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Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
...Charles N. Brooks, MD Rating repeat partial meniscectomies, unoperated meniscal tears, and meniscal repairs requires thoughtful clinical assessment and application of directives provided in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). Although the AMA Guides provide...
Newsletter Articles
Guides Newsletter (2009) 14 (6): 9–10.
Published: 01 November 2009
... an expanded list of diagnoses. Marjorie Eskay-Auerbach, MD, JD Question: How would you rate a case involving a total lateral meniscectomy plus a partial medial meniscectomy based on the Fifth Edition criteria? Using Table 17-33, Impairment Estimates for Certain Lower Extremity Impairments (5th ed...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 1–10.
Published: 01 September 2013
... meniscus in 2008, also treated with arthroscopic partial medial meniscectomy. Right knee X rays obtained at the time of the meniscal tear in 2008 revealed a 3 mm cartilage interval in the medial compartment and small medial spurs. His body mass index is 24 (normal). Pertinent family history includes...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 3–5.
Published: 01 May 2017
... (spurring) and increased sclerosis. He has a pre-existing condition, degenerative arthrosis/arthritis, but it is not ratable. Five years after an arthroscopic partial medial meniscectomy the osteoarthritis has worsened and he undergoes a total knee replacement. If the patient had a fair result from...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 8–11.
Published: 01 March 2022
..., physicians sometimes rate two or more diagnoses within a region and then combine the ratings. For example, an examinee sustained a torsional knee injury, and a magnetic resonance imaging (MRI) scan 1 week later revealed a torn medial meniscus and osteoarthritis, prompting a partial medial meniscectomy...
Newsletter Articles
Guides Newsletter (1999) 4 (1): 1–3.
Published: 01 January 1999
... replacement, patellectomy, and meniscectomy. Examples of functional methods include ratings based on diminished range of motion, weakness, or gait derangement. In general, only one method should be used to rate impairment associated with an injury or illness. The Guides recommends the method “providing...
Newsletter Articles
Guides Newsletter (2010) 15 (4): 5–10.
Published: 01 July 2010
... procedures involving partial medial and lateral meniscectomies, can one assume both surgeries would be equivalent to a total meniscectomy and allow for the diagnosis-based estimates (DBE) rating for a total medial and lateral meniscectomy under the Fifth Edition? Answer: No, unless...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 14–16.
Published: 01 January 2018
... and had an ACL reconstruction with a good outcome. Years later, a work-related twisting, weight-bearing injury to the same knee resulted in an acute vertical meniscal tear. The post-work injury magnetic resonance imaging (MRI) scan and operative report from the partial meniscectomy confirmed...
Newsletter Articles
Guides Newsletter (2018) 23 (3): 13–15.
Published: 01 May 2018
... fracture Undisplaced, healed 3 (7) Articular surface, displaced more than 3 mm 5 (12) Displaced with nonunion 7 (17) Patellectomy Partial 3 (7) Total 9 (22) Meniscectomy, medial or lateral Partial 1 (2) Total 3 (7) Meniscectomy...
Newsletter Articles
Guides Newsletter (2013) 18 (4): 6–7.
Published: 01 July 2013
...., the rating for a partial meniscectomy incorporates the increased risk of developing osteoarthritis in that knee compartment. Medication(s) needed to treat the condition at maximum medical improvement (burden of treatment compliance) is another means upon which to base impairment. More common bases...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 11–15.
Published: 01 November 2006
... Lower Extremity Impairments (5th ed, 546), states that a partial meniscectomy is rated at 1% whole person or 2% lower extremity. How do you rate an unoperated meniscal tear, or a meniscal repair? The Guides does not specifically address this, although Section 2.5g, Adjustments for Effects...
Newsletter Articles
Guides Newsletter (2009) 14 (5): 10–11.
Published: 01 September 2009
... arthritis x x x xx x x Meniscal disorders xx xx Plantar fasciitis x = some evidence, xx = strong evidence, xxx = very strong evidence (absence of x indicates insufficient evidence to support a risk factor) 1 including previous meniscectomy...
Newsletter Articles
Guides Newsletter (2004) 9 (3): 1–12.
Published: 01 May 2004
... injury would cause the rating to increase to 10% lower extremity; however, with subsequent editions a partial meniscectomy is rated at 2% lower extremity and a total menisectomy is rated at 7% lower extremity. Another example is for knee replacement. With the Third Edition, Revised, the directions...
Newsletter Articles
Guides Newsletter (2005) 10 (2): 1–3, 7, 12.
Published: 01 March 2005
... – 299 . 10. Allen PR , Denham RA , Swan AV . Late degenerative changes after meniscectomy: factors affecting the knee after operation . J Bone Joint Surg Br. 1984 ; 66B : 666 – 671 . 11. Hinton R . Osteoarthritis: diagnosis and therapeutic considerations . Am Fam...
Newsletter Articles
Guides Newsletter (2012) 17 (3): 10–12.
Published: 01 May 2012
... feet 6 inches tall. The calculated body mass index of 36.3 meets the criterion for obesity. In December 2009 the longshoreman underwent an arthroscopic partial lateral meniscectomy of left knee. Two years following this left knee surgery he developed increased right knee pain attributed...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
... Ligament/bone/joint Meniscal injury, partial (medial or lateral) meniscectomy, meniscal tear, or meniscal repair 1 1% LE 2% LE 1% LE 2% LE 3% LE 16-3 Knee Ligament/bone/joint Primary knee joint arthritis, 3 mm cartilage interval, full thickness articular cartilage defect, or ununited...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 3–6.
Published: 01 May 2013
...) in the normal anatomical or physiological function Interference in an individual's activities of daily living Class 1 impairment for partial meniscectomy. Even after surgical correction and in the absence of symptoms, there is a minimum rating of 1% of the lower extremity in the Sixth Edition...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 4–7.
Published: 01 November 2006
... meniscectomy (medial or lateral) results in 2% lower extremity impairment (LEI). Hence it makes sense to rate a partial labrectomy the same, 2% LEI. Table 17-33 also provides ratings for total excision of one or both menisci. While total labrectomy is rarely, if ever, performed outside of total hip...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... without previous opioid prescriptions aged 16 to 64 years who underwent 4 low-risk surgical procedures (i.e., laparoscopic cholecystectomy, laparoscopic appendectomy, arthroscopic knee meniscectomy, and breast excision) between January 2013 and December 2015 in the United States, between July 2013...
Newsletter Articles
Guides Newsletter (2008) 13 (1): 1–12.
Published: 01 January 2008
... impairment values are provided for diagnoses. For example, a patient with a partial medial meniscectomy is assigned 1% whole person permanent impairment. Rating systems previously used for the lower extremity did not provide for adjustments based on functional difficulties, physical examination findings...