Meniscal tears: pathologic correlation with MR imaging. MD of the meniscus can appear in one of the two pathological forms: stromal MD and cystic parameniscal degeneration. Nakase J, Yoshimizu R, Kimura M, Kanayama T, Yanatori Y, Tsuchiya H. Knee. J Magn Reson Imaging. They are mostly uncommon occurrences that cause pain and disability in the knee. Arthroscopy. Intra-articular steroid/bupivacaine knee joint injection reduced pain symptoms in the majority of patients (81.7%) with degenerative tears of the posterior horn of the medial meniscus, usually with a sustained response. Knee Surg Sports Traumatol Arthrosc. If the cyst has no symptoms, there is no reason one cannot take part in activities. Given the regularity of meniscus tears, related cysts are uncommon. Di Matteo B, Altomare D, Garibaldi R, La Porta A, Manca A, Kon E. Cartilage. Knee Surg Sports Traumatol Arthrosc. AJR Am J Roentgenol. Before hb```f``}AX,flyP 2013 Dec;17(23):3192-6. MD of the meniscus can appear in one of two pathological forms: stromal MD and cystic parameniscal degeneration. HHS Vulnerability Disclosure, Help Poor results in older degenerative meniscal tears with related cysts. ADVERTISEMENT: Supporters see fewer/no ads. 2017 Dec;103(8S):S237-S244. Save the meniscus. 10(6):634-40, 1994, Hodler J et al: Degenerative changes of the menisci of the knee. myxomatous degeneration mucous degeneration. HSS J. Stromal degeneration is an intrameniscal This test can confirm the diagnosis and set up the size and location of the wound. Bear weight (put weight on your knee while standing or walking). 20(7):727-35, 2012, McWalter EJ et al: UTE T2 mapping detects sub-clinical meniscus degeneration. Please enable it to take advantage of the complete set of features! Joint line tenderness, a positive McMurray test, and mechanical catching or locking can be highly suggestive of a meniscal source of knee pain and dysfunction. Anatomical description and short-term follow up clinical results for ultrasound-guided injection of medial collateral ligament bursa: New conservative treatment option for symptomatic degenerative medial meniscus tear. https://medical-dictionary.thefreedictionary.com/myxoid+degeneration. Knee. We believe that meniscal mucoid degeneration with tear is not uncommon. h~: - It is attested by MRI, which offers both the cyst and the related meniscus tear. 20(6):471-2, 2012, Subhas N et al: Accuracy of MRI in the diagnosis of meniscal tears in older patients. Become a Gold Supporter and see no third-party ads. Case study, Radiopaedia.org (Accessed on 05 Mar 2023) https://doi.org/10.53347/rID-11047. We use cookies to improve your website experience. The symptomatic degenerative meniscus continues to be a source of discomfort for a significant number of patients. AJR Am J Roentgenol. The https:// ensures that you are connecting to the Before Ultimately, the long-term outcomes of either treatment arm provide similar results for most patients. Meniscal degeneration is a process that often occurs due to gradual wear and is commonly associated with advanced knee osteoarthritis. Eur J Radiol. Degenerative meniscal lesions are seen as primary degenerative meniscal lesions and meniscal lesions in osteoarthritic knees. link. A conversion of any of the connective tissues into a gelatinous or mucoid substance. It mainly occurs in 20 to 40 years old males. Ultrasound-Guided Meniscal Injection of Autologous Growth Factors: A Brief Report. 48(8):1407-11, 2015, McNulty AL et al: Mechanobiology of the meniscus. This can occur with turning, twisting, or pivoting activities or sports. PMC Arch Orthop Trauma Surg. Osteoarthritis Cartilage. J Microsc Ultrastruct. The take-home message is surgery for degenerative meniscus tears, the most common type in adults, do not often require surgery. If you have arthritic changes on the MRI as well as the meniscus tear, it is often arthritis that is causing the pain. {"url":"/signup-modal-props.json?lang=gb"}, E P, Mucoid degeneration of meniscus. Curr Opin Rheumatol. Did you know that with a free Taylor & Francis Online account you can gain access to the following benefits? Radiographs and magnetic resonance imaging are frequently utilized to examine for osteoarthritis and to verify the presence of meniscal tears, in addition to ruling out other sources of pain. 404-407. 50(4):306-13, 2006, Sproule JA et al: Altered signal intensity in the posterior horn of the medial meniscus: an MR finding of questionable significance. 7(3):287-91, 2002, Cothran RL Jr et al: MR imaging of meniscal contusion in the knee. 177(5):1189-92, 2001, Jerosch J et al: Age-related magnetic resonance imaging morphology of the menisci in asymptomatic individuals. These last two types of sequences should not be used alone in the description of meniscal degeneration. official website and that any information you provide is encrypted Preprocedural MRI findings were correlated with duration of symptoms, clinical response to injection (recorded as complete, partial or no response) and duration of response to injection. Purpose To determine whether anterior cruciate ligament (ACL) mucoid degeneration in participants with or at risk for osteoarthritis is associated with longitudinal risk of radiographic progression of medial tibiofemoral compartment joint space loss (JSL). When there is chemical change of the tissue itself, it is true degeneration; when the change consists in the deposit of abnormal matter in the tissues, it is infiltration. This site needs JavaScript to work properly. The symptoms typically start without a Arthroscopic lavage and debridement for osteoarthritis of the knee: an evidence-based analysis. The cyst may be removed surgically at that time by making an opening over it and cutting it off. official website and that any information you provide is encrypted government site. Bookshelf 156(2):333-6, 1991, Hajek PC et al: The high signal intensity meniscus of the knee. T2-weighted spin-echo images and gradient-echo images proved to be less reliable (37.1% and 40.0% correctly diagnosed meniscal sections). Maintaining good fitness and conditioning can control injury to the exposed knee. Discrete intraosseous cysts were identied in 77% of patients with mucoid degeneration of the ACL and in 66% of patients with intraosseous ganglia in a retro-spective study, suggesting that mucoid degeneration of the ACL and ganglia of the ACL may share a similar patho- Ultrasonography. Intrasubstance degeneration, myxoid degeneration, mucoid degeneration, mucinous degeneration; fraying, Internal disruption of normal meniscus architecture mucinous degeneration without extension to articular surface = degeneration, Irregularity of meniscus free edge without linear tear; or amorphous increased signal at free edge = fraying, Abram SGF et al: National consensus on the definition, investigation, and classification of meniscal lesions of the knee. Recovery time for about 6 to 8 weeks if your meniscus tear is treated without surgery. Sixty patients who had clinical and MRI evidence of a symptomatic degenerative tear of the posterior horn of the medial meniscus, isolated or accompanied by additional features of degenerative arthritis, who had failed conservative approaches (physiotherapy, non-steroidal anti-inflammatories, and 3 months rest/knee bracing) were included in the study. You can use Radiopaedia cases in a variety of ways to help you learn and teach. 2017;84(4):285-291. A meniscal cyst is a mixture of joint fluid produced by a tear within the meniscus tendon and the joint pad over the knee. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Krych AJ, Reardon PJ, Johnson NR, Mohan R, Peter L, Levy BA, Stuart MJ. 2). Cochrane in CORR : Arthroscopic Surgery for Degenerative Knee Disease (Osteoarthritis Including Degenerative Meniscal Tears). The cyst may become more apparent as the knee is extended. adj.. a conversion of any of the connective tissues into a gelatinous or mucoid substance. Unauthorized use of these marks is strictly prohibited. 25(5):834-40, 2018, Tsujii A et al: Age-related changes in the knee meniscus. %PDF-1.3
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It may or may not be associated Menisci. 34, No. This was sustained at follow-up in 10 patients (56%). To access 4,300 diagnoses written by the world's leading experts in radiology. WebMucoid degeneration, knee pain. 115(3-4):199-202, 1996, Peterfy CG et al: "Magic-angle" phenomenon: a cause of increased signal in the normal lateral meniscus on short-TE MR images of the knee. [Arthroscopic Finding of Knee Joint in Relation to Age and Its Comparison with Pre-Operative Clinical Finding - a Retrospective Study]. Epub 2016 Oct 19. Meniscal degeneration can occur together with degeneration of the patella, known as chondromalacia patellae. Increased meniscal MR signal attributable to meniscal degeneration is a common finding. 24(2):152-7, 2012, Lee DH et al: Predictors of degenerative medial meniscus extrusion: radial component and knee osteoarthritis. Accessibility Accumulation of mucopolysaccharides at the meniscal interstitial area disrupts the collagen network and weakens the meniscus. It should be normal in younger patients with a severe meniscal injury or cyst. A differential diagnosis was given for this lesion, which included myxoma, myxoid lipoma, MRI is useful in preoperative diagnosis of, Dictionary, Encyclopedia and Thesaurus - The Free Dictionary, the webmaster's page for free fun content, PREVALENCE OF PARTIAL THICKNESS ROTATOR CUFF TEAR IN YOUNGER POPULATION (20-40 YEARS)--A CADAVERIC STUDY, A Rare Cause of a Fluctuating Cystic Lesion in the External Auditory Canal, Aortic valve involvement in a patient with granulomatosis with polyangiitis, Traumatic pulmonary valve hematoma; an unusual complication of pulmonary balloon valvuloplasty/Pulmoner balon valvuloplastinin nadir komplikasyonu; travmatik pulmoner kapak hematomu, Cloacal fibrosarcoma in a canary (Serinus canaria), Pattern of cardiovascular and pulmonary lesions seen in an autopsy series of sudden and unexpected deaths, Adductor tendinopathy in a hockey player with persistent groin pain: a case report, A huge broad ligament fibroid with degenerative changes: a rare case report, Spindle Cell Lipoma of the Parotid: Fine-Needle Aspiration and Histologic Findings, Mucoid degeneration of the anterior cruciate ligament: a case report. Diagnosis MRI is better at detecting MD than arthroscopy, as the surface of the ligament is often intact. You are not taking opioids. Stoller D, Stoller MC, Stoller CJ, Stoller KL, Stoller MJ, Stoller. Epub 2021 Sep 13. Value of different MR pulse sequences. Degenerative Changes of the Menisci of t . Medicine, Dentistry, Nursing & Allied Health. Ont Health Technol Assess Ser. WebMucoid degeneration of the ACL is suspected when an apparently thickened and ill-defined ligament with increased signal intensity on all sequences in MRI is identified in a patient with 35(1):103-12, 2007, Jones AO et al: Medial meniscus posterior root attachment injury and degeneration: MRI findings. Thirteen of 18 patients (72%) who had an isolated degenerative tear of the posterior horn of the medial meniscus recorded a complete resolution of symptoms. A meniscal cyst is a mixture of joint fluid produced by a tear within the meniscus tendon and the joint pad over the knee. Keywords: The https:// ensures that you are connecting to the Aidos L, Modina SC, Millar VRH, Peretti GM, Mangiavini L, Ferroni M, Boschetti F, Di Giancamillo A. Bioengineering (Basel). 25(5):473-80, 2009, Low AK et al: Clinical significance of intrasubstance meniscal lesions on MRI. Webto establish an accurate diagnosis of mucoid degeneration [24, 8, 11]. WebE P, Mucoid degeneration of meniscus. Comparative Morphological and Morphometric Study between Medial and Lateral Menisci in Aged Male and Female Human Cadavers. An incomplete meniscal incision may lead to a repeat. This condition should not be related to a bakers cyst. FOIA Clipboard, Search History, and several other advanced features are temporarily unavailable. Biomechanical effects of medial meniscus radial tears on the knee joint during gait: A concurrent finite element musculoskeletal framework investigation. and transmitted securely. Ventura M, Seabra P, Oliveira J, Sousa P, Quesado M, Sousa H, Pereira R, Costa A, Carvalho P. Cureus. The pain mostly is harmful during twisting or bending movements. Copyright 2019. PMC The immovable harm at the site of the cyst, more commonly over the outer part of the knee. Unable to load your collection due to an error, Unable to load your delegates due to an error. For more information, please visit our Permissions help page. Supplement. sharing sensitive information, make sure youre on a federal Short description: Other meniscus derangements, unsp medial meniscus, unsp knee The 2023 edition of ICD-10-CM M23.305 became effective on October 1, 2022. 2022 Oct;38:1-8. doi: 10.1016/j.knee.2022.06.001. Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine. WebBackground: Tendinopathy, enthesopathy, labral degeneration, and pathologic conditions of the articular disc (knee meniscus and ulnocarpal) are sometimes described in terms of inflammation or damage, while the histopathologic findings are Arthroscopy to remove such cysts is the conclusion. An official website of the United States government. Arthroscopy. 2023 Jan 2;15(1):e33270. Am J Sports Med. At Premier Pain Centers, we offer top quality pain management using some of the least invasive, most effective pain procedures possible. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Degenerative Changes of the Menisci of the Knee, Departments of Radiology and Pathology, VA Medical Center, San Diego, CA, USA, /doi/epdf/10.1080/02841859309173268?needAccess=true. 18(11):1408-16, 2010, Galea A et al: The accuracy of magnetic resonance imaging scanning and its influence on management decisions in knee surgery. Arch Orthop Trauma Surg. Tears associated with arthritis often improve over time eCollection 2023 Jan. Aggad WS, El-Aziz GSA, Hamdy RM, Saleh HA, Alyazidi AS. AJR Am J Roentgenol. Epub 2020 Mar 1. T1-weighted and proton-density spin-echo images as well as postprocessed meniscal windows based on T1-weighted spin-echo images proved to be the most reliable in this diagnosis (53.7%, 54.9%, and 53.1% correctly diagnosed meniscal sections, respectively). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The .gov means its official. 84(6):1098-104, 2015, Wang L et al: T1rho MRI at 3T of menisci in patients with acute anterior cruciate ligament (ACL) injury. Often just removing it to decompress (shrink) and vanish without other treatment. Would you like email updates of new search results? Specify as the first choice of treatment for small Parameniscal cysts. Non-operative therapy focused on non-steroidal anti-inflammatory drugs and physical therapy may be able to provide pain relief as well as improve mechanical function of the knee joint. Unable to load your collection due to an error, Unable to load your delegates due to an error. The cyst may be apparent using local depressants and a small needle to remove the substance of the cyst. World J Orthop. hbbd```b``n}`RDGH`Y&0&` !j7d YF`[dAG)|./UwA"@J0
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2020 Jul;39(3):281-287. doi: 10.14366/usg.19064. Diagnosis. WebConclusion: Intra-articular steroid/bupivacaine knee joint injection reduced pain symptoms in the majority of patients (81.7%) with degenerative tears of the posterior horn of the medial meniscus, usually with a sustained response. Improvement was sustained in 32 of 60 patients (53%) at follow-up. Arch Orthop Trauma Surg. Ultrasound-guided injection into the cyst. The cyst of the medial meniscus is usually present on the posterior side of the posterior horn. 52(3):227-30, 2008, Mesiha M et al: Pathologic characteristics of the torn human meniscus. Case study, Radiopaedia.org (Accessed on 23 Nov 2022) https://doi.org/10.53347/rID-11047 2022 Oct 10;10:957435. doi: 10.3389/fbioe.2022.957435. Time takes a meniscus cyst to recover without surgery: Meniscus tears are the most often treated knee harm. Our patient presented with pain on extension and had flexion deformity of 5 degree and further flexion was full and pain-free. Make sure the correct fit, including the proper length support for the surface. Mucoid degeneration; Expulsion of synovial fluid; Risk Factors. By far, the most common location for a tear is in the back and on the inner or medial side of the knee that is the area we call the posterior horn of the medial Management of traumatic meniscal tear and degenerative meniscal lesions. While the T2-weighted spin-echo images commonly underestimated the extent of meniscal degeneration, gradient-echo images commonly overestimated the extent of such changes. WebThe meniscus is a tendon pack that works as a shock absorber, provides stress transmission, absorbs lubrication, and provides nutrition to the knee. F!>78d/7`#?d|n06A
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34(4):404-7, 1993, Kaplan PA et al: MR of the knee: the significance of high signal in the meniscus that does not clearly extend to the surface. 2022 Mar 15;9(3):117. doi: 10.3390/bioengineering9030117. The Role of Arthroscopic Partial Meniscectomy in the Management of Degenerative Meniscus Tears: A Review of the Recent Literature. Suppose you have regained motion and strength. Knee Surg Sports Traumatol Arthrosc. Orthop Traumatol Surg Res. Arthroscopy; Degenerative joint disease; Meniscal tear; Meniscus; Osteoarthritis. 8(1):13-4, 2012, Joseph GB et al: Baseline mean and heterogeneity of MR cartilage T2 are associated with morphologic degeneration of cartilage, meniscus, and bone marrow over 3 years--data from the Osteoarthritis Initiative. For patients refractory to conservative therapy, arthroscopic partial meniscectomy can provide short-term gains regarding pain relief, especially when combined with an effective, regular physiotherapy program. Preprocedural MRI appearances correlate with response to injection. Meniscal mucoid degeneration is a condition that has generally been ignored; it is likely to be responsible for primary meniscal degeneration. Eur Radiol. With vascular penetration of less than one-third of the adult meniscus, healing potential in the setting of chronic degeneration remains low. Acta Radiol. AJR Am J Roentgenol. Curr Rev Musculoskelet Med. Unauthorized use of these marks is strictly prohibited. Bulging of the posterior horn and disappearing contour of the meniscus. mucoid degeneration noun : tissue degeneration marked by conversion of cell substance into a glutinous substance like mucus Dictionary Entries Near mucoid degeneration mucoid mucoid degeneration mucoid tissue See More Nearby Entries Cite this Entry Style Mucoid degeneration. 19(2):222-9, 2011, Zarins ZA et al: Cartilage and meniscus assessment using T1rho and T2 measurements in healthy subjects and patients with osteoarthritis. Federal government websites often end in .gov or .mil. People who have no pain with a torn meniscus can walk, stand, sit, and sleep easily. J Biomech. myofibrillar degeneration damage to selective cardiac cells when surrounding interstitial cells, nerves, and capillaries remain viable. 8600 Rockville Pike This site needs JavaScript to work properly. Bookshelf As you age and your cartilage becomes worn from supporting your weight, it can begin to weaken There are no confirmed means by which cysts can specifically be prevented but the following are observed to be helpful. Korean J Radiol. Radial tears of the posterior horn of the medial meniscus. Meniscal Injuries in Patients Aged 40 Years or Older: A Comparative Study Between Meniscal Repair and Partial Meniscectomy. For instance, myxoid degeneration of the tendon occurs when the normal fibrilary appearance of the tendon is replaced by a homogenous, opaque, mucoid type of tissue. WebMeniscal tears can be categorised as traumatic or degenerative. Epub 2022 Jul 16. u61Z The role of different MR sequences in the analysis of the extent and distribution of meniscal degeneration in middle-aged and elderly patients has not been thoroughly evaluated. In general, they are thought to present 5% in the knee. It is important to differentiate these two separate presentations to ensure appropriate treatment is provided. J Biomech. WebWhat is mucoid degeneration of meniscus? To request a reprint or corporate permissions for this article, please click on the relevant link below: Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content? 2022 Aug;15(4):231-243. doi: 10.1007/s12178-022-09759-2. Meniscus Matrix Structural and Biomechanical Evaluation: Age-Dependent Properties in a Swine Model. eCollection 2016. Patients with clear mechanical symptoms and meniscal pathology may benefit from arthroscopic partial meniscectomy, but surgery is not a guaranteed success, especially with concomitant articular pathology. Degenerative meniscus tears, part of the aging process, are the most common reason for knee arthroscopy because many primary care physicians and orthopedic surgeons believe that meniscus tears always require surgery. This is not the case, says Rodney Benner, MD, an orthopedic surgeon at Shelbourne Knee Center. Many degenerative meniscus tears will get better without surgery. Rotating, turning sports, in which the menisci can be torn. A torn meniscus mainly occurred severe pain in the knee. Osteoarthritis Cartilage. 5 Howick Place | London | SW1P 1WG. By closing this message, you are consenting to our use of cookies. A degenerative process in which the connective tissues are replaced by a gelatinous or mucoid substance. Musculoskeletal. It can also occur while bending the knee deeply. Vermesan D, Prejbeanu R, Laitin S, Damian G, Deleanu B, Abbinante A, Flace P, Cagiano R. Eur Rev Med Pharmacol Sci. 3099067 Osteoarthritis Cartilage. They are mostly seen with meniscal tears. When people over the age of 40 get a torn meniscus, the tissue tends to be less healthy and less likely to heal, with or without surgery. National Library of Medicine Although meniscus cyst does not cure, they may become symptomless over time, especially with activity limitation. Check for errors and try again. 24(6):1262-70, 2017, Ahn JH et al: Comparison between conservative treatment and arthroscopic pull-out repair of the medial meniscus root tear and analysis of prognostic factors for the determination of repair indication. (1993). That occurred because of degenerative changes within the meniscus. This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. But here is some timing for returning to activities. Please note: Selecting permissions does not provide access to the full text of the article, please see our help page Ultrasonography-guided intra-articular steroid injection in the hip for symptomatic round ligament partial tear or degeneration. 48(8):1469-78, 2015, Takahashi K et al: Medial meniscal posterior root/horn radial tears correlate with cartilage degeneration detected by T1 relaxation mapping. May be efficient in a population with degenerative tears. Federal government websites often end in .gov or .mil. Open Orthop J. Your doctor might recommend:Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. Ice. Ice can reduce knee pain and swelling. Medication. Over-the-counter pain relievers also can help ease knee pain. Disclaimer. Knee. Register to receive personalised research and resources by email. This information is not intended to create, and receipt or viewing does not constitute, a doctor-patient relationship. 2004 Apr;20(4):373-8. doi: 10.1016/j.arthro.2004.01.004. Bethesda, MD 20894, Web Policies Materials and methods: Aim: HHS Vulnerability Disclosure, Help Meniscus repair surgery: right away, but only with a brace. Meniscal cysts are associated with meniscal mucoid degeneration. Cited by lists all citing articles based on Crossref citations.Articles with the Crossref icon will open in a new tab. Careers. This case shows a grade 3 MR signal intensity of the posterior horn. Diagnosis is usually shown by inspection and palpation of a different mass present over a medial or lateral joint line. It may be related to an injury to the knee (turning or bending injury). Treatment for a torn meniscus often begins conservatively, depending on the type, size and location of your tear. Mucoid degeneration of PCL can produce symptoms of pain on flexion or restricted terminal flexion. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. Knees with mucoid ACL degeneration had significantly more meniscal damage compared to controls (mean WORMS of medial meniscus of 2.7 vs. 2.1, P=0.033; and mean WORMS of lateral meniscus of 1.1 vs 0.6, P=0.012). FOIA It mostly has no symptoms. Sharp dissection of cyst margins to the joint capsule. Acta Chir Orthop Traumatol Cech. Epub 2022 Apr 27. 125(4):267-71, 2005, Boya H et al: Clinical and arthroscopic features of meniscal tears and a search for the role of infection in histologically confirmed meniscal mucoid degeneration. The site is secure. Disclaimer. J Orthop Sci. Published by Elsevier Ltd. 14(6):935-45, 2013, Hunter D: Degeneration of the meniscus and progression of osteoarthritis. It can help visualize the cyst and guide aspiration, in which a needle is placed into the cyst to draw out its content. Mucoid degeneration of the meniscus refers to a change in the molecular make up of the meniscus as a nonspecific response to injury particularly in a young 2002 Jul-Aug;18(6):569-77. doi: 10.1053/jars.2002.29897. Patients underwent intra-articular knee steroid/bupivacaine injection and were followed clinically for a minimum of 6 months. M23.305 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2022 Dec 9;10(4):159-167. doi: 10.4103/jmau.jmau_91_21. Bookmarks. Epub 2017 Sep 2. Clin Orthop Relat Res. Trauma. hX_o8*z{H@h>K"v)[b'.=((g0"B HD#g(=gD[='=\`?f8
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. eCollection 2022. It is the most sensitive symptomatic test for meniscal injury or tenderness. Current Reviews in Musculoskeletal Medicine: Current Controversies for Treatment of Meniscus Root Tears.