Abstract
We reviewed thirty patients with degenerative posterior root tear of the medial meniscus to investigate clinical results of non-operative treatment retrospectively. There were 3 men and 27 women at a median age of 59 years old (range, 51-65). The median follow-up period was 36 months (range, 24-51). Non-operative treatments included non-steroidal anti-inflammatory drugs daily for 8-12 weeks and supervised physical therapy twice a week at least during a period of 8 weeks. The symptoms, physical signs, the Visual Analog Scale pain, the Lysholm Knee Scoring scale and IKDC subjective activity level were analyzed at the time of pre-intervention, 6 months, 12 months and the final follow-ups. Most patients had intense mechanical pain initially, but the severity and frequency of pain was decreased within 3 months. Clinical outcome was improved at 12 months follow-up and then declined to a level that was still improved over initial scores at final follow-up. Two patients with Kellgren-Lawrence grade 2 progressed to grade 3 at the median follow-up of 36 months. In conclusion, this study demonstrated that non-operative treatment provided symptomatic relief in most patients with the degenerative posterior root tear of the medial meniscus and functional improvements in a short term follow-up.
| Original language | English |
|---|---|
| Pages (from-to) | 535-539 |
| Number of pages | 5 |
| Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
| Volume | 18 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2010 Apr 1 |
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Keywords
- Degeneration
- Medial meniscus
- Non-operative treatment
- Root tear
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Non-operative treatment of degenerative posterior root tear of the medial meniscus. / Lim, Hong Chul; Bae, Ji Hoon; Wang, Joon Ho; Seok, Chang Woo; Kim, Min Keun.
In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 18, No. 4, 01.04.2010, p. 535-539.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Non-operative treatment of degenerative posterior root tear of the medial meniscus
AU - Lim, Hong Chul
AU - Bae, Ji Hoon
AU - Wang, Joon Ho
AU - Seok, Chang Woo
AU - Kim, Min Keun
PY - 2010/4/1
Y1 - 2010/4/1
N2 - We reviewed thirty patients with degenerative posterior root tear of the medial meniscus to investigate clinical results of non-operative treatment retrospectively. There were 3 men and 27 women at a median age of 59 years old (range, 51-65). The median follow-up period was 36 months (range, 24-51). Non-operative treatments included non-steroidal anti-inflammatory drugs daily for 8-12 weeks and supervised physical therapy twice a week at least during a period of 8 weeks. The symptoms, physical signs, the Visual Analog Scale pain, the Lysholm Knee Scoring scale and IKDC subjective activity level were analyzed at the time of pre-intervention, 6 months, 12 months and the final follow-ups. Most patients had intense mechanical pain initially, but the severity and frequency of pain was decreased within 3 months. Clinical outcome was improved at 12 months follow-up and then declined to a level that was still improved over initial scores at final follow-up. Two patients with Kellgren-Lawrence grade 2 progressed to grade 3 at the median follow-up of 36 months. In conclusion, this study demonstrated that non-operative treatment provided symptomatic relief in most patients with the degenerative posterior root tear of the medial meniscus and functional improvements in a short term follow-up.
AB - We reviewed thirty patients with degenerative posterior root tear of the medial meniscus to investigate clinical results of non-operative treatment retrospectively. There were 3 men and 27 women at a median age of 59 years old (range, 51-65). The median follow-up period was 36 months (range, 24-51). Non-operative treatments included non-steroidal anti-inflammatory drugs daily for 8-12 weeks and supervised physical therapy twice a week at least during a period of 8 weeks. The symptoms, physical signs, the Visual Analog Scale pain, the Lysholm Knee Scoring scale and IKDC subjective activity level were analyzed at the time of pre-intervention, 6 months, 12 months and the final follow-ups. Most patients had intense mechanical pain initially, but the severity and frequency of pain was decreased within 3 months. Clinical outcome was improved at 12 months follow-up and then declined to a level that was still improved over initial scores at final follow-up. Two patients with Kellgren-Lawrence grade 2 progressed to grade 3 at the median follow-up of 36 months. In conclusion, this study demonstrated that non-operative treatment provided symptomatic relief in most patients with the degenerative posterior root tear of the medial meniscus and functional improvements in a short term follow-up.
KW - Degeneration
KW - Medial meniscus
KW - Non-operative treatment
KW - Root tear
UR - http://www.scopus.com/inward/record.url?scp=77951253480&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77951253480&partnerID=8YFLogxK
U2 - 10.1007/s00167-009-0891-0
DO - 10.1007/s00167-009-0891-0
M3 - Article
VL - 18
SP - 535
EP - 539
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 4
ER -