BookEric J. Strauss, Laith M. Jazrawi, editors.
Springer Nature eBook.
Summary: While the management of meniscal pathology is addressed in many large sports medicine textbooks, this dedicated book on the topic is a major addition to the information currently available for orthopedic surgeons and sports medicine specialists, residents and fellows. As symptomatic meniscal tears remain among the most common musculoskeletal problems that are seen and treated, this up-to-date book on the evaluation and management of meniscal pathology, focused on current techniques and available evidence in the literature, is therefore extremely useful. To that end, The Management of Meniscal Pathology: From Meniscectomy to Repair and Transplantation is a comprehensive resource reviewing all aspects of managing symptomatic meniscal pathology. It is structured to proceed logically through an understanding of the anatomy and biomechanical importance of the meniscus in normal knee kinematics to the evaluation and treatment of meniscal tears and meniscal insufficiency. The chapters dedicated to the surgical management of meniscal pathology - including partial meniscectomy, meniscus repair, meniscal root repair and meniscal allograft transplantation - include step-by-step descriptions of various operative techniques, including pearls and pitfalls for the reader in addition to classic case examples. Non-operative approaches, as well as novel and emerging strategies and materials, are also highlighted, providing a well-rounded presentation of available techniques and outcomes.
Contents:
Intro
Preface
Contents
Contributors
1: Anatomy and Function
Introduction
History in Surgery
Structure and Histology
Embryology
Gross Anatomy
Tibial Insertion Ligaments
Intermeniscal Ligament
Meniscofemoral Ligaments
Vasculature
Function
Summary
References
2: Epidemiology and Classification
Epidemiology
Classification
Traumatic Tears
Longitudinal Tear
Radial Tear
Root Tear
Bucket Handle Tear
Degenerative Tears
Horizontal Tear
Complex Tears
Oblique
Displaced
Pediatric Tears
Discoid
Conclusion Vertical/Longitudinal Tears
Radial Tears
Horizontal Tears
Complex Tears
Meniscal Root Tears
Displaced Meniscal Fragments/Flap Tears
Bucket-Handle Tear
Parameniscal Cyst
Meniscal Extrusion
Meniscocapsular Separation
References
4: Nonoperative Treatment of Meniscus Tears
Introduction
Function
Mechanism of Meniscal Tears
Nonoperative Treatment and Outcomes
Summary of RCT Studies
Corticosteroid Injections
Orthobiologics
Conclusion
References
5: Management of Meniscal Injuries: Resection to Repair
Background Anatomy, Function, and Diagnosis
Treatment
Conservative Management
Arthroscopic Partial Meniscectomy (APM)
Technique
Rehabilitation Following APM
Return to Activity
Indications and Outcomes of APM
Age/Preoperative OA
Total Versus Partial Meniscectomy
Laterality
Body Mass Index
Degenerative Versus Nondegenerative Tears
Radiographic Progression of OA
Discussion
Summary
References
6: Meniscus Repair
Indications for Meniscal Repair
Meniscus Repair Techniques
Outcomes of Meniscal Repair
Biologic Augmentation of Repair Rehab After Meniscal Repair
Conclusions
References
7: Meniscal Root Repair
Introduction
Anatomy
Medial Meniscus
Lateral Meniscus
Biomechanics
Mechanism of Injury
History and Physical Exam
Imaging
Classification
Management Options
Nonoperative Management
Operative Management
Medial Meniscus Root Repair Surgical Technique
Lateral Meniscus Root Repair
Postoperative Protocol
Summary
References
8: Understanding and Treating the Discoid Meniscus
Introduction
Epidemiology
Pathoanatomy and Histopathology
Classification