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Meniscus

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Newsletter Articles
Guides Newsletter (2000) 5 (6): 13–14.
Published: 01 November 2000
... by partial or total menisectomy. Although accompanying tables permit impairment rating of most knee injuries, arthroscopy and new surgical procedures have permitted early diagnosis of osteochondral fracture defects that are not easily rated. A peripheral meniscal tear in the fascular part of the meniscus...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
... Impairment Meniscectomy Meniscus The fifth and sixth editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) both provide impairment ratings for a partial meniscectomy. However, neither edition addresses how to rate a second or any subsequent partial resection...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 14.
Published: 01 May 2021
... to envision how axial loading and compression of the meniscus between femur and tibia could occur; however, knee contusions and sprains can occur in such impact, especially in a near-side impact. Since degenerative meniscal tears are common, especially in middle-aged and elderly persons, and most...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 1–10.
Published: 01 September 2013
... of initial and recurrent tears of the medial meniscus plus osteoarthritis (OA) in the medial compartment of the knee; and addresses questions regarding apportionment. The authors, experienced impairment raters who are knowledgeable regarding the AMA Guides to the Evaluation of Permanent Impairment ( AMA...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
..., but values are not provided to define a specific grade modifier. Most lower extremity impairments are based on Diagnosis-related impairments, and an impairment example case demonstrates the use of the Knee Regional Grid to asses a partial meniscus repair. An associated table illustrates the resulting whole...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 3–5.
Published: 01 May 2017
... to the injury in question. For example, a 55-year-old obese man has a torsional injury to his knee at work resulting in a medial meniscus tear. Prior to the injury he was reportedly asymptomatic and immediately afterward knee x-rays reveal normal joint spaces (cartilage intervals) but marginal osteophytes...
Newsletter Articles
Guides Newsletter (2009) 14 (5): 8–9.
Published: 01 September 2009
... meniscus of the knee. Functional assessment is considered for the impairment (diagnosis) with the highest rating, because it is expected that this will encompass the functional limitations associated with other impairments in the same limb (p. 496). The Clarifications and Corrections clarifies page 497...
Newsletter Articles
Guides Newsletter (2016) 21 (1): 15.
Published: 01 January 2016
... of the scarring of the distal radioulnar joint.” The operative report states, in part,“…dissection was carried…down to the shaft of the distal ulna. The capsulectomy and capsulotomy were then performed releasing all the scars of the radioulnar joint…and care was taken not to disrupt the meniscus homologue...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 14–16.
Published: 01 January 2018
... removal of a significant portion of the meniscus can accelerate or aggravate preexisting osteoarthritis. The following definitions apply when rating knee impairments. Active Range of Motion (AROM): “The range of movement through which a patient can actively (without assistance) move a joint...
Newsletter Articles
Guides Newsletter (2005) 10 (2): 1–3, 7, 12.
Published: 01 March 2005
... Physician. 2002 ; 65 ( 5 ): 841 – 848 . 12. Roos HP , Adalberth T , Dahlberg L , Lohmander LS . Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and age . Osteoarthritis Cartilage. 1995 ; 3 : 261 – 267 . 13...
Newsletter Articles
Guides Newsletter (1999) 4 (1): 1–3.
Published: 01 January 1999
... for the knee. The following example demonstrates these options. A 45-year-old man slipped on a wet stair at work, injuring his left knee. Evaluation revealed a medial meniscus tear and ruptured anterior cruciate ligament. Partial medial meniscectomy and reconstruction of the ACL were undertaken. After...
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 (2010) 15 (6): 5–7.
Published: 01 November 2010
... 1.4 2.0 0.9 722.93 Disc Disease NEC / NOC-Lumbar 6 6.7 9.2 10.0 5.8 717.5 Derangement Meniscus NEC 5 3.6 3.2 3.2 2.0 842.10 Sprain Of Hand NOS 5 1.8 1.8 1.8 2.0 722.91 Disc Disease NEC / NOC-Cervical 4 2.3 5.0 5.0 5.5 717.9 Internal Derangement Knee NOS 3...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 4–7.
Published: 01 November 2006
... of a meniscus or glenoid labrum, and no one calls these procedures a limbectomy. Furthermore, a labral tear may not involve its free edge, border, or fringe. Hence this article will refer to the less often used but semantically more correct name for this procedure, labrectomy. Supporters of the more...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 3–6.
Published: 01 May 2013
... reflecting, in part, the risk of accelerated osteoarthritis and re-tearing of the meniscus (Table 16-3, Knee Regional Grid, 6th ed, 509). Class 1 impairment for cardiac valve disease. In this class, the individual has normal physiology and takes no medications but requires prophylactic antibiotics...
Newsletter Articles
Guides Newsletter (2010) 15 (1): 1–7.
Published: 01 January 2010
... syndrome 354.0 0.9 2.4 1.3 22 (7.9) Derangement meniscus NEC 717.5 2.1 2.1 1.8 18 (6.5) Cervicalgia 723.1 0.9 1.1 0.7 17 (6.1) Disc disease NEC/NOS–lumbar 722.93 9.4 11.3 7.6 16 (5.7) Sprain of hand NOS 842.10 1.8 1.8 1.8 13 (4.7) Disc disease NEC/NOS–cervical...
Newsletter Articles
Guides Newsletter (2010) 15 (4): 5–10.
Published: 01 July 2010
..., there is almost always an outer rim of meniscus left. The Fifth Edition does not specifically say, but it implies that anything from 1-99% meniscectomy warrants the partial rating listed in Table 17-33, Impairment Estimates for Certain Lower Extremity Impairments (5th ed, 546). Hence, if 25% were removed...
Newsletter Articles
Guides Newsletter (2010) 15 (2): 1–10.
Published: 01 March 2010
... . These diagnoses were followed, in order of frequency, by internal derangement, knee; disc disease –not elsewhere classified (NEC), cervical; derangement, meniscus, knee; sprain, wrist, not otherwise specified (NOS); and rotator cuff syndrome. Table 11. Five Most Frequent Diagnoses, Fifth Edition Rank...
Newsletter Articles
Guides Newsletter (2004) 9 (3): 1–12.
Published: 01 May 2004
... many more impairments for specific conditions, organized by condition. They are more explicit than those provided in the Third Edition, Revised, in Table 40, Impairment Rating of the Lower Extremity For Other Disorders of the Knee (page 68). For example in the Third Edition, Revised, 1 meniscus...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
... tunnel syndrome (9354.0): 42 days, versus 24 days tear of medial cartilage or meniscus of knee (836.0): 37 days, versus 21 days lumbago (724.2): 17 days, versus 9 days myalgia and myositis, unspecified (729.1): 21 days, versus 14 days pain in or around eye (379.91): 14 days, versus 3 days...