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Meniscus

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Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
... meniscus, constitutes the same 2% LEI or 1% WPI. Utilizing this interpretation, if 10% of the meniscus was excised during a first surgery, then another 20% in a second, followed by an additional 40% during a third arthroscopy, the rating would be the same after each procedure because 10%, 30%, and 70% all...
Newsletter Articles
Guides Newsletter (2000) 5 (6): 13–14.
Published: 01 November 2000
... 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 (2013) 18 (5): 1–10.
Published: 01 September 2013
... 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 (2018) 23 (1): 14–16.
Published: 01 January 2018
... fractures that disrupt the normally smooth articular surface, ligamentous tears with residual instability (varus–valgus and/or anterior–posterior), and meniscal tears that require removal of a significant portion of the meniscus can accelerate or aggravate preexisting osteoarthritis. The following...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 3–5.
Published: 01 May 2017
... thereto, particularly if some of them are unrelated 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...
Newsletter Articles
Guides Newsletter (2016) 21 (1): 15.
Published: 01 January 2016
... 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...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
... 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 (2013) 18 (3): 3–6.
Published: 01 May 2013
... 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. The rating is 2%-10% whole person impairment (WPI). The same...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
Newsletter Articles
Guides Newsletter (2010) 15 (6): 5–7.
Published: 01 November 2010
... 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 6.3 3.7 3.7 3.3 The average whole person permanent...
Newsletter Articles
Guides Newsletter (2010) 15 (4): 5–10.
Published: 01 July 2010
... for this situation to have resulted in a total medial or lateral meniscectomy. Even if excising a large bucket handle tear, 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...
Newsletter Articles
Guides Newsletter (2010) 15 (2): 1–10.
Published: 01 March 2010
..., neurological 8.6 3.3 5.3 68 943 The 5 most frequent diagnoses are presented in Table 11 . 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...
Newsletter Articles
Guides Newsletter (2010) 15 (1): 1–7.
Published: 01 January 2010
.... (%) of Diagnoses Fourth Edition Fifth Edition Sixth Edition Shoulder region NOS 726.2 4.6 4.6 4.8 36 (12.9) Backache NOS 724.5 2.9 3.6 2.0 29 (10.4) Carpal tunnel 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...
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 to...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 4–7.
Published: 01 November 2006
... on how to rate meniscal tears in a similar situation. One might consider the likely impact on activities of daily living (ADL), but this varies widely. Degenerative fraying of the free edge of a labrum or inner margin of a meniscus may be a normal accompaniment of aging, and probably results in no...
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 (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
Newsletter Articles
Guides Newsletter (1999) 4 (1): 1–3.
Published: 01 January 1999
... in this case, it provides the most specific, and probably the best, method for estimating impairment. Because the lax ACL and the partially excised meniscus represent 2 separate structures and an examiner would still be using “only one approach for each anatomic part” (4th ed., 84), it is appropriate...