Álvarez LA, Soto-Carrasco SR, García LYC

Language: Spanish
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ABSTRACT

Introduction: The articular degenerative disease affects all intra-articular structures, including meniscus and cartilage. Meniscus injuries are associated with other diseases that cause pain.
Objective: To describe the behavior of meniscal degenerative lesions in a group of patients.
Methods: An analytical observational study was carried out in 230 patients presenting a clinical, imaging and arthroscopic diagnosis of meniscus degenerative lesions; they were treated at "Manuel Ascunce Domenech" University Hospital, from October 9, 2012 to January 22, 2018. The variables of the study were age, sex, right and left knee, medial-lateral meniscus, Boyer's T five variants of arthroscopic classification, symptoms and signs associated intra-articular injuries, cartilage injury and arthroscopic procedures. The distribution of absolute and relative frequencies was used in the analysis of the qualitative variables and the arithmetic mean for the quantitative age variable. The chi-square test was used to assess the relationship between independent qualitative variables.
Results: The average age of the patients studied was 54.5 years. The proportion by sex was 2.5 women per one affected man. According to Boyer T arthroscopic classification, there was higher incidence of type I in these patients (47 %). The joint diffuse pain predominated. The highest incidence lesion associated was cartilages grades III / IV. Joint washing, debridement and partial meniscectomy were the most arthroscopic procedures used.
Conclusions: Degenerative lesions of the meniscus are frequent in patients with degenerative joint disease. They are associated with other joint diseases that cause pain; hence, their symptoms and signs are similar. The degree of affection of the meniscus is not symmetrical to that of the cartilage. The treatment of choice is arthroscopic, due to its multiple advantages. Several procedures are necessary in the same patient.