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Over the years, several studies demonstrated the crucial role of knee menisci in joint biomechanics. As a result, save the meniscus has become the new imperative nowadays, and more and more studies addressed this topic. The huge amount of data on this topic may create confusion in those who want to approach this surgery. The aim of this review is to provide a practical guide for treatment of meniscus tears, including an overview of technical aspects, outcomes in the literature and personal tips. Taking inspiration from a famous movie directed by Sergio Leone in 1966, the authors classified meniscus tears in three categories: The good, the bad and the ugly lesions. The inclusion in each group was determined by the lesion pattern, its biomechanical effects on knee joint, the technical challenge, and prognosis. This classification is not intended to substitute the currently proposed classifications on meniscus tears but aims at offering a reader-friendly narrative review of an otherwise difficult topic. Furthermore, the authors provide a concise premise to deal with some aspects of menisci phylogeny, anatomy and biomechanics.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122773 | PMC |
http://dx.doi.org/10.5312/wjo.v14.i4.171 | DOI Listing |
Arthroscopy
September 2025
AZBSC Orthopedics, Scottsdale, Arizona. Electronic address:
Medial meniscus posterior root tears (MMPRTs) are associated with severe biomechanical consequences (loss of hoop force transmission) that are broadly equivalent to a total meniscectomy. The resultant increase in contact pressures predisposes to high rates of advanced medial compartment arthritis at long-term follow-up. Repair of MMPRTs is associated with significantly better outcomes than partial meniscectomy or non-operative treatment (including improved patient reported outcome measures and delay or even avoidance of arthroplasty).
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August 2025
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States. Electronic address:
Objective: To estimate the prevalence of knee structural pathologies that may warrant exclusion from disease-modifying osteoarthritis drug (DMOAD) trials, based on MRI versus radiography, among participants who would otherwise be considered eligible for enrollment based on commonly used radiographic inclusionary criteria.
Methods: We selected participants from the baseline visit of the Osteoarthritis Initiative that met radiographic structural and clinical eligibility criteria for a DMOAD clinical trial: Radiographic OA (Kellgren-Lawrence grade 2 or 3 with medial minimum joint space width ≥ 1.5 mm); and WOMAC knee pain score between 8 and 18 (0-20 scale).
Am J Sports Med
September 2025
Twin Cities Orthopedics, Edina, Minnesota, USA.
Background: Meniscal extrusion has been reported to be present in >50% of knees after medial meniscus root repair. Meniscal extrusion has also been reported to be a risk factor for the progression of osteoarthritis and poorer patient-reported outcomes by impairing the ability of the meniscus to absorb hoop stress.
Purpose: To determine whether the addition of a centralization suture to 2-tunnel transtibial root repair reduces postoperative medial meniscal extrusion in patients with type 2 posterior medial meniscus root (PMMR) tears.
SAGE Open Med Case Rep
August 2025
Education and Training, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
The aim of this case study is to report how treatment and rehabilitation for meniscus tears can exacerbate the underlying condition or improve function. In addition, the objective of the study is to compare quadriceps physical therapy in a patient to gluteal muscle therapy. There are different types of meniscus tears, and each rehabilitation plan depends on the location and type of meniscus injury.
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