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Each meniscus has an outer vascular zone (red-red zone), which has a good blood supply and healing potential as well as a central avascular zone (white-white zone), which has limited healing capability. [2] The medial meniscus is more prone to injury due to its firm attachment to the joint capsule and limited mobility.
grade 1: the cartilage has a soft spot, blisters, or superficial wear; grade 2: minor tears of less than one-half the thickness of the cartilage layer; grade 3: lesions have deep crevices of more than one-half the thickness of the cartilage layer; grade 4: the cartilage tear is full thickness and exposes the underlying (subchondral) bone
In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%.
Injuries to the ACL are common, 250,000 ACL injuries occur on an annual basis. This corresponds to a 1 in 3,000 chance of an individual sustaining an ACL injury. Ligaments in the ACL or meniscus are usually torn with an external force being applied to the knee joint. The ACL can be torn without an external force being applied [11]
The procedures are more commonly performed to treat meniscus injury and to perform anterior cruciate ligament reconstruction. [3] While knee arthroscopy is commonly used for partial meniscectomy (trimming a torn meniscus) on middle aged to older adults with knee pain, the claimed positive results seem to lack scientific evidence. [4]
The operation room costs and hospital charges for that amount of extra time came to about $1,580 more expensive. [42] This also applies to having a torn meniscus during the procedure. Fixing the torn cartilage will increase the procedure time, increasing cost.
The Injury Severity Score (ISS) is an established medical score to assess trauma severity. [1] [2] It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. [2]
The surgery was called "controversial" by many sportswriters, due to a lack of studies on the long-term effects and the fact that an unsuccessful surgery could end an athlete's career. [9] Steadman has also adapted the surgery into a treatment to help reattach torn ligaments (a technique he calls the "healing response"). [citation needed]