Meniscal tears

Nicola Maffulli1, Umile Giuseppe Longo2, Stefano Campi2, Vincenzo Denaro21Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England; 2Department of Orthopedic and Trauma Surgery, Campus Biomedic...

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Main Authors: Nicola Maffulli, Umile Giuseppe Longo, Stefano Campi, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-04-01
Series:Open Access Journal of Sports Medicine
Online Access:http://www.dovepress.com/meniscal-tears-a4316
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author Nicola Maffulli
Umile Giuseppe Longo
Stefano Campi
et al
author_facet Nicola Maffulli
Umile Giuseppe Longo
Stefano Campi
et al
author_sort Nicola Maffulli
collection DOAJ
description Nicola Maffulli1, Umile Giuseppe Longo2, Stefano Campi2, Vincenzo Denaro21Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England; 2Department of Orthopedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo, Rome, ItalyAbstract: The menisci are two semilunar-shaped fibrocartilagenous structures, which are interposed between the femoral condyles and tibial plateaux. They have an important role in knee function. Long-term follow-up studies showed that virtually all meniscectomized knees develop arthritic changes with time. The meniscus has functions in load bearing, load transmission, shock absorption, joint stability, joint lubrication, and joint congruity. Because of these functions, meniscal tissue should be preserved whenever possible. A well-trained surgeon can safely rely on clinical examination for diagnosing meniscal injuries. History and clinical examination are at least as accurate as magnetic resonance imaging in the skilled orthopedic surgeon’s hand. When meniscal repair is not possible, partial resection of the meniscus is indicated. Meniscal repair has evolved from open to arthroscopic techniques, which include the inside-out and outside-in suture repairs and the all-inside techniques. Meniscal transplantation is generally accepted as a management alternative option for selected symptomatic patients with previous complete or near-complete meniscectomy.Keywords: meniscus, arthroscopy, meniscectomy, meniscal repair, sports
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spelling doaj.art-e4536982e7e14616be347d49fa1fd50a2022-12-22T03:06:40ZengDove Medical PressOpen Access Journal of Sports Medicine1179-15432010-04-012010default4554Meniscal tearsNicola MaffulliUmile Giuseppe LongoStefano Campiet alNicola Maffulli1, Umile Giuseppe Longo2, Stefano Campi2, Vincenzo Denaro21Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England; 2Department of Orthopedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo, Rome, ItalyAbstract: The menisci are two semilunar-shaped fibrocartilagenous structures, which are interposed between the femoral condyles and tibial plateaux. They have an important role in knee function. Long-term follow-up studies showed that virtually all meniscectomized knees develop arthritic changes with time. The meniscus has functions in load bearing, load transmission, shock absorption, joint stability, joint lubrication, and joint congruity. Because of these functions, meniscal tissue should be preserved whenever possible. A well-trained surgeon can safely rely on clinical examination for diagnosing meniscal injuries. History and clinical examination are at least as accurate as magnetic resonance imaging in the skilled orthopedic surgeon’s hand. When meniscal repair is not possible, partial resection of the meniscus is indicated. Meniscal repair has evolved from open to arthroscopic techniques, which include the inside-out and outside-in suture repairs and the all-inside techniques. Meniscal transplantation is generally accepted as a management alternative option for selected symptomatic patients with previous complete or near-complete meniscectomy.Keywords: meniscus, arthroscopy, meniscectomy, meniscal repair, sportshttp://www.dovepress.com/meniscal-tears-a4316
spellingShingle Nicola Maffulli
Umile Giuseppe Longo
Stefano Campi
et al
Meniscal tears
Open Access Journal of Sports Medicine
title Meniscal tears
title_full Meniscal tears
title_fullStr Meniscal tears
title_full_unstemmed Meniscal tears
title_short Meniscal tears
title_sort meniscal tears
url http://www.dovepress.com/meniscal-tears-a4316
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AT etal meniscaltears