Arthroscopy pp 107-117 | Cite as

The Role of Arthroscopy in the Treatment of Degenerative Meniscus Tear

  • Hélder Pereira
  • Ibrahim Fatih Cengiz
  • Joana Silva-Correia
  • Joaquim Miguel Oliveira
  • Rui Luís Reis
  • João Espregueira-Mendes
Chapter

Abstract

Degenerative meniscus lesions typically involve a horizontal cleavage of the meniscus, as result of slowly developing changes of mucoid degeneration and sheer stresses to the meniscus. Typically, these injuries are not a result of acute knee trauma. These lesions are tremendously common to asymptomatic people despite they can also be implicated in persistent pain and/or mechanical symptoms. They are found incidentally in about every third knee in the general population after the age of 50, and their prevalence further increases with age. The degenerative meniscus lesions have been implicated in increased risk of meniscus radial displacement and deformation, resulting in increased hyaline cartilage contact stresses. In essence degenerative meniscus lesions should be clearly distinguished from traumatic meniscal tears due to their different etiologies, high prevalence, and strong association with degenerative joint disease including several degrees of osteoarthritis.

Keywords

Degenerative injuries Meniscal cyst Meniscectomy Meniscal repair Osteoarthritis 

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Copyright information

© ESSKA 2016

Authors and Affiliations

  • Hélder Pereira
    • 1
    • 2
    • 3
    • 4
    • 5
  • Ibrahim Fatih Cengiz
    • 1
    • 2
  • Joana Silva-Correia
    • 1
    • 2
  • Joaquim Miguel Oliveira
    • 1
    • 2
    • 5
  • Rui Luís Reis
    • 1
    • 2
  • João Espregueira-Mendes
    • 1
    • 2
    • 3
  1. 1.3B’s Research Group – Biomaterials, Biodegradables and BiomimeticsUniv. Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineBarco GuimarãesPortugal
  2. 2.ICVS/3B’s – PT Government Associated LaboratoryBragaPortugal
  3. 3.Clínica do DragãoEspregueira-Mendes Sports Centre – FIFA Medical Centre of ExcellencePortoPortugal
  4. 4.Orthopedic Department Centro Hospitalar Póvoa de VarzimVila do CondePortugal
  5. 5.Ripoll y De Prado Sports Clinic – FIFA Medical Centre of ExcellenceMurcia-MadridSpain

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