Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 18, Issue 4, pp 535–539

Non-operative treatment of degenerative posterior root tear of the medial meniscus

  • Hong Chul Lim
  • Ji Hoon Bae
  • Joon Ho Wang
  • Chang Woo Seok
  • Min Keun Kim
Knee

DOI: 10.1007/s00167-009-0891-0

Cite this article as:
Lim, H.C., Bae, J.H., Wang, J.H. et al. Knee Surg Sports Traumatol Arthrosc (2010) 18: 535. doi:10.1007/s00167-009-0891-0

Abstract

We reviewed thirty patients with degenerative posterior root tear of the medial meniscus to investigate clinical results of non-operative treatment retrospectively. There were 3 men and 27 women at a median age of 59 years old (range, 51–65). The median follow-up period was 36 months (range, 24–51). Non-operative treatments included non-steroidal anti-inflammatory drugs daily for 8–12 weeks and supervised physical therapy twice a week at least during a period of 8 weeks. The symptoms, physical signs, the Visual Analog Scale pain, the Lysholm Knee Scoring scale and IKDC subjective activity level were analyzed at the time of pre-intervention, 6 months, 12 months and the final follow-ups. Most patients had intense mechanical pain initially, but the severity and frequency of pain was decreased within 3 months. Clinical outcome was improved at 12 months follow-up and then declined to a level that was still improved over initial scores at final follow-up. Two patients with Kellgren–Lawrence grade 2 progressed to grade 3 at the median follow-up of 36 months. In conclusion, this study demonstrated that non-operative treatment provided symptomatic relief in most patients with the degenerative posterior root tear of the medial meniscus and functional improvements in a short term follow-up.

Keywords

Medial meniscus Root tear Non-operative treatment Degeneration 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Hong Chul Lim
    • 1
  • Ji Hoon Bae
    • 1
  • Joon Ho Wang
    • 2
  • Chang Woo Seok
    • 1
  • Min Keun Kim
    • 1
  1. 1.Department of Orthopaedic SurgeryKorea University College of Medicine, Guro HospitalGuro-gu, SeoulRepublic of Korea
  2. 2.Department of Orthopaedic SurgeryKorea University College of Medicine, Ansan HospitalAnsan-SiKorea