Advanced

Meniscus pathology, osteoarthritis and the treatment controversy.

Englund, Martin LU ; Roemer, Frank W; Hayashi, Daichi; Crema, Michel D and Guermazi, Ali (2012) In Nature Reviews Rheumatology 8(7). p.412-419
Abstract
The menisci are internal structures that are of central importance for a healthy knee joint; they have a key role in the structural progression of knee osteoarthritis (OA), and the risk of the disease dramatically increases if they are damaged by injury or degenerative processes. Meniscus damage might be considered a signifying feature of incipient OA in middle-aged and elderly people. As approximately every third knee of people in these groups has a damaged meniscus, tears are common incidental findings of knee MRI. However, as most tears do not cause symptoms, careful clinical evaluation is required to determine if a damaged meniscus is likely to directly impact a patient's symptoms. Conservative management of patients with knee pain and... (More)
The menisci are internal structures that are of central importance for a healthy knee joint; they have a key role in the structural progression of knee osteoarthritis (OA), and the risk of the disease dramatically increases if they are damaged by injury or degenerative processes. Meniscus damage might be considered a signifying feature of incipient OA in middle-aged and elderly people. As approximately every third knee of people in these groups has a damaged meniscus, tears are common incidental findings of knee MRI. However, as most tears do not cause symptoms, careful clinical evaluation is required to determine if a damaged meniscus is likely to directly impact a patient's symptoms. Conservative management of patients with knee pain and a degenerative meniscal tear should be considered as a first-line therapy before surgical treatment is contemplated. Patients with mechanical interference of joint movements, such as painful catching or locking, might need surgical treatment with meniscal repair if possible. In a subset of patients, meniscal resection might relieve pain and other symptoms that potentially originate directly from the torn meniscus. However, the possibility of an increased risk of OA if functional meniscal tissue is removed cannot be overlooked. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nature Reviews Rheumatology
volume
8
issue
7
pages
412 - 419
publisher
Nature Publishing Group
external identifiers
  • wos:000305969900008
  • pmid:22614907
  • scopus:84863446243
ISSN
1759-4804
DOI
10.1038/nrrheum.2012.69
language
English
LU publication?
yes
id
418f949e-7f5a-47b9-bfbe-31dcc546af99 (old id 2608626)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22614907?dopt=Abstract
date added to LUP
2012-06-04 17:59:27
date last changed
2017-11-12 03:01:01
@article{418f949e-7f5a-47b9-bfbe-31dcc546af99,
  abstract     = {The menisci are internal structures that are of central importance for a healthy knee joint; they have a key role in the structural progression of knee osteoarthritis (OA), and the risk of the disease dramatically increases if they are damaged by injury or degenerative processes. Meniscus damage might be considered a signifying feature of incipient OA in middle-aged and elderly people. As approximately every third knee of people in these groups has a damaged meniscus, tears are common incidental findings of knee MRI. However, as most tears do not cause symptoms, careful clinical evaluation is required to determine if a damaged meniscus is likely to directly impact a patient's symptoms. Conservative management of patients with knee pain and a degenerative meniscal tear should be considered as a first-line therapy before surgical treatment is contemplated. Patients with mechanical interference of joint movements, such as painful catching or locking, might need surgical treatment with meniscal repair if possible. In a subset of patients, meniscal resection might relieve pain and other symptoms that potentially originate directly from the torn meniscus. However, the possibility of an increased risk of OA if functional meniscal tissue is removed cannot be overlooked.},
  author       = {Englund, Martin and Roemer, Frank W and Hayashi, Daichi and Crema, Michel D and Guermazi, Ali},
  issn         = {1759-4804},
  language     = {eng},
  number       = {7},
  pages        = {412--419},
  publisher    = {Nature Publishing Group},
  series       = {Nature Reviews Rheumatology},
  title        = {Meniscus pathology, osteoarthritis and the treatment controversy.},
  url          = {http://dx.doi.org/10.1038/nrrheum.2012.69},
  volume       = {8},
  year         = {2012},
}