Document Detail


Meniscal tear - presentation, diagnosis and management.
MedLine Citation:
PMID:  22472678     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background Medial and lateral knee joint menisci serve to transfer load and absorb shock, aid joint stability and provide lubrication. The meniscus is the most commonly injured structure in the knee joint. Imaging techniques such as magnetic resonance imaging may be warranted but are no substitute for thorough clinical history and examination. Objective This article outlines the aetiology, presentation, diagnosis (both clinical and radiographic) and management of these important injuries. Discussion Magnetic resonance imaging can confirm clinical concern for meniscal tear, review intra- and extra-articular anatomical structures and exclude alternative diagnoses. Meniscal tears can be assessed arthroscopically for stability and vascularity. Even partial meniscectomy may lead to osteoarthritis. On the basis of the findings, treatment can be considered in terms of four Rs: Rest and Rehabilitate the patient (with physiotherapy), and if the patient is not improving on Review, Refer to an orthopaedic surgeon. New experimental surgical techniques seek to replace damaged tissue. These include meniscal allograft transplantation, biosynthetic scaffolds, growth factor and gene therapy, or a combination of these.
Authors:
Tim Shiraev; Suzanne E Anderson; Nigel Hope
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  41     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  182-7     Citation Subset:  IM    
Affiliation:
BSc(Hons), is a medical student, School of Medicine, Sydney Campus, University of Notre Dame Australia.
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