of additional centralization of the meniscus during arthroscopic debridement for the treatment of moderate knee OA. Osteoarthritis Cartilage 27(11):15781589, Primorac D, Molnar V, Matii V, Hudetz D, Jele , Rod E et al (2021) Comprehensive review of knee osteoarthritis pharmacological treatment and the latest professional societies guidelines. Lateral wedge insoles have been found to reduce MME and could also supplement a conservative treatment of knee OA, as they could potentially delay the degenerative process [50]. Feel like your knee locks up or might give way underneath you. Arch Orthop Trauma Surg 132(3):321327, Kamatsuki Y, Furumatsu T, Fujii M, Kodama Y, Miyazawa S, Hino T et al (2018) Complete tear of the lateral meniscus posterior root is associated with meniscal extrusion in anterior cruciate ligament deficient knees. It is a very common injury, especially among people who play sports. A person with a meniscus injury should consult a healthcare professional, such as a physical therapist, before starting an exercise program. taking pain medications. The knee is a complex synovial joint that can be affected by a range of pathologies: ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. To the best of our knowledge, this is the first study to elaborate on these topics. Google Scholar, Ozeki N, Seil R, Krych AJ, Koga H (2021) Surgical treatment of complex meniscus tear and disease: state of the art. View Yuranga Weerakkody's current disclosures, see full revision history and disclosures, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity. Become a Gold Supporter and see no third-party ads. Meniscus Tear Recovery Time Without Surgery: What to Our website services, content, and products are for informational purposes only. See additional information. Am J Sports Med 45(1):4249, Krych AJ, Bernard CD, Leland DP, Camp CL, Johnson AC, Finnoff JT et al (2020) Isolated meniscus extrusion associated with meniscotibial ligament abnormality. CAS Knee Surg Sports Traumatol Arthrosc. We avoid using tertiary references. A torn or strained meniscus is generally treated with rest, ice, over-the-counter anti-inflammatory medicines and physical therapy. Treatments for macerated skin caused by wounds include specific types of bandages and dressings, including: Occlusive dressings. Therefore, ultrasound (U/S) was recently introduced as a reliable alternative to MRI for the evaluation of ME, which also offers the possibility for dynamically assessing ME in various positions, as well as in a weight-bearing state, in an inexpensive and feasible manner [20,21,22]. Arthritis Care Res 68(10):15601566, Article ME has no specific clinical finding or sign and it is encountered in many knee pathologies. This study was exempted from the requirement for local institutional review board approval as it is a narrative review of the literature. Krych et al. When diagnosing a meniscus tear, a doctor will carry out a detailed medical history and a thorough examination of the knee joint. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Therefore, improvements in surgical techniques are necessary [102, 109]. Meniscal maceration | Radiology Reference Article Advertising on our site helps support our mission. (2018). All rights reserved. Nonsurgical treatment may include interventions such as rest, exercises, and medication. Shiraev T, et al. Med Hypotheses 1(101):4851, Article A tear in this "red" zone may heal on its own, or can often be repaired with surgery. There is no consensus whether medial or lateral MAT is superior in terms of medium-term (510years) and long-term (>10years) survival. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Last medically reviewed on February 8, 2022, The knee is one of the body's more complicated joints and is susceptible to various injuries. Diagnosis and management of meniscal injury. A hip labral tear is an injury to the labrum, the soft tissue that covers the acetabulum (socket) of the hip. (2017). Meniscus tears can occur from an injury or wear and tear on the joint over time. The ACL is the main restrictor in the anterior tibial translation, while the posterior part of the medial meniscus (MM) acts as a secondary stabilizer [83, 84]. Playing contact sports also increases your risk of a meniscus tear. Management of the MPRT consists of nonoperative treatment, partial meniscectomy and root repair, and primarily aims to prevent the development of OA [58]. This is probably why capsulodesis is so effective in minimizing extrusion. PubMed 2021. https://link.springer.com/article/10.1007%2Fs00402-020-03683-1. A more posterolateral placement of the tibial tunnel aperture may induce extrusion of the LM following ACLR. It is known that ACL and meniscal function cannot be fully restored even after surgical repair [86, 90]. Therefore, the relative values may be significant [17]. [42] found that in knees with the same grade of knee OA, extrusion of the medial meniscus was greater in patients who experienced pain in comparison with painless knee OA. However, its posterior extrusion progressed significantly regardless of the healing status [90]. Work up slowly to more intense exercise activity. It usually results from twisting your knee suddenly. More serious meniscus tears may not heal on their own. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc 26(12):16331640, Jang SH, Kim JG, Ha JG, Shim JC (2011) Reducing the size of the meniscal allograft decreases the percentage of extrusion after meniscal allograft transplantation. Knee Surg Sports Traumatol Arthrosc 19(2):214217, Kim YS, Kang KT, Son J, Kwon OR, Choi YJ, Jo SB et al (2015) Graft extrusion related to the position of allograft in lateral meniscal allograft transplantation: biomechanical comparison between parapatellar and transpatellar approaches using finite element analysis. The menisci are crescent-shaped, fibrocartilaginous structures that play a crucial role in the load transition and distribution of the contact forces along the tibiofemoral articulation. Most authors agree that the transplanted menisci are extruded more frequently than endogenous menisci [15, 102, 105]. ME, in the coronary plane, is defined as the maximum distance of the most distal end of the meniscus from the border of the tibial plateau, where the tibial eminences are the most prominent, without taking into account the osteophytes. In addition, when there is ACL rupture and the preoperative extrusion of the LM is 1.1mm, the surgeon should consider the possibility of a complete posterior root tear (PRT) of the LM. EFORT Open Rev 6(2):113117, Wang YX, Li ZL, Li J, Zhao ZD, Wang HR, Hou C et al (2019) Effect of medial meniscus extrusion on arthroscopic surgery outcome in the osteoarthritic knee associated with medial meniscus tear: a minimum 4-year follow-up. Winkler. Recovery time can be lengthy with either one. There is no established optimal surgical technique at present for restoring ME to normal values, and thus there will be a strong need for more effective and refined techniques. Privacy PolicyThe information on this site is not intended or implied to be medical advice, diagnosis, or treatment. Exercise programs start with an initial routine and then progress to intermediate and advanced routines. Have swelling that doesnt go away with a few days of RICE and taking NSAIDs. Osteoarthritis Cartilage 13(7):568574, Chan KKW, Sit RWS, Wu RWK, Ngai AHY (2014) Clinical, radiological and ultrasonographic findings related to knee pain in osteoarthritis. This article outlines two types and their associated symptoms and causes. Small tears often heal on their own, while others may require arthroscopic surgery. As you get older, the cartilage in your knees wears down and gets weaker. Orthop J Sports Med 9(3):2325967121989678, Koga H, Watanabe T, Horie M, Katagiri H, Otabe K, Ohara T et al (2017) Augmentation of the pullout repair of a medial meniscus posterior root tear by arthroscopic centralization. Google Scholar, Abat F, Gelber PE, Erquicia JI, Pelfort X, Gonzalez-Lucena G, Monllau JC (2012) Suture-only fixation technique leads to a higher degree of extrusion than bony fixation in meniscal allograft transplantation. 2023 BioMed Central Ltd unless otherwise stated. However, knowledge regarding the management of ME remains limited. no financial relationships to ineligible companies to disclose. The goal of the anatomic reconstruction of the ACL rupture is to replicate the normal knee anatomy. Knee 27(5):15601566, Zheng T, Song G, Li Y, Zhang Z, Ni Q, Cao Y et al (2021) Clinical, radiographic, and arthroscopic outcomes of surgical repair for radial and avulsed lesions on the lateral meniscus posterior root during ACL reconstruction: a systematic review. Arthroscopy 27(7):914922, Kim JH, Lee S, Ha DH, Lee SM, Jung K, Choi W (2018) The effects of graft shrinkage and extrusion on early clinical outcomes after meniscal allograft transplantation. Clin Rheumatol 36(11):25572564, Kim JY, Bin SI, Kim JM, Lee BS, Oh SM, Park MH (2019) Tear gap and severity of osteoarthritis are associated with meniscal extrusion in degenerative medial meniscus posterior root tears. [76] showed that induction of MTL lesions in cadaveric knees resulted in ME after only a few cycles of loading and that repair of the lesion led to a significant reduction of ME. Effectiveness of an Ayurveda treatment approach in knee osteoarthritis A randomized controlled trial. Arthroscopy 31(4):699706, Lee SM, Bin SI, Kim JM, Lee BS, Park JG (2020) Absolute meniscal extrusion after lateral meniscal allograft transplantation does not progress during long-term follow-up: average of 10.3 years follow-up longitudinal magnetic resonance imaging study. Doral MN, et al. Pull both heels into the floor while tightening the muscles on the backs of the thighs. nonsteroidal anti-inflammatory drugs (NSAIDs), rimed.org/rimedicaljournal/2016/10/2016-10-27-sports-babu.pdf, ncbi.nlm.nih.gov/pmc/articles/PMC5489759/, ncbi.nlm.nih.gov/pmc/articles/PMC6483631/, ncbi.nlm.nih.gov/pmc/articles/PMC5994634/, orthoinfo.aaos.org/en/diseases--conditions/meniscus-tears/, ncbi.nlm.nih.gov/pmc/articles/PMC3418117/, physioworks.com.au/pain-injury/knee-pain/meniscus-tear/, sciencedirect.com/science/article/pii/S1063458418300827, ncbi.nlm.nih.gov/pmc/articles/PMC4095015/, racgp.org.au/afp/2012/april/meniscal-tear/, ncbi.nlm.nih.gov/pmc/articles/PMC5905745/, How to Ease Knee Pain and Sleep Tight Through the Night, The 6 Best Knee Compression Sleeves of 2023, What Your Knee Pain May Indicate Based on Its Location, Prepatellar Bursitis on the Kneecap: Treatment and Recovery from this Injury, ACL Knee Repair Sometimes Leads to Better Outcomes Than Reconstruction. Conservative treatment constitutes the first line of therapy in mild or moderate knee OA [46, 47]. Physical therapy generally leads to a good outcome. Cookies policy. Pathology. All rights reserved. Degenerative tears occur mainly in the medial meniscus and are most commonly encountered in older patients without any history of significant trauma [4]. Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.merckmanuals.com/home/injuries-and-poisoning/sprains-and-other-soft-tissue-injuries/knee-sprains-and-related-injuries), (https://www.niams.nih.gov/health-topics/knee-problems#tab-overview), (https://orthoinfo.aaos.org/en/treatment/knee-arthroscopy/), (https://orthoinfo.aaos.org/en/diseases--conditions/meniscus-tears/), (https://www.physio-pedia.com/Meniscal_Repair). 6 Types of Meniscus Tears and How Their Treatment You can learn more about how we ensure our content is accurate and current by reading our. Adv Orthop. Am J Sports Med 48(13):31633169, Bin SI, Nha KW, Cheong JY, Shin YS (2018) Midterm and long-term results of medial versus lateral meniscal allograft transplantation: a meta-analysis. For these reasons, certain contraindications have been introduced (Table 2) [102, 103, 105,106,107,108,109]. Knee 26(6):12921298, Zhang ZZ, Zhou YF, Luo H, Zhang HZ, Chen Z, Jiang C et al (2020) A novel surgical technique for arthroscopic repair of type II posterior lateral meniscal root tear. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. A physical therapist can provide a daily routine of exercises and stretches to improve your muscle strength, flexibility, range of motion, and stability. Putting ice on your knee for 10 to 15 minutes This thinner cartilage can tear more easily. an assessment by MRI and arthroscopy. https://doi.org/10.1002/acr.24394, Wu PT, Shao CJ, Wu KC, Wu TT, Chern TC, Kuo LC et al (2012) Pain in patients with equal radiographic grades of osteoarthritis in both knees: the value of gray scale ultrasound. Ice. It is often used with chronic degenerative conditions although some authors also propose this term in the setting of a tear (macerated tear)2. 2. The time of recovery varies depending on: The meniscus is a C-shaped band of cartilage that goes around the knee joint and cushions the junction of your thighbone (femur) and shinbone (tibia). his post talks about the importance of balance training and strengthening-, Muscle mass.. or larger muscles are associated with longevity and better health. When will I be able to get back to full activity? It is associated with either rapidly progressive knee osteoarthritis or early onset of knee osteoarthritis and increased morbidity. Nonanatomical placement of the meniscal allograft>5mm relative to the endogenous meniscus adversely affects the mechanical contacts of the knee, which may affect the allograft's ability to prevent articular cartilage degeneration [16, 124]. A person may feel a pop when they tear the meniscus. A persons initial exercise routine may include an exercise called hamstring contractions. Today, in general, doctors recommend conservative treatment, not surgery, when meniscus tears result from degeneration. CAS Note that meniscectomy may cause osteoarthritis in the long term. A torn meniscus is a very common knee injury. But you can reduce your risk of a torn meniscus if you: Most people who tear a meniscus can return to full activity. Osteoarthritis Cartilage 25(7):10761083, Naredo E, Cabero F, Palop MJ, Collado P, Cruz A, Crespo M (2005) Ultrasonographic findings in knee osteoarthritis: a comparative study with clinical and radiographic assessment. This value is identified as the optimal cutoff point for a complete PRT of the LM and has 100% sensitivity and 83% specificity [92]. Consequently, partial meniscectomy is only utilized for symptomatic MPRT (catching/locking) when a root repair, due to excessive degenerative changes and poor quality of meniscal tissue, is contraindicated [61, 64]. Last medically reviewed on December 21, 2020. MNT is the registered trade mark of Healthline Media. Lie on Intermediate routine. Post-ACLR ME is also a concern and should be prevented by repairing concurrent meniscal tears and centralizing the meniscus along with the ACLR. {"url":"/signup-modal-props.json?lang=us"}, Weerakkody Y, Baba Y, Knipe H, Meniscal maceration. Finally, meniscal allografts often result in extrusion, thus potentially reducing the clinical benefits of transplantation. Prepatellar bursitis is a common complaint of people who work on their knees or who engage in activities that risk blows to the knee. Arthroscopic partial meniscectomy The goal of this These fibers specifically act on the LM anterior root attachment itself, explaining the reduction in the ultimate failure of the anterior root strength of the LM with disruption of these fibers [87, 93]. A narrative review with focus on relevance for osteoarthritis research. Makiev, K.G., Vasios, I.S., Georgoulas, P. et al. J Knee Surg. Am J Sports Med 45(4):900908, Yoon JR, Kim TS, Lee YM, Jang HW, Kim YC, Yang JH (2011) Transpatellar approach in lateral meniscal allograft transplantation using the keyhole method: can we prevent graft extrusion? Jones JC, et al. MK, VSI and GP participated in the study design and helped to draft the manuscript. Most transplantations have been performed with the bone-plug technique because previous studies have shown its superiority in load-bearing function, resistance to hoop stresses, similar contact mechanics to endogenous menisci and lower extrusion rates compared with the other techniques [109, 111]. Exercises Initial routine. Ann Rheum Dis 68(6):938947, Ishii Y, Deie M, Fujita N, Kurumadani H, Ishikawa M, Nakamae A et al (2017) Effects of lateral wedge insole application on medial compartment knee osteoarthritis severity evaluated by ultrasound. This cartilage is the meniscus. Thats because you now have less shock absorption in your joint. To the best of our knowledge, the exact clinical significance of ME after ACLR has not yet been clearly elucidated, although efforts are continuously being made to minimize this phenomenon. What is a meniscus injury, and how common is it? 1), although it may underestimate ME, as the assessment is routinely not performed under weight-bearing conditions [18,19,20]. Eur Radiol 30(7):39964004, Svensson F, Felson DT, Turkiewicz A, Guermazi A, Roemer FW, Neuman P et al (2019) Scrutinizing the cut-off for pathological meniscal body extrusion on knee MRI. A Special Tear Pattern of Anterior Horn of the Lateral If your injury doesnt improve with RICE, NSAIDs and physical What is the usual treatment for a meniscal tear? Symptomatic meniscal tears are usually treated surgically. If the tear is in an area of the meniscus that has good blood supply, then it will generally be repaired with sutures. Careful preoperative planning for correct sizing and accurate placement of the allograft is critical for preventing ME. Knee Surg Sports Traumatol Arthrosc 28(11):35993605, Krych AJ, LaPrade MD, Hevesi M, Rhodes NG, Johnson AC, Camp CL et al (2020) Investigating the chronology of meniscus root tears: do medial meniscus posterior root tears cause extrusion or the other way around? Macerated Skin: Pictures, Causes, Treatment, and Medial meniscal extrusion (MME) is measured 5.6mm. X-rays are useful in finding other causes of knee pain, but they will not show a meniscus tear. Call the offices of Dr. Brett Gilbert at (919) 788-8797 or request an appointment online, and let Dr. Gilbert help you get back to Manage cookies/Do not sell my data we use in the preference centre. Osteoarthritis Cartilage 26(7):912919, Roubille C, Martel-Pelletier J, Abram F, Dorais M, Delorme P, Raynauld JP et al (2015) Impact of disease treatments on the progression of knee osteoarthritis structural changes related to meniscal extrusion: data from the OAI progression cohort. Most of the meniscus pathologies have recently been correlated with meniscal extrusion [3, 6]. TK and DG designed the manuscript and helped to draft the manuscript and review it. Am J Sports Med 45(8):18641871, Novaretti JV, Astur DC, Cavalcante ELB, Kaleka CC, Amaro JT, Cohen M (2020) Preoperative meniscal extrusion predicts unsatisfactory clinical outcomes and progression of osteoarthritis after isolated partial medial meniscectomy: a 5-year follow-up study. If you have surgery to repair a torn meniscus, your knee should be fully recovered after a few months of physical therapy. Labral Our friendly team is here to answer your questions about knee injuries or any other problems with your bones or joints. Medial meniscus posterior root tear: a comprehensive It has been shown from studies that the risk for TKA after ACLR is seven timesgreater than in normal individuals [88]. Currently, MPRT repair constitutes the treatment of choice, since it restores the hoop tension and the joint kinematics [65], halts the progression of OA and lowers the rate of arthroplasty [66, 67]. Arthritis (a breakdown of cartilage in the joints) can also lead to a meniscus tear. Recovery time for meniscus tear depends upon the type of surgery performed. The other factors that affect the recovery time are as follows: On an average, it takes about 4 6 weeks of time for the patient to recover completely from the meniscus surgery. PubMedGoogle Scholar. Another promising surgical approach for reducing the ME is the arthroscopic centralization of the extruded meniscus at the point where the capsule adjacent to the meniscus is repaired at the border of the tibial plateau [98, 101]. If these measures do not alleviate a persons symptoms, doctors may recommend surgical options, such as a partial meniscectomy or a meniscus repair. An intermediate Often, athletes and people who play sports for fun suffer meniscus tears. Medial Compartment Osteoarthritis Koga et al. Meniscal tear: Presentation, diagnosis and management. Osteoarthritis Cartilage 20(12):15071513, Bevers K, Bijlsma JW, Vriezekolk JE, van den Ende CH, den Broeder AA (2014) Ultrasonographic features in symptomatic osteoarthritis of the knee and relation with pain. ME can occur in knee OA [8, 10], and its presence is significantly correlated with increased articular cartilage loss in the tibiofemoral joint and osteophyte formation [29, 30]. Although meta-analyses validate the superiority of root repair over partial meniscectomy in terms of clinical outcomes, they also highlight the inability of root repair to successfully reduce ME [68, 69]. This condition may lead to increased cartilage degeneration, progressive OA and allograft failure, as mentioned in several biomechanical studies [17, 111]. Treatment usually starts with the RICE method: Rest. Knee Surgery & Related Research Int Orthop 39(12):24812487, Winkler PW, Wierer G, Csapo R, Hepperger C, Heinzle B, Imhoff AB et al (2020) Quantitative evaluation of dynamic lateral meniscal extrusion after radial tear repair. For instance, an oversized allograft achieves adequate coverage of the tibial plateau while exhibiting a large amount of extrusion, whereas the opposite applies for undersized or shrunken allografts [112]. PubMed Central National Center for Biotechnology Information Meniscus tears are the most frequently treated knee injuries. showed that the difference in the extrusion of the LM between a healthy knee and a knee with combined injury was not statistically significant. J Orthop Surg Hong Kong 28(1):2309499020906745, McCormack DJ, Puttock D, Godsiff SP (2021) Medial compartment osteoarthritis of the knee: a review of surgical options. https://doi.org/10.1186/s43019-022-00163-1, DOI: https://doi.org/10.1186/s43019-022-00163-1. Orthopaedics, University General Hospital of Alexandroupolis, St. Niarhos 1, Dragana, 68100, Alexandroupolis, Greece, Konstantinos G. Makiev,Ioannis S. Vasios&Paraskevas Georgoulas, Orthopaedics, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece, Konstantinos Tilkeridis,Georgios Drosos&Athanasios Ververidis, You can also search for this author in Furthermore, supplementary centralization of the meniscus appears to be able to adequately reduce the ME, as it also addresses potential MTL lesions. Clinical significance and management of meniscal extrusion in different knee pathologies: a comprehensive review of the literature and treatment algorithm, https://doi.org/10.1186/s43019-022-00163-1, Anterior cruciate ligament reconstruction (ACLR), https://doi.org/10.1007/s00167-020-06363-0, https://link.springer.com/article/10.1007%2Fs00402-020-03683-1, https://doi.org/10.1186/s43019-019-0019-x, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Treatment with glucosamine, chondroitin sulfate and licofelone has These findings suggest that the tension of the graft and the excessive external rotation of the tibia are also factors that can affect the condition of the MM. https://doi.org/10.1155/2015/210972, Kijima H, Miyakoshi N, Kasukawa Y, Ishikawa Y, Kinoshita H, Ohuchi K et al (2017) Cut-off value of medial meniscal extrusion for knee pain. It can lead to pain, swelling, and a sensation of the knee giving way. A small 2018 randomized controlled study comparing conventional to Ayurvedic treatment in 151 people found that Ayurvedic treatments were beneficial in reducing osteoarthritis knee symptoms at 3, 6, and 12 months. A meniscus injury is a tear in one of the menisci within the knee. Rheumatol Oxf Engl 53(9):16251629, Podlipsk J, Koski JM, Kaukinen P, Haapea M, Tervonen O, Arokoski JP et al (2017) Structure-symptom relationship with wide-area ultrasound scanning of knee osteoarthritis. Furthermore, at 2-year follow-up, patients experienced significantly less pain, with improved clinical outcomes. Goto et al. The medial meniscus covers 5060% of the medial tibial plateau, and the lateral meniscus covers 7080% of the lateral tibial plateau. You should call your healthcare provider if you: You may want to ask your healthcare provider: A torn meniscus is a very common knee injury. Orthop J Sports Med 4(8):2325967116663185, Van Der Straeten C, Byttebier P, Eeckhoudt A, Victor J (2016) Meniscal allograft transplantation does not prevent or delay progression of knee osteoarthritis. They then measured the medial meniscal extrusion (MME) with U/S under weight-bearing and reported a cutoff value of MME for knee pain of 4.3mm, with sensitivity of 84% and specificity of 85% [43]. This post goes into considerable detail about managing a knee with arthritis and a complex or degenerative meniscus tear. Orthop J Sports Med 8(4):2325967120914568, Tsujii A, Yonetani Y, Kinugasa K, Matsuo T, Yoneda K, Ohori T et al (2021) Outcomes more than 2 years after meniscal repair for longitudinal tears of the lateral meniscus combined with anterior cruciate ligament reconstruction. https://doi.org/10.1007/s00167-020-06363-0, Miller TT, Staron RB, Feldman F, epel E (1997) Meniscal position on routine MR imaging of the knee. Its best to see a doctor as soon as possible: Untreated meniscus tears can get worse, or pieces of the meniscus can shed into the joint. [31] showed that lateral ME was associated with worsening of patellofemoral joint OA features at 2-year follow-up. Whilst APM is one of the most commonly performed orthopaedic procedures [], meniscal repair is the treatment of choice for the young athlete with an acute meniscal tear [].Meniscal repair is most commonly performed in younger populations aged under 35 years [10, 2127] and aims to preserve the entire meniscus, without excision.The However, arthroscopic debridement and osteotomies around the knee are also being employed in some instances in moderate knee OA before a TKR is required [51, 52].
