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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%.
A 2008 study in the New England Journal of Medicine which shows that about 60% of meniscus tears cause no pain and are found in asymptomatic subjects. [1] The three major treatments for a damaged meniscus are repair, removal, and transplantation. The surgery is often carried out arthroscopically. [citation needed]
Arthroscopic surgery, however, does not appear to result in benefits to adults when performed for knee pain in patients with osteoarthritis who have a meniscal tear. [18] [12] [19] This may be due to the fact that a torn meniscus may often not cause pain and symptoms, which may be caused by the osteoarthritis alone. [20]
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
Different studies have shown inter-observer reliability of approximately 60% (ranging from 42% to 92%), [7] [8] representing poor-to-moderate agreement of scale grading between health-care professionals. This is due to much of the criteria being at risk of observer errors, and is a known liability of this scaling system.
In February 2008, Saris et al. published a large-scale study claiming that CCI results in better structural repair for symptomatic cartilage defects of the knee than microfracture surgery. According to the study, one year after treatment, the regenerated tissue associated with CCI is of better quality than that of microfracture surgery. [15]
A meniscus transplant or meniscal transplant is a transplant of the meniscus of the knee, which separates the thigh bone from the lower leg bone . The worn or damaged meniscus is removed and is replaced with a new one from a donor. The meniscus to be transplanted is taken from a cadaver, and, as such, is known as an allograft.
A tear in the meniscus may cause a pedunculated tag of the meniscus which may become jammed between the joint surfaces. To perform the test, the knee is held by one hand, which is placed along the joint line, and flexed to complete flexion while the foot is held by the sole (of the foot) with the other hand.
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