Physiopathology of the Meniscal Lesions

  • Hélder PereiraEmail author
  • Ricardo Varatojo
  • Nuno Sevivas
  • Luis Serratosa
  • Pedro Luis Ripoll
  • Joaquim Miguel Oliveira
  • Rui Luís Reis
  • João Espregueira-Mendes


Pathophysiology of meniscus injuries comprises a combination of compressive, tensile, and shear forces. Besides the characteristics of the tissue itself, which comprises segmental and zonal variations, several other factors are enrolled in the etiology of meniscus tears. These include the external load/traumatic event in a given moment, the joint alignment, age, body mass index, or patient’s activity level. On the other hand, degenerative tears are usually multifactorial and not always easy to separate from the environment of a globally osteoarthritic joint. Herein, it is overviewed the most important features of anatomy, biology, and biomechanics contributing to the most frequent injury mechanisms for traumatic and degenerative meniscus tears for all ages.


Biomechanics Biology Bucket-handle tear Injury mechanism Meniscus Physiopathology Radial tear Root tear Vascularity 


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Copyright information

© ESSKA 2016

Authors and Affiliations

  • Hélder Pereira
    • 1
    • 2
    • 3
    • 4
    Email author
  • Ricardo Varatojo
    • 5
  • Nuno Sevivas
    • 6
    • 7
    • 8
  • Luis Serratosa
    • 9
  • Pedro Luis Ripoll
    • 10
  • Joaquim Miguel Oliveira
    • 11
    • 12
  • Rui Luís Reis
    • 11
    • 12
  • João Espregueira-Mendes
    • 13
    • 12
    • 7
  1. 1.Orthopedic DepartmentCentro Hospitalar Póvoa de Varzim - Vila do CondeVila do CondePortugal
  2. 2.3B’s Research Group – Biomaterials, Biodegradables and BiomimeticsUniv. Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineGuimarãesPortugal
  3. 3.ICVS/3B’s – PT Government Associated LaboratoryBragaPortugal
  4. 4.Ripoll y De Prado Sports Clinic FIFA Medical Centre of ExcellenceMurcia-MadridSpain
  5. 5.Department of Knee, Ankle, Arthroscopy and Sports Trauma UnitHospital CUF –Descobertas: Knee, Ankle, Arthroscopy and Sports Trauma UnitLisboaPortugal
  6. 6.Department of Orthopedics and Sports TraumatologyICVS/3B’s – PT Government Associated LaboratoryBraga/GuimarãesPortugal
  7. 7.Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of ExcellencePortoPortugal
  8. 8.Hospital de BragaBragaPortugal
  9. 9.Department of Sports MedicineRipoll y De Prado Sport Clinic – FIFA Medical Centre of ExcellenceMurcia-MadridSpain
  10. 10.Department of Orthopedics and Sports TraumatologyRipoll y De Prado Sport Clinic – FIFA Medical Centre of ExcellenceMurcia-MadridSpain
  11. 11.Department of 3B’s Research Group – Biomaterials, Biodegradables and BiomimeticsUniversity of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineTaipas, GuimarãesPortugal
  12. 12.ICVS/3B’s – PT Government Associated LaboratoryBraga/GuimarãesPortugal
  13. 13.Department of Orthopedics and Sports Traumatology, 3B’s Research Group – Biomaterials, Biodegradables and BiomimeticsUniversity of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineTaipas, GuimarãesPortugal

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