Arthroscopic Partial Meniscectomy Tied to Radiographic Knee OA

On the contrary, if the patient is over 50 and no traumatic incident has occurred before the start of knee pain, clinicians should assume that it is a degenerative meniscal tear and that MRI is not necessary, Dr. Rodriguez-Merchan says.

“Then, we must treat osteoarthritic pain in a conservative [way] and inform the patient that surgery is not indicated because it is not going to improve his/her knee pain but even it is going to worsen it,” Dr. Rodriguez-Merchan says.

Reference

Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy for a degenerative meniscus tear: A five year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. Br J Sports Med. 2020 Aug 27;bjsports-2020-102813. Online ahead of print.

Where rheumatology and orthopedics meet

SAN DIEGO—Top researchers gathered for a review course at the start of the 2017 ACR/ARHP Annual Meeting in November to describe new research, their own treatment strategies and new ways of thinking about an array of rheumatic diseases. Here are the highlights: Raynaud’s & Other Digit Problems When a patient walks into your clinic with…

Patients with meniscal tear experience similar levels of reduced pain and improved physical function when treated with either arthroscopic partial meniscectomy or physical therapy, according to a recent study. The study also found these improvements were long term—lasting through the five-year follow up…

Research has demonstrated that exercise-based physical therapy is as effective at maintaining knee function as surgery in patients with degenerative meniscal tears at risk of developing knee osteoarthritis.

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