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The role of the meniscus in osteoarthritis genesis.

Englund, Martin LU (2009) In The Medical Clinics of North America 93(1). p.37-37
Abstract
The history of treating meniscal lesions has been characterized by firm belief in "radical" surgery, with serious long-term consequences for the individual and society. The menisci play a critical protective role for the knee joint through shock absorption and load distribution. Currently, the consensus in surgical treatment of meniscal tears is to preserve as much functional meniscal tissue as possible. Still, meniscal lesions are common, especially in the osteoarthritic knee. For health professionals, these lesions present a challenge in choosing the treatment that is best for the patient in both the short term and long term. A degenerative lesion, in the middle-aged or older patient, could suggest early-stage knee osteoarthritis and... (More)
The history of treating meniscal lesions has been characterized by firm belief in "radical" surgery, with serious long-term consequences for the individual and society. The menisci play a critical protective role for the knee joint through shock absorption and load distribution. Currently, the consensus in surgical treatment of meniscal tears is to preserve as much functional meniscal tissue as possible. Still, meniscal lesions are common, especially in the osteoarthritic knee. For health professionals, these lesions present a challenge in choosing the treatment that is best for the patient in both the short term and long term. A degenerative lesion, in the middle-aged or older patient, could suggest early-stage knee osteoarthritis and should be treated accordingly. Surgical resection of nonobstructive degenerate lesions may only remove evidence of the disorder while the osteoarthritis degradation proceeds. Well-designed randomized, controlled clinical trials are needed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Medical Clinics of North America
volume
93
issue
1
pages
37 - 37
publisher
Elsevier
external identifiers
  • wos:000262339100004
  • pmid:19059020
  • scopus:57049118050
ISSN
1557-9859
DOI
10.1016/j.mcna.2008.08.005
language
English
LU publication?
yes
id
fcce88bc-0786-44e0-b72b-120d9c6f0b9b (old id 1276407)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19059020?dopt=Abstract
date added to LUP
2009-01-09 08:54:44
date last changed
2017-06-11 04:38:34
@article{fcce88bc-0786-44e0-b72b-120d9c6f0b9b,
  abstract     = {The history of treating meniscal lesions has been characterized by firm belief in "radical" surgery, with serious long-term consequences for the individual and society. The menisci play a critical protective role for the knee joint through shock absorption and load distribution. Currently, the consensus in surgical treatment of meniscal tears is to preserve as much functional meniscal tissue as possible. Still, meniscal lesions are common, especially in the osteoarthritic knee. For health professionals, these lesions present a challenge in choosing the treatment that is best for the patient in both the short term and long term. A degenerative lesion, in the middle-aged or older patient, could suggest early-stage knee osteoarthritis and should be treated accordingly. Surgical resection of nonobstructive degenerate lesions may only remove evidence of the disorder while the osteoarthritis degradation proceeds. Well-designed randomized, controlled clinical trials are needed.},
  author       = {Englund, Martin},
  issn         = {1557-9859},
  language     = {eng},
  number       = {1},
  pages        = {37--37},
  publisher    = {Elsevier},
  series       = {The Medical Clinics of North America},
  title        = {The role of the meniscus in osteoarthritis genesis.},
  url          = {http://dx.doi.org/10.1016/j.mcna.2008.08.005},
  volume       = {93},
  year         = {2009},
}