Editorial Commentary: Degenerative Meniscal Tear: Sojourn to the Oracle |
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| Institution: | 1. Division of Orthopaedic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada;2. Department of Diagnostic Radiology, Dalhousie University, Halifax, Nova Scotia, Canada;1. Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island, U.S.A.;2. Warren Alpert Medical School, Brown University, Providence, Rhode Island, U.S.A.;1. Department of Orthopedic Surgery, Kyung Hee University, School of Medicine, Seoul, Republic of Korea;2. Department of Orthopedic Surgery, College of Medicine, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea;3. Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea;1. Charité-Universitaetsmedizin Berlin;2. Vail, Colorado |
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| Abstract: | Degenerative meniscal tears are prevalent and give rise to more than 400,000 arthroscopic partial meniscectomies annually in the United States. These lesions often occur in the setting of knee osteoarthritis and are generally regarded as a component of the tissue damage (to cartilage, meniscus, bone, synovium among others) that comprises osteoarthritis. A wide array of clinicians, ranging from orthopaedic surgeons to general practitioners, regularly encounter symptomatic degenerative meniscal tears, especially among patients with knee osteoarthritis. Clinical evidence suggests that initial treatment for these injuries should be nonoperative, with arthroscopic partial meniscectomy reserved for those whose pain persists despite physical therapy. |
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