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Meniscus Degenerative

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Orthopaedic Sports Medicine

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Abstract

Degenerative meniscus tears are frequent in the general population. Usually they are developed slowly and involve multiple tear configurations with horizontal cleavage. Patients with degenerative meniscus pathology usually complain compartmental knee pain with or without mechanical symptoms. Patients are usually over 30 years of age and often complain of an insidious onset of symptoms without known traumatic events. Some risk factors cannot be changed, but targeted interventions on modifiable factors might have a significant impact on the natural history of such lesions. There is now a consensus in the literature that arthroscopic meniscectomy should not be proposed as a first line of treatment for degenerative meniscus lesions. Surgical treatment can be proposed in patients with degenerative meniscal tears with persistent pain after at least 3 months of conservative treatment. The presence of considerable mechanical symptoms like clicking or briefly locking knees constitutes a special case in which early arthroscopic treatment may be indicated.

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Abbreviations

BMI:

Body mass index

MRI:

Magnetic resonance imaging

NSAIDs:

Nonsteroidal anti-inflammatory drugs

ROM:

Range of motion

TKR:

Total knee replacement

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Author information

Authors and Affiliations

  1. Knee Unit, Catalan Institut for Traumatology and Sports Medicine (ICATME), Hospital Universitari Dexeus, Universitat Autonoma de Barcelona (UAB), Barcelona, Spain

    Simone Perelli, Luis A. Melo-Mesa, Giuseppe Gianluca Costa, Rodolfo Morales-Avalos & Joan Carles Monllau

  2. Department of Orthopaedic Surgery, Parc de Salut Mar (Hospital del Mar and Hospital de l’Esperança), Universitat Autònoma de Barcelona (UAB), Barcelona, Spain

    Simone Perelli & Joan Carles Monllau

  3. Ortopaedics and Traumatology Unit, Hospital Umberto I, Enna, Italy

    Giuseppe Gianluca Costa

  4. Department of Physiology, School of Medicine, Universidad Autónoma de Nuevo León (UANL), Monterrey, Mexico

    Rodolfo Morales-Avalos

Authors
  1. Simone Perelli
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  2. Luis A. Melo-Mesa
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  3. Giuseppe Gianluca Costa
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  4. Rodolfo Morales-Avalos
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  5. Joan Carles Monllau
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Corresponding author

Correspondence to Joan Carles Monllau .

Editor information

Editors and Affiliations

  1. FIFA Medical Centre of Excellence, Clínica Espregueira, Porto, Portugal

    João Espregueira-Mendes

  2. Dept. Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden

    Jón Karlsson

  3. UPMC Freddie Fu SportsMed Ctr, Orth Surg, University of Pittsburgh, Pittsburgh, PA, USA

    Volker Musahl

  4. McMaster University, Hamilton, ON, Canada

    Olufemi R. Ayeni

Section Editor information

  1. No affiliation provided

    Robert F. LaPrade

  2. No affiliation provided

    Freddie H. Fu

  3. No affiliation provided

    Juan C. Monllau

  4. No affiliation provided

    Norimasa Nakamura

  5. No affiliation provided

    Moisés Cohen

  6. No affiliation provided

    Romain Seil

  7. No affiliation provided

    Christophe Jacquet

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Perelli, S., Melo-Mesa, L.A., Costa, G.G., Morales-Avalos, R., Monllau, J.C. (2023). Meniscus Degenerative. In: Espregueira-Mendes, J., Karlsson, J., Musahl, V., Ayeni, O.R. (eds) Orthopaedic Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-65430-6_40-1

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  • DOI: https://doi.org/10.1007/978-3-030-65430-6_40-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-65430-6

  • Online ISBN: 978-3-030-65430-6

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