Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. Dr. Christopher Ferguson answered. 1999;42:2123–31. Ferrer-Roca O, Vilalta C. Lesions of the meniscus. Various etiologies have been proposed, including trauma, hemorrhage, chronic infection, and mucoid degeneration. https://drrobertlaprademd.com/posterior-horn-of-the-medial-meniscus Ital J Orthop Traumatol. Arthroscopic treatment of cysts of the menisci. Cochrane Database Syst Rev. Arch Surg. Cysts of semilunar cartilage of the knee-joint. Br J Surg. Arthroscopic diagnosis and management. Surgery versus physical therapy for a meniscal tear and osteoarthritis. Cysts of lateral meniscus: arthroscopy versus arthroscopy plus open cystectomy. Keywords Medial Collateral Ligament Meniscal Tear … Benefit of single leaf resection for horizontal meniscal tear. Herlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Ll W. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? surgery? Meniscal cysts: treatment options and algorithm. Various injections such as cortisone, hy ... is not based on MRI findings alone. Am J Sports Med. Surgery will not help degenerative meniscal tears. i have a horizontal oblique tear extending to the inferior articular surface of posterior horn of medial meniscus. 7.7 and 7.8). Most of the time, rest, ice, and pain meds are enough to help you feel better. does this imply a tear? A meniscus tear is a common knee injury. Edinburgh: Churchill Livingstone; 1978. p. 83–111. In terms of treatment, doctors mostly recommend an arthroscopy, a minimally invasive surgical procedure which examines and sometimes treats damages in the joint. 2009;25:269–73. Orthopedics. The MRI appearance of cystic lesions around the knee. Chang A. Imaging-guided treatment of meniscal cysts. Breck LW. A preliminary report. Smillie IS. The posterior segment of the medial meniscus is the thickest portion of the medial meniscus, and light intrasubstance hyperintensity is often observed. Kamimura T, Kimura M. Meniscal repair of degenerative horizontal cleavage tears using fibrin clots. 2015;31:92–8. grade ii degenerative (mucoid degeneration) mr signal changes at posterior horn of medial meniscus. Kim JR, Kim BG, Kim JW, Lee JH, Kim JH. Chou ES, Pujol N, Rochcongar G, et al. doctor, my mri says "mucoid degeneration in the posterior horn of medial and lateral meniscus". An arthroscopy involves placing a small fiber-optic camera into the knee through a 1/4 inch incision. Anterior cruciate ligament (ACL) mucoid degeneration, along with tears and anterior cruciate ligament ganglion cysts, is a relatively common cause of increased signal within the anterior cruciate ligament (ACL).The appearance can mimic acute or chronic interstitial partial tears of the ACL. 2008;23(1). Tears associated with arthritis often improve over time with treatment of the arthritis, so surgery usually isn't indicated. Beaufils P, Becker R, Ollivier M, Kopf S, Pujol N, Englund M. Degenerative meniscal lesions: indications. The menisci have indispensable functions for the knee joint. 1953;40:558–65. 1990;252:8–18. Arthroscopy. Skeletal Radiol. Keywords: mucoid degeneration of meniscus. Eur J Orthop Surg Traumatol. Katz JN, Brophy RH, Chaisson CE, et al. If your condition doesn't require surgery, it's most often treated with anti-inflammatory drugs coupled with rest, ice, compression and elevation, known as RICE. Cite as. I would seek a consultation with an orthopedic surgeon. Spahn G, Hofmann GO, Klinger HM. Osteoarthritis Cartilage. 2014;30:1513–9. Romanini L, Calvisi V, Collodel M, Masciocchi C. Cystic degeneration of the lateral meniscus. Pinar H, Boya H, Satoglu IS, Oztekin HH. Papadopoulos et al. The treatment is usually surgery. J Bone Joint Surg Br. Surgical pathology of the menisci. Cysts of the medial meniscus. 2004;20:831–6. 1996;12:209–12. thanks! Ollerenshaw R. The development of cysts in connection with the external semilunar cartilage of the knee-joint. N Engl J Med. Treatment for a torn meniscus often begins conservatively, depending on the type, size and location of your tear. A contribution to Pisani’s sign for diagnosing lateral meniscal cysts: a technical report. © 2020 Springer Nature Switzerland AG. Howell SM. Hypothesis: Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. Loss of the meniscus leads to irreversible degeneration via abnormal loading of articular cartilage. Ultrasound-guided percutaneous drainage of meniscal cysts: preliminary clinical experience. 1921;8:409–12. 1993;75:293–8. 78.46.89.24. 1993;19:353–8. Haklar U, Ayhan E, Ustundag S, Canbora K. A new arthroscopic technique for lateral parameniscal cyst decompression. Clin Radiol. 2007;457:194–202. Knee. McCarthy CL, McNally EG. Definitive surgical treatment is menisectomy. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Kumar NS, Jakoi AM, Swanson CE, Tom JA. It also provides protection of healthy cartilage in the knee. In: Hulet C, Periera H, Peretti G, Denti M, editors. Arthroscopic treatment of meniscal cysts. I. Macroscopic and histologic findings. Ital J Orthop Traumatol. To learn more, please visit our. ESSKA: Springer; 2016. p. 79–91. i have a moderate sized knee joint effusion with a root tear of the medial meniscus with mild extrusion...what is the best form of treatment? Pauli C, Grogan SP, Patil S, et al. Surgery for degenerative meniscus tears is rarely necessary. i have 2014;18:597–602. N Engl J Med. what ? But some people successfully rehab it. But if your symptoms don’t improve with conservative methods, consider consulting an orthopedic surgeon. Sarimo J, Rainio P, Rantanen J, Orava S. Comparison of two procedures for meniscal cysts. Nitric oxide production and apoptosis in cells of the meniscus during experimental osteoarthritis. Surgery of the meniscus. Meniscus tears & repairs. Haemer JM, Wang MJ, Carter DR, Giori NJ. 2001;9:481–7. Hernandez FJ. Siparsky P, Ryzewicz M, Peterson B, Bartz R. Arthroscopic treatment of osteoarthritis of the knee: are there any evidence-based indications? HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. 2003;11:30–2. Mucoid degeneration of ACl is a rare pathological process involving knee joint. 2013;23:589–93. It can cause pain and to a meniscal tear. Degeneration with age results in local necrosis and mucoid degeneration into a cyst, developmental inclusion of synovial cells within the substance of the meniscus and often are a result of extrusion of synovial fluid through a tear of the meniscus, resulting in a one-way valve effect of the tear. mild knee joint effusion with soft tissue swelling on left. Knee Surg Sports Traumatol Arthrosc. The MR-findings of mucoid degeneration of the ACL include: an ill-defined ACL; an increased ligamentous girth 1993;75:299–302. N Engl J Med. Nonsurgically: Conservative treatment initially: nsaids, physical therapy, and possible cortisone injection. Injuries of the knee joint. Pisani AJ. Arthroscopic internal marsupialization of meniscal cysts. Treatment of meniscal mucoid degeneration and meniscal cysts was evaluated in the light of the pertinent literature and clinical experiences of the authors. Parisien JS. can it heal completely without surgery? Clin Orthop. Osteoarthritis Cartilage. The most definitive option is a knee replacement. Cystic mass is most prominent at 45° of flexion and disappears in full flexion and full extension. Arthroscopy. Hashimoto S, Takahashi K, Ochs RL. Cysts of the semilunar cartilage of knee: a light and electron microscopic study. Trauma and the cystic meniscus: review of 500 cases. The recent treatment strategy is arthroscopic meniscectomy and marsupialization of the cyst. AJR Am J Roentgenol. When the menisci affected by MD are torn, the diagnosis may be delayed due to the lack of history of trauma and to relatively less severe symptoms. 2009;5:58–60. Knee Surg Sports Traumatol Arthrosc. II. 2014;21:631–4. Meniscal tears are uncommon in persons under 10 years of age, but become increasingly common during and after adolescence. Arthroscopy. Knee Surg Sports Traumatol Arthrosc. Knee Surg Sports Traumatol Arthrosc. A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. what does mucoid degeneration of the medial meniscus mean? 2004;33:187–209. Bottom line: Physical therapy that strengthens and stabilizes the muscles around the knee should be your first line of treatment if you have a degenerative meniscal tear. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Khan M, Evaniew N, Bedi A, Ayeni OR, Bhandari M. Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis. Local excision of cysts of the lateral meniscus of the knee without recurrence. 1987;164:445–8. J Bone Joint Surg Br. After the procedure, the ligament will probably be normal, hence no … ESSKA: Springer; 2016. p. 393–401. 2014;22:1808–16. Ann Rheum Dis. Regan WD, McConkey JP, Loomer RL, Davidson RG. A five year follow-up. CMAJ. Chang JJ, Li YH, Lin GM, et al. Arthroscopy. Knee. 1976;58:94–101. The goal of meniscal root repair is to restore the joint to a near native function of the meniscus and prevent cartilage degradation associated with nonsurgical treatment or meniscectomy. When recognized, one potential management strategy involves arthroscopic debridement to “debulk” the ACL. Ferrer-Roca O, Vilalta C. Lesions of the meniscus. Arthritis Rheum. 1993;9:591–5. Connective tissue: its normal structure and the effects of disease. 2011;19:1132–41. World J Orthod. Clin Orthop Relat Res. Ryu RK, Ting AJ. Cannot heal on their own as the meniscus tissue has no real blood supply in an adult. McDevitt CA, Muir H. Biochemical changes in the cartilage of the knee in experimental and natural osteoarthritis in the dog. Kurzweil PR, Lynch NM, Coleman S, Kearney B. Treatment Arthroscopy. The reason that the true source of pain matters is that arthroscopy of the knee and trimming out the torn part of the meniscus only relieve pain from the meniscus tear. ESSKA: Springer; 2016. p. 237–50. Study of the clinical outcome between traumatic and degenerative (non-traumatic) meniscal tears after arthroscopic surgery: a 4-years follow-up study. 1998;14:493–500. Englund M, Guermazi A, Gale D, et al. 1989;5:274–81. Patients and methods: This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). Arthroscopy. Mucoid degeneration of the menisc ... like degenerative arthritis of a joint, generally occurs as a results of aging. Flynn M, Kelly JP. ACL mucoid degeneration has been mistakenly reported as ACL rupture on MRI. Not logged in This occurs due to wear and tear and most commonly occurs in older individuals. 1990;257:154–8.
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