OBJECTIVE To review basic meniscal anatomy, histology, and biomechanical principles as they apply to surgery and rehabilitation. DATA SOURCES We searched MEDLINE and CINAHL for the years 1960-1999 using the terms meniscus,surgery,rehabilitation,meniscal repair, and arthroscopy. DATA SYNTHESIS Injuries to a healthy meniscus are usually produced by a compressive force coupled with transverse-...

BACKGROUND AND PURPOSE Knee arthroscopy is commonly performed to treat degenerative knee disease symptoms and traumatic meniscal tears. We evaluated whether the recent high-quality randomized control trials not favoring arthroscopic surgery for degenerative knee disease affected the procedure incidence and trends in Finland and Sweden. PATIENTS AND METHODS We conducted a bi-national registry-...

Increased use of MRI in the quest to explain symptoms, and patients’ hope for a ‘quick-fix’, often challenge healthcare professionals in their choice of treatment for the painful ageing knee. In the USA, there are about one million knee arthroscopies per year and the majority involve removal of torn meniscal tissue in middleaged patients. The absolute number of arthroscopic partial meniscectomi...

OBJECTIVE The geometry of the tibial plateau has a direct influence on the translation and the screw home biomechanics of the tibiofemoral joint. Little information on the relationship between the tibial slope and meniscal lesions is available. The objective of this retrospective study was to examine the effect of the tibial slope on the medial and lateral meniscus lesions in patients with inta...

MR imaging provides information on soft tissue damage and has been accepted widely for the evaluation of internal knee derangements. Hence the purpose of this study was to evaluate the usefulness of MRI in the early and precise diagnosis and to study the meniscal anatomy, normal variants, types and incidence of injuries in menisci by MRI. Out of 43 patients the males (84%) are commonly affected...

OBJECTIVE To determine clinicians' accuracy and reliability for the clinical diagnosis of unstable meniscus tears in patients with symptomatic osteoarthritis of the knee. DESIGN A prospective cohort study. SETTING A single tertiary care centre. PATIENTS One hundred and fifty-two patients with symptomatic osteoarthritis of the knee refractory to conservative medical treatment were selected...

BACKGROUND Unstable meniscal tears are rare injuries in skeletally immature patients. Loss of a meniscus increases the risk of subsequent development of degenerative changes in the knee. This study deals with the outcome of intraarticular meniscal repair and factors that affect healing. Parameters of interest were type and location of the tear and also the influence of simultaneous reconstructi...

BACKGROUND Presently, the treatment options available for patients with horizontal degenerative cleavage tears of the meniscus are limited. These tears are considered an indication for partial or subtotal meniscectomy because when the tear is located within an avascular area, it is difficult to induce healing. However, meniscectomy is not ideal because it disrupts the normal anatomical structur...

We reviewed 183 patients who had undergone reconstruction of the anterior cruciate ligament. The incidence of meniscal tears and degenerative change was assessed and related to the timing from injury to surgery. Degenerative change was scored using the French Society of Arthroscopy system. The patients were divided into an early (surgery within 12 months of injury) and a late group (surgery mor...

BACKGROUND A new generation of flexible all-inside meniscal repair devices is available, but clinical studies with these devices are lacking. HYPOTHESIS The RapidLoc has an intermediate-term meniscal healing rate that is equivalent to literature reports of inside-out suture technique in patients undergoing concurrent anterior cruciate ligament reconstruction. STUDY DESIGN Case series; Level...