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Meniscus tears are one of the most frequent reasons for seeking orthopedic care. These injuries to the cartilage discs in between the femur and tibia bones can occur as the result of a sports injury or even with seemingly innocent movements in older patients. While some tear patterns in certain patients can be watched without surgery, surgical debridement (trimming of the tear) can bring relief to older patients with sharp pain limiting their activities. Meniscal injury in young athletes warrants early evaluation with exam and imaging – and all attempts should be made to repair tears that are repairable. Patients with meniscal deficiency can be candidates for meniscus allograft transplantation. While many surgeons may not offer this option, Dr. Owens frequently performs meniscus allograft transplantation procedures.
MENISCAL TEARS IN YOUNG ATHLETES SHOULD UNDERGO REPAIR IF POSSIBLE
This article reviews the literature on meniscus tears as it relates to the prevention of arthritis associated with meniscus deficiency. The diagnostic work-up of patients as well as the critical factors for surgical decision making are reviewed.
MANY OPTIONS FOR SURGICAL REPAIR OF MENISCUS TEARS EXIST
This paper reviews the surgical repair options for treating meniscal lesions. The authors’ preferred technique is presented, in addition to their technique for meniscus allograft transplantation.
INCREASING AGE IS RISK FACTOR FOR MENISCUS INJURY
This epidemiologic study of military subjects showed that while the injury rates in young soldiers was higher than previous reports, the rates only increased with increasing age. This reflects this increase in degenerative tear patterns in this extremely active population.
40% OF ACL PATIENTS HAVE MENISCAL TEAR AT SURGERY
This review of 353 young athletes undergoing ACL reconstruction within 3 months of injury found that 40% of patients had meniscal tears. More than half (52%) of these lesions underwent surgical repair.
REVISION MENISCUS TRANSPLANTS ARE RARE
This article presents the case of a revision meniscus transplantation and reviews the literature on MAT failure.
AREAS OF EXPERTISE
PRESS & PUBLICATIONS
Anterior Cruciate Ligament (ACL) Tear
Medial Collateral Ligament (MCL) Tear
Posterior Cruciate Ligament (PCL) Tear
Posterolateral Corner (PLC) Injury
Multiligamentous Knee Injury/
Dr. Brett D. Owens
100 Butler Drive
Providence, RI 02906
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