Skip to main content
SpringerLink
Log in
Book cover

Surgery of the Meniscus pp 67–78Cite as

Traumatic Meniscal Lesions

Abstract

The meniscus tears in the last years have been classified by morphology, repairability, symptomatology, and the type of injury. Basic science and clinical studies have presented the crucial role of the menisci and their important functions of load transmission, shock absorption, joint lubrication, and stability of the knee. Other studies in the past have clearly demonstrated that loss of meniscal function determines an increased risk for early osteoarthritis, especially after a lateral meniscectomy. The classification of meniscal lesions is very important for the orthopedic surgeon because it can help both preoperatively and in the operative room to decide about the most adequate treatment: meniscectomy, partial meniscectomy, meniscal repair, or transplantation. This work describes the principles of traumatic injuries and some of the hot topics concerning the most adequate treatment of such injuries.

Keywords

  • Meniscal lesion
  • Tear patterns
  • Meniscectomy
  • Meniscal repair
  • Meniscal transplantation prognostic factors
  • Traumatic injuries

This is a preview of subscription content, access via your institution.

Chapter
USD   29.95
Price excludes VAT (Canada)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (Canada)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.00
Price excludes VAT (Canada)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.00
Price excludes VAT (Canada)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Ahn JH, Wang JH, Yoo JC (2004) Arthroscopic all-inside suture repair of medial meniscus lesion in anterior cruciate ligament--deficient knees: results of second-look arthroscopies in 39 cases. Arthroscopy J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc 20(9):936–945. doi:10.1016/j.arthro.2004.06.038

    CrossRef  Google Scholar 

  2. Anderson AF, Irrgang JJ, Dunn W, Beaufils P, Cohen M, Cole BJ, Coolican M, Ferretti M, Glenn RE Jr, Johnson R, Neyret P, Ochi M, Panarella L, Siebold R, Spindler KP, Ait Si Selmi T, Verdonk P, Verdonk R, Yasuda K, Kowalchuk DA (2011) Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med 39(5):926–932. doi:10.1177/0363546511400533

    CrossRef  PubMed  Google Scholar 

  3. Arnoczky SP, Warren RF (1983) The microvasculature of the meniscus and its response to injury. An experimental study in the dog. Am J Sports Med 11(3):131–141

    CrossRef  CAS  PubMed  Google Scholar 

  4. Baker P, Coggon D, Reading I, Barrett D, McLaren M, Cooper C (2002) Sports injury, occupational physical activity, joint laxity, and meniscal damage. J Rheumatol 29(3):557–563

    PubMed  Google Scholar 

  5. Beaufils P, Hulet C, Dhenain M, Nizard R, Nourissat G, Pujol N (2009) Clinical practice guidelines for the management of meniscal lesions and isolated lesions of the anterior cruciate ligament of the knee in adults. Orthop Traumatol Surg Res OTSR 95(6):437–442. doi:10.1016/j.otsr.2009.06.002

    CrossRef  CAS  PubMed  Google Scholar 

  6. Bernstein J (2010) In brief: meniscal tears. Clin Orthop Relat Res 468(4):1190–1192. doi:10.1007/s11999-010-1253-4

    CrossRef  PubMed  PubMed Central  Google Scholar 

  7. Bhatia S, LaPrade CM, Ellman MB, LaPrade RF (2014) Meniscal root tears: significance, diagnosis, and treatment. Am J Sports Med 42(12):3016–3030. doi:10.1177/0363546514524162

    CrossRef  PubMed  Google Scholar 

  8. Ciccotti MG, Shields CLJ, El Attrache NS (1994) Meniscectomy. In: Fu FH, Harner CD, Vince KG (eds) Knee surgery, vol 1. Williams & Wilkins, Philadelphia, pp 591–613

    Google Scholar 

  9. Cooper DE, Arnoczky SP, Warren RF (1991) Meniscal repair. Clin Sports Med 10(3):529–548

    CAS  PubMed  Google Scholar 

  10. Dacombe PJ (2013) Shelbourne’s update of the O’Donoghue knee triad in a 17-year-old male Rugby player. BMJ Case Rep 2013. doi:10.1136/bcr.01.2012.5593

  11. Dillon EH, Pope CF, Jokl P, Lynch K (1990) The clinical significance of stage 2 meniscal abnormalities on magnetic resonance knee images. Magn Reson Imaging 8:411–415

    CrossRef  CAS  PubMed  Google Scholar 

  12. Dumont GD, Hogue GD, Padalecki JR, Okoro N, Wilson PL (2012) Meniscal and chondral injuries associated with pediatric anterior cruciate ligament tears: relationship of treatment time and patient-specific factors. Am J Sports Med 40(9):2128–2133. doi:10.1177/0363546512449994

    CrossRef  PubMed  Google Scholar 

  13. Dunn WR, Wolf BR, Amendola A, Andrish JT, Kaeding C, Marx RG, McCarty EC, Parker RD, Wright RW, Spindler KP (2004) Multirater agreement of arthroscopic meniscal lesions. Am J Sports Med 32(8):1937–1940

    CrossRef  PubMed  Google Scholar 

  14. Englund M, Roos EM, Roos HP, Lohmander LS (2001) Patient-relevant outcomes fourteen years after meniscectomy: influence of type of meniscal tear and size of resection. Rheumatology (Oxford) 40(6):631–639

    CrossRef  CAS  Google Scholar 

  15. Fayard JM, Pereira H, Servien E, Lustig S, Neyret P (2010) Meniscectomy global results-complications. The Meniscus, Springer-Verlag, Berlin Heidelberg. doi:10.1007/978-3-642-02450-4

    CrossRef  Google Scholar 

  16. Frizziero A, Ferrari R, Giannotti E, Ferroni C, Poli P, Masiero S (2012) The meniscus tear. State of the art of rehabilitation protocols related to surgical procedures. Muscles Ligaments Tendons J 2(4):295–301

    PubMed  PubMed Central  Google Scholar 

  17. Huber J, Lisinski P, Kloskowska P, Gronek A, Lisiewicz E, Trzeciak T (2013) Meniscus suture provides better clinical and biomechanical results at 1-year follow-up than meniscectomy. Arch Orthop Trauma Surg 133(4):541–549. doi:10.1007/s00402-013-1681-1

    CrossRef  PubMed  PubMed Central  Google Scholar 

  18. Jakobson BW (2007) Meniscal injuries. ISAKOS/ESSKA standard terminology, definitions, classification and scoring systems for arthroscopy: knee, shoulder and ankle joint. ISAKOS/ESSKA, http://www.esska.org/upload/pdf/Standard_Terminology.pdf

  19. Lotysch M, Mink J, Crues JV, Schwartz SA (1986) Magnetic resonance imaging in the detection of meniscal injuries. Magn Reson Imaging 4:185

    CrossRef  Google Scholar 

  20. Matsubara H, Okazaki K, Izawa T, Tashiro Y, Matsuda S, Nishimura T, Nakanishi Y, Kawamura H, Iwamoto Y (2012) New suture method for radial tears of the meniscus: biomechanical analysis of cross-suture and double horizontal suture techniques using cyclic load testing. Am J Sports Med 40(2):414–418. doi:10.1177/0363546511424395

    CrossRef  PubMed  Google Scholar 

  21. McDermott ID, Masouros SD, Amis AA (2008) Biomechanics of the menisci of the knee. Curr Orthop 22:193–201

    CrossRef  Google Scholar 

  22. Millett PJ, Willis AA, Warren RF (2002) Associated injuries in pediatric and adolescent anterior cruciate ligament tears: does a delay in treatment increase the risk of meniscal tear? Arthroscopy J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc 18(9):955–959

    CrossRef  Google Scholar 

  23. Papalia R, Vasta S, Franceschi F, D’Adamio S, Maffulli N, Denaro V (2013) Meniscal root tears: from basic science to ultimate surgery. British Med Bull 106:91–115. doi:10.1093/bmb/ldt002

    CrossRef  CAS  Google Scholar 

  24. Paxton ES, Stock MV, Brophy RH (2011) Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc 27(9):1275–1288. doi:10.1016/j.arthro.2011.03.088

    CrossRef  Google Scholar 

  25. Poehling GG, Ruch DS, Chabon SJ (1990) The landscape of meniscal injuries. Clin Sports Med 9(3):539–549

    CAS  PubMed  Google Scholar 

  26. Poulsen MR, Johnson DL (2011) Meniscal injuries in the young, athletically active patient. Phys Sportsmed 39(1):123–130. doi:10.3810/psm.2011.02.1870

    CrossRef  PubMed  Google Scholar 

  27. Pujol N, Barbier O, Boisrenoult P, Beaufils P (2011) Amount of meniscal resection after failed meniscal repair. Am J Sports Med 39(8):1648–1652. doi:10.1177/0363546511402661

    CrossRef  PubMed  Google Scholar 

  28. Pujol N, Beaufils P (2009) Healing results of meniscal tears left in situ during anterior cruciate ligament reconstruction: a review of clinical studies. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 17(4):396–401. doi:10.1007/s00167-008-0711-y

    CrossRef  Google Scholar 

  29. Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P (2013) Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 21(7):1530–1533. doi:10.1007/s00167-012-2099-y

    CrossRef  Google Scholar 

  30. Pujol N, Tardy N, Boisrenoult P, Beaufils P (2013) Long-term outcomes of all-inside meniscal repair. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. doi:10.1007/s00167-013-2553-5

    Google Scholar 

  31. Ra HJ, Ha JK, Jang SH, Lee DW, Kim JG (2013) Arthroscopic inside-out repair of complete radial tears of the meniscus with a fibrin clot. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 21(9):2126–2130. doi:10.1007/s00167-012-2191-3

    CrossRef  Google Scholar 

  32. Ruiz-Iban MA, Diaz-Heredia J, Elias-Martin E, Moros-Marco S, Cebreiro Martinez Del Val I (2012) Repair of meniscal tears associated with tibial plateau fractures: a review of 15 cases. Am J Sports Med 40(10):2289–2295, 10.1177/0363546512457552

    CrossRef  PubMed  Google Scholar 

  33. Shelbourne KD, Nitz PA (1991) The O’Donoghue triad revisited. Combined knee injuries involving anterior cruciate and medial collateral ligament tears. Am J Sports Med 19(5):474–477

    CrossRef  CAS  PubMed  Google Scholar 

  34. Smillie IS (1968) The current pattern of the pathology of meniscus tears. Proc R Soc Med 61(1):44–45

    CAS  PubMed  PubMed Central  Google Scholar 

  35. Snoeker BA, Bakker EW, Kegel CA, Lucas C (2013) Risk factors for meniscal tears: a systematic review including meta-analysis. J Orthop Sports Phys Ther 43(6):352–367. doi:10.2519/jospt.2013.4295

    CrossRef  PubMed  Google Scholar 

  36. Vanhoenacker FM, Maas M, Gielen J (2006) Imaging of orthopedic sports injuries. In: Medical radiology/diagnostic imaging. Springer, Berlin

    Google Scholar 

  37. Weiss CB, Lundberg M, Hamberg P, DeHaven KE, Gillquist J (1989) Non-operative treatment of meniscal tears. J Bone Joint Surg Am 71(6):811–822

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Luganese Clinic, Lugano, Switzerland

    Matteo Denti MD

  2. Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal

    J. Espregueira-Mendes MD, Pr.

  3. 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, University Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal

    J. Espregueira-Mendes MD, Pr.

  4. ICVS/3B’s – PT Government Associated Laboratory, Guimarães, Portugal

    J. Espregueira-Mendes MD, Pr.

  5. Orthopedic Department, Centro Hospitalar Póvoa de Varzim - Vila do Conde, Vila do Conde, Portugal

    Hélder Pereira MD

  6. 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, Univ. Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Avepark – Parque de Ciência e Tecnologia, Zona Industrial da Gandra, 4805-017, Guimarães, Portugal

    Hélder Pereira MD

  7. ICVS/3B’s – PT Government Associated Laboratory, Braga, Portugal

    Hélder Pereira MD

  8. Ripoll y De Prado Sports Clinic FIFA Medical Centre of Excellence, Murcia-Madrid, Spain

    Hélder Pereira MD

  9. Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessalia, Larissa, Greece

    Vasilios Raoulis & Michael Hantes

Authors
  1. Matteo Denti MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Espregueira-Mendes MD, Pr.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hélder Pereira MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vasilios Raoulis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Michael Hantes
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Matteo Denti MD .

Editor information

Editors and Affiliations

  1. Orthopaedics & Traumatology, Unit INSERM, Normandy University, Caen university Hos, Caen, France

    Christophe Hulet

  2. Orthopedic Department, Centro Hospitalar Póvoa de Varzim –Vila, Póvoa de Varzim, Porto, Portugal

    Helder Pereira

  3. University of Milan, Dpt. of Biomedical Sciences for Health, Milano, Italy

    Giuseppe Peretti

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

Rights and permissions

Reprints and Permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Denti, M., Espregueira-Mendes, J., Pereira, H., Raoulis, V., Hantes, M. (2016). Traumatic Meniscal Lesions. In: Hulet, C., Pereira, H., Peretti, G., Denti, M. (eds) Surgery of the Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49188-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49188-1_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49186-7

  • Online ISBN: 978-3-662-49188-1

  • eBook Packages: MedicineMedicine (R0)

Search

Navigation