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...

Traditionally, horizontal cleavage meniscus tears have been associated with osteoarthritis, indicative of the degenerative process. Recent treatment measures have focused on maintaining as much meniscal tissue as possible, despite the routine extension of these tears into the central white-white zones. In the absence of tunnel drilling for cruciate ligament reconstructions, the use of an exogen...

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 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...

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...

Modern meniscal repair incorporates multiple techniques and adjunctive measures. The classic inside-out repair remains the gold standard and is most appropriate for a bucket-handle type tear of the medial or lateral meniscus. The all-inside technique has gained in popularity recently and has outcomes that approach those of the inside-out repair with decreased morbidity but increased cost. The c...

INTRODUCTION Arthroscopic surgery is a very common orthopaedic procedure. While several trials have investigated the effect of knee arthroscopy for middle-aged and older patients with meniscal tears, there is a paucity of trials comparing meniscal surgery with non-surgical treatment for younger adults. The aim of this randomised controlled trial (RCT) is to investigate if early arthroscopic sur...

Meniscal lesions often occur in association with anterior cruciate ligament (ACL) tears at the moment of injury or, secondarily, as a consequence knee instability. Both ACL and meniscus are associated higher risk osteoarthritis. Adequate treatment these reduces rate degenerative changes affected knee. should be addressed concomitantly reconstruction must oriented towards preserving meniscal tis...