Treatment of Meniscus Degeneration and Meniscus Cysts


Boya H., Tatari M. H., Pınar İ. H.

The Menisci, Robert F. LaPrade,Elizabeth A. Arendt,Alan Getgood,Scoot C. Faucett, Editör, Springer, London/Berlin , Berlin, ss.155-164, 2017

  • Yayın Türü: Kitapta Bölüm / Mesleki Kitap
  • Basım Tarihi: 2017
  • Yayınevi: Springer, London/Berlin 
  • Basıldığı Şehir: Berlin
  • Sayfa Sayıları: ss.155-164
  • Editörler: Robert F. LaPrade,Elizabeth A. Arendt,Alan Getgood,Scoot C. Faucett, Editör
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Meniscal tears are usually classified into two main categories: traumatic and degenerative (non-traumatic). However, degenerative meniscal lesions can be subdivided into primary degenerative meniscal lesions and meniscal lesions in osteoarthritic knees [1]. Meniscal mucoid degeneration (MD) – a condition that has generally been ignored – is likely to be responsible for the primary meniscal degeneration. Myxoid or cystic degeneration is also used for the same pathologic entity. Mucoid degeneration deserves special attention because it may be seen at a younger age, and it may be responsible for a non-traumatic tear of the meniscus which is not repairable; the process may end up with the loss of the meniscus at a young age. In our series of consecutive patients, the average age of the patients with meniscal mucoid degeneration was 28 years (range 16–68); 17 of 23 patients were under 40 years [2]. Meniscus degeneration in osteoarthritic knees usually occurs in middle and advanced ages; it is assumed that the prevalence increases with age. The prevalence in women aged 50–59 years and in men aged 70–90 could reach 16 and 50 %, respectively [3]. Once the meniscus loses some of its critical function due to degeneration, the increased biomechanical loading patterns on joint cartilage may result in accelerated cartilage loss [4, 5]. Meniscal cysts are associated with meniscal mucoid degeneration [2, 6, 7]. These cysts are commonly found in young and middle-aged patients [8]. Therefore, it is an important clinical entity. One of the aims of this chapter is to draw attention to mucoid degeneration of the meniscus due to its serious implications in younger patients.