Skip to main content

Degenerative Meniscal Lesions: Indications

  • Chapter
  • First Online:

Abstract

A degenerative meniscal lesion (DML) is a meniscal tear, commonly involving a horizontal cleavage in the knee of a middle-aged or older person. It is characterized by linear intrameniscal signal (including a component with horizontal pattern) typically communicating with the inferior meniscal surface.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • 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. Beaufils P, Hulet C, Dhénain 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 95:437–442

    Article  CAS  PubMed  Google Scholar 

  2. Berthiaume MJ, Raynauld JP, Martel-Pelletier J, Labonte F, Beaudoin G, Bloch DA, Choquette D, Haraoui B, Altman RD, Hochberg M, Meyer JM, Cline GA, Pelletier JP (2005) Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis 64(4):556–563

    Article  PubMed  PubMed Central  Google Scholar 

  3. Boyer T, Dorfmann H, Podgorski A (2010) Degenerative lesions-meniscal cyst. In: Beaufils P, Verdonk R (eds) The meniscus. Springer, Berlin/Heidelberg, pp 51–60

    Chapter  Google Scholar 

  4. Chatain F, Robinson AH, Adeleine P, Chambat P, Neyret P (2001) The natural history of the knee following arthroscopic medial meniscectomy. Knee Surg Sports Traumatol Arthrosc 9:15–18

    Article  CAS  PubMed  Google Scholar 

  5. Crues JV, Mink J, Levy TL, Lotysch M, Stoller DW (1987) Meniscal tears of the knee: accuracy of MR imaging. Radiology 164:445–448

    Article  PubMed  Google Scholar 

  6. De Smet AA, Tuite MJ (2006) Use of the “two-slice-touch” rule for the MRI diagnosis of meniscal tears. AJR Am J Roentgenol 187(4):911–914

    Article  PubMed  Google Scholar 

  7. Doherty M, Watt I, Dieppe P (1983) Influence of primary generalised osteoarthritis on development of secondary osteoarthritis. Lancet 2(8340):8–11

    Article  CAS  PubMed  Google Scholar 

  8. Dorfmann H, Juan LH, Bonvarlet JP, Boyer T (1987) Arthroscopy of degenerative lesions of the internal meniscus. Classification and treatment. Rev Rhum Mal osteartic 54:303–310

    CAS  Google Scholar 

  9. Englund M, Roos EM, Lohmander LS (2003) Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year follow up of meniscectomy with matched controls. Arthritis Rheum 48(8):2178–2187

    Article  CAS  PubMed  Google Scholar 

  10. Englund M, Lohmander LS (2004) Risk factors for symptomatic knee osteoarthritis fifteen to twenty-two years after meniscectomy. Arthritis Rheum 50(9):2811–2819

    Article  CAS  PubMed  Google Scholar 

  11. Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT (2008) Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 359(11):1108–1115

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Englund M, Felson DT, Guermazi A, Roemer FW, Wang K, Crema MD, Lynch JA, Sharma L, Segal NA, Lewis CE, Nevitt MC (2011) Risk factors for medial meniscal pathology on knee MRI in older US adults: a multicentre prospective cohort study. Ann Rheum Dis 70(10):1733–1739

    Article  PubMed  Google Scholar 

  13. Gauffin H, Tagesson S, Meunier A, Magnusson H, Kvist J (2014) Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective, randomised, single-blinded study. Osteoarthritis Cartilage 22:1808–1816, pii: S1063-4584(14)01190-X

    Article  CAS  PubMed  Google Scholar 

  14. Herrlin S, Hållander M, Wange P, Weidenhielm L, Werner S (2007) Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 15(4):393–401

    Article  PubMed  Google Scholar 

  15. Herrlin SV, Wange PO, Lapidus G, Hållander M, Werner S, Weidenhielm L (2013) Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc 21(2):358–364

    Article  PubMed  Google Scholar 

  16. Hunter DJ, Buck R, Vignon E, Eckstein F, Brandt K, Mazzuca SA, Wyman BT, Otterness I, Hellio Le Graverand MP (2009) Relation of regional articular cartilage morphometry and meniscal position by MRI to joint space width in knee radiographs. Osteoarthritis Cartilage 17(9):1170–1176

    Article  CAS  PubMed  Google Scholar 

  17. Katz JN, Brophy RH, Chaisson CE et al (2013) Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med 368(18):1675–1684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Kirkley A, Birmingham TB, Litchfield RB, Kirkley A, Birmingham TB, Litchfield RB et al (2008) A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 359(11):1097–1107

    Article  CAS  PubMed  Google Scholar 

  19. Kornaat PR, Bloem JL, Ceulemans RY, Riyazi N, Rosendaal FR, Nelissen RG, Carter WO, Hellio Le Graverand MP, Kloppenburg M (2006) Osteoarthritis of the knee: association between clinical features and MR imaging findings. Radiology 239(3):811–817

    Article  PubMed  Google Scholar 

  20. Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347(2):81–88

    Article  PubMed  Google Scholar 

  21. Neogi DS, Kumar A, Rijal L, Yadav CS, Jaiman A, Nag HL (2013) Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root. J Orthop Traumatol Off J Ital Soc Orthop Traumatol 14(3):193

    Article  Google Scholar 

  22. Noble J, Erat K (1980) In defence of the meniscus. A prospective study of 200 meniscectomy patients. J Bone Joint Surg Br 62-B(1):7–11

    CAS  PubMed  Google Scholar 

  23. Osteras H, Osteras B, Torstensen TA (2012) Medical exercise therapy is effective after arthroscopic surgery of degenerative meniscus of the knee: a randomized controlled trial. J Clin Med Res 4(6):378–384

    PubMed  PubMed Central  Google Scholar 

  24. Pearse EO, Craig DM (2003) Partial meniscectomy in the presence of severe osteoarthritis does not hasten the symptomatic progression of osteoarthritis. Arthrosc J Arthrosc Relat Surg 19(9):963–968

    Article  Google Scholar 

  25. Prove S, Charrois O, Dekeuwer P, Fallet L, Beaufils P (2004) Comparison of the medial femorotibial joint space before and immediately after meniscectomy. Rev Chir Orthop Reparatrice Appar Mot 90(7):636–664

    Article  CAS  PubMed  Google Scholar 

  26. Richmond JC (2010) Is there a role for arthroscopy in the treatment of osteoarthritis? Arthroscopy 26(2):143–144

    Article  PubMed  Google Scholar 

  27. Rimington T, Mallik K, Evans D, Mroczek K, Reider B (2009) A prospective study of the nonoperative treatment of degenerative meniscus tears. Orthopedics 32. doi: 10.3928/01477447-20090624-0

  28. Sihvonen R, Paavola M, Malmivaara A et al (2013) Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 369(26):2515–2524

    Article  CAS  PubMed  Google Scholar 

  29. Sihvonen R, Englund M, Turkiewicz A, Järvinen T. Mechanical symptoms and arthroscopic partial meniscectomy in patients with degenerative meniscus tear: a secondary analysis of a randomized trial. Ann Intern Med. [Epub ahead of print 9 February 2016] doi:10.7326/M15-0899

    Google Scholar 

  30. Stensrud S, Roos EM, Risberg MA (2012) A 12-week exercise therapy program in middle-aged patients with degenerative meniscus tears: a case series with 1-year follow-up. J Orthop Sports Phys Ther 42(11):919–931

    Article  PubMed  Google Scholar 

  31. Vermesan D, Prejbeanu R, Laitin S, Damian G, Deleanu B, Abbinante A, Flace P, Cagiano R (2013) Arthroscopic debridement compared to intra-articular steroids in treating degenerative medial meniscal tears. Eur Rev Med Pharmacol Sci 17(23):3192–3196

    CAS  PubMed  Google Scholar 

  32. Yim J-H, Seon J-K, Song E-K, Choi J-I, Kim M-C, Lee K-B, Seo H-Y (2013) A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Am J Sports Med 41(7):1565–1570

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the other steering group members of the ESSKA Meniscus Consensus Project: N Darabos, A Gokeler, M Hirschmann, C Hulet, T Järvela, H Mayr, P Ntagiopoulos, H Pereira, and R Verdonk.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philippe Beaufils .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Beaufils, P., Becker, R., Ollivier, M., Kopf, S., Pujol, N., Englund, M. (2016). Degenerative Meniscal Lesions: Indications. 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_41

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49188-1_41

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49186-7

  • Online ISBN: 978-3-662-49188-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics