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Meniscectomy

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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 a...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... (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 and March 2016 in Canada, and between January 2013 and December 2014 in Sweden. Data analysis was conducted...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 1–10.
Published: 01 September 2013
... specifically a complication of treatment rendered for the 2005 occupational injury. As indicated, the diminution in medial cartilage interval from 3 mm to 1 mm during the 6-year interval is more than one would expect from age-related degeneration alone. Englund evaluated knees 15-22 years after meniscectomy...
Newsletter Articles
Guides Newsletter (2018) 23 (3): 13–15.
Published: 01 May 2018
... subluxation or dislocation with residual instability 3 (7) Patellar 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...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 14–16.
Published: 01 January 2018
...-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 that the anterior cruciate graft was intact and uninjured. A case like this would logically be rated using...
Newsletter Articles
Guides Newsletter (2009) 14 (6): 9–10.
Published: 01 November 2009
... diagnosis of chronic axial pain. The next edition may have 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...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 3–5.
Published: 01 May 2017
... spaces (cartilage intervals) but marginal osteophytes (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...
Newsletter Articles
Guides Newsletter (2013) 18 (4): 6–7.
Published: 01 July 2013
... numerical percentage to residuals of an injury or illness varies. In some cases, it is the risk of future events—e.g., 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...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 3–6.
Published: 01 May 2013
... medication/treatment and the risk of future problems. 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 reflecting, in part, the risk of accelerated osteoarthritis and...
Newsletter Articles
Guides Newsletter (2012) 17 (3): 10–12.
Published: 01 May 2012
... and is 5 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 to...
Newsletter Articles
Guides Newsletter (2010) 15 (4): 5–10.
Published: 01 July 2010
... motion) are added for a single joint. Christopher R. Brigham, MD Question: If a patient has had two separate surgical 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...
Newsletter Articles
Guides Newsletter (2009) 14 (5): 10–11.
Published: 01 September 2009
... risk factor) 1 including previous meniscectomy The book then loses some of its impetus as it delves into other organ systems: “general” musculoskeletal problems such as fibromyalgia, cardiovascular and pulmonary disease, neurological and rheumatological diseases. As research related to work...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
... 16-3 Knee 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...
Newsletter Articles
Guides Newsletter (2008) 13 (1): 1–12.
Published: 01 January 2008
... based on thirteen possible approaches in the Fifth Edition, the most commonly used approach is the Diagnosis-Based Estimates where specific impairment values are provided for diagnoses. For example, a patient with a partial medial meniscectomy is assigned 1% whole person permanent impairment. Rating...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 11–15.
Published: 01 November 2006
... resulting in debridement of necrotic or infected muscle. Table 17-33, Impairment Estimates for Certain 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...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 4–7.
Published: 01 November 2006
... anatomy, function, pathology, and treatment. According to Table 17-33, Impairment Estimates for Certain Lower Extremity Impairments (5th ed, 546), a partial meniscectomy (medial or lateral) results in 2% lower extremity impairment (LEI). Hence it makes sense to rate a partial labrectomy the same, 2% LEI...
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 (2004) 9 (3): 1–12.
Published: 01 May 2004
... the Third Edition, Revised, 1 meniscus 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...
Newsletter Articles
Guides Newsletter (1999) 4 (1): 1–3.
Published: 01 January 1999
... procedures, such as hip 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...