Cellular effect on meniscal healing Mauck and Burdick performed a review of the basic science of meniscal healing, and factors that affect it. They point out that over the age of 40, patients have far fewer meniscal fibrochondrocytes at the tear interface and are therefore less able to up-regulate production of matrix proteins and enzymes in a healing response. They discuss studies that suggest...

Introduction: Internal derangement of knee is common after injury. In acute stage, clinical examination of painful knee may be difficult and frequently the imaging studies are required to assess the injuries of the menisci, cartilage ligaments or bone. Materials and methods: A prospective study was conducted at the department of orthopedic. A total of 50 patients (50 knees) were examined, 42 pa...

The accuracy and interexaminer reliability of the McMurray test for the diagnosis of meniscal tears were compared with arthroscopic findings in a prospective study of 104 consecutive patients awaiting elective arthroscopy. The only significant McMurray sign found to correlate with meniscal injury was a "thud" elicited on the medial joint line with a medial meniscal tear (P = 0.05) that had a fa...

The role of arthroscopic meniscectomy in middle-aged patients has not previously been evaluated. This paper reports on 73 knees in 68 patients aged over 40, all of whom were shown arthroscopically to have meniscal tears and who were felt to be suitable candidates for meniscectomy. Many of these patients had typical traumatic meniscal tears, and if no degenerative joint changes were present at t...

The aim of this study was to follow patients in whom preoperative MRI demonstrated grade-3 lesions in the medial meniscus but no visible tears at arthroscopic ACL reconstruction, and to ascertain whether these meniscal lesions would progress to definite tears after reconstruction. The Study population consisted of 19 patients with a mean age of 23.2 years. Intraoperative arthroscopy showed norm...

BACKGROUND The management of anterior cruciate ligament (ACL) tears in growing patients must balance activity modification with the risk of secondary (meniscal and cartilaginous) lesions, and surgical intervention, which could adversely affect skeletal growth. Many ACL reconstruction techniques have been developed or modified to decrease the risk of growth disturbance. We have not found any des...

a 48‑year‑old morbidly obese woman with a left medial meniscal tear and moderately severe degenerative joint disease (djd) reported for 14‑month follow‑up visit from arthroscopic surgery. she reported a resolution of pain, swelling and an improved range of motion (rom). the patient was first evaluated 14 months ago, and at that time was considered a strong candidate for total knee replacement d...

A 64-year-old man presented with intermittent but progressive lateral-sided knee pain. Symptoms mimicked those of a lateral meniscal tear. Magnetic resonance imaging revealed a cyamella associated with popliteal tendonitis and an intact lateral meniscus.

The epidemiologic characteristics of concomitant meniscal tears that occur at the time of anterior cruciate ligament (ACL) injury have been variably reported. The purpose of this study was to assess the epidemiology of meniscal tears that occur in the ACL-injured knee of a young, athletic population at a single institution. We were unable to find a difference in meniscal tear incidence based on...

This causation review summarises information on the classification of meniscal tears of the knee and the outlines the evidence that certain tears are often degenerative in origin. It is not intended to replace clinical judgement, or be used as a clinical protocol. A reasonable attempt has been made to find and review papers relevant to the focus of this report but it is not exhaustive. The cont...