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Meniscus Injuries

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A Case-Based Approach to Knee Pain

Abstract

In this chapter, knee meniscus injuries are discussed. Topics covered include the pathology, clinical presentation, physical examination, diagnostic studies, treatment and return to activities for meniscus injuries are discussed in turn. Meniscus tears account for 11% of acute knee disorders and 31% of chronic knee disorders.

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References

  1. Harrast MA, Finnoff JT. Sports medicine: study guide and review for boards. 2nd ed. New York: Demos Medical; 2017.

    Google Scholar 

  2. Valdez G, Haque A, Chang R. Meniscal injuries. AAPM&R Knowledge Now. 2021. https://now.aapmr.org/meniscus-injuries-of-the-knee/. Accessed 2 Jan 2022.

  3. Décary S, Fallaha M, Frémont P, et al. Diagnostic validity of combining history elements and physical examination tests for traumatic and degenerative symptomatic meniscal tears. PM&R. 2018;11(5):472–82. https://doi.org/10.1016/j.pmrj.2017.10.009.

    Article  Google Scholar 

  4. Jazrawi LM, Strauss EJ. The management of meniscal pathology: from meniscectomy to repair and transplantation. 1st ed. New York: Springer; 2020. https://doi.org/10.1007/978-3-030-49488-9.

    Book  Google Scholar 

  5. Miller MD, Thompson SR, Aiyer AA, Baraga MG, Mijares MR. DeLee, Drez & Miller’s orthopaedic sports medicine: principles and practice. 5th ed. Amsterdam: Elsevier; 2019.

    Google Scholar 

  6. LaPrade RF, Arendt EA, Getgood A, Faucett SC. The menisci: a comprehensive review of their anatomy, biomechanical function and surgical treatment. 1st ed. Berlin: Springer; 2017. https://doi.org/10.1007/978-3-662-53792-3.

    Book  Google Scholar 

  7. Kelly I. Meniscal injuries: management and surgical techniques. 1st ed. New York: Springer; 2014. https://doi.org/10.1007/978-1-4614-8486-8.

    Book  Google Scholar 

  8. Hagino T, Ochiai S, Senga S, et al. Meniscal tears associated with anterior cruciate ligament injury. Arch Orthop Trauma Surg. 2015;135(12):1701–6. https://doi.org/10.1007/s00402-015-2309-4.

    Article  Google Scholar 

  9. Karachalios T, Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Jt Surg Am. 2005;87(5):955–62. https://doi.org/10.2106/JBJS.D.02338.

    Article  Google Scholar 

  10. Rubin DA, Paletta GA. Current concepts and controversies in meniscal imaging. Magn Reson Imaging Clin N Am. 2000;8(2):243–70. https://doi.org/10.1016/S1064-9689(21)00588-2.

    Article  CAS  Google Scholar 

  11. Englund M, Guermazi A, Gale D, et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359(12):1108–15. https://doi.org/10.1056/NEJMoa0800777.

    Article  CAS  Google Scholar 

  12. Dai H. Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies. J Orthop Sci. 2015;20(4):675–81. https://doi.org/10.1007/s00776-015-0728-2.

    Article  Google Scholar 

  13. Frontera WR, Silver JK, Rizzo TD, et al. Essentials of physical medicine and rehabilitation: musculoskeletal disorders, pain, and rehabilitation. 4th ed. Amsterdam: Elsevier; 2019.

    Google Scholar 

  14. Chirichella PS. Treatment of knee meniscus pathology: rehabilitation, surgery, and orthobiologics. PM&R. 2019;11(3):292–308. https://doi.org/10.1016/j.pmrj.2018.08.384.

    Article  Google Scholar 

  15. Pujol N, Salle De Chou E, Boisrenoult P, Beaufils P. Platelet-rich plasma for open meniscal repair in young patients: any benefit? Knee Surg Sports Traumatol Arthrosc. 2015;23(1):51–8. https://doi.org/10.1007/s00167-014-3417-3.

    Article  Google Scholar 

  16. Kaminski R. A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study evaluating meniscal healing, clinical outcomes, and safety in patients undergoing meniscal repair of unstable, complete vertical meniscal tears (bucket handle) augmented with platelet-rich plasma. Biomed Res Int. 2018;2018:15815. https://doi.org/10.1155/2018/9315815.

    Article  CAS  Google Scholar 

  17. Blanke F, Vavken P, Haenle M, von Wehren L, Pagenstert G, Majewski M. Percutaneous injections of platelet rich plasma for treatment of intrasubstance meniscal lesions. Muscles Ligaments Tendons J. 2015;5(3):162–6. https://doi.org/10.11138/mltj/2015.5.3.162.

    Article  Google Scholar 

  18. Vangsness CT Jr, Farr J 2nd, Boyd J, Dellaero DT, Mills CR, LeRoux-Williams M. Adult human mesenchymal stem cells delivered via intra-articular injection to the knee following partial medial meniscectomy: a randomized, double-blind, controlled study. J Bone Jt Surg Am. 2014;96(2):90–8. https://doi.org/10.2106/JBJS.M.00058.

    Article  Google Scholar 

  19. Nakamura RM. I don’t know why my knee pain and stiffness has gotten progressively worse. In: Presented at 26th annual meeting of the AMSSM, research oral poster presentations, 2017. New York: Springer; 2017.

    Google Scholar 

  20. Brelin AM, Rue JPH. Return to play following meniscus surgery. Clin Sports Med. 2016;35(4):669–78. https://doi.org/10.1016/j.csm.2016.05.010.

    Article  Google Scholar 

  21. McCarty EC, Marx RG, Wickiewicz TL. Meniscal tears in the athlete: operative and nonoperative management. Phys Med Rehabil Clin N Am. 2000;11(4):867–80. https://doi.org/10.1016/S1047-9651(18)30105-0.

    Article  CAS  Google Scholar 

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Kelly, A.A., Chang, R.G. (2022). Meniscus Injuries. In: Leong, M., Cooper, G., Herrera, J.E., Murphy, P. (eds) A Case-Based Approach to Knee Pain. Springer, Cham. https://doi.org/10.1007/978-3-031-15356-3_3

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  • DOI: https://doi.org/10.1007/978-3-031-15356-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-15355-6

  • Online ISBN: 978-3-031-15356-3

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