On the contrary, if the patient is over 50 and no traumatic incident has occurred before the start of knee pain, clinicians should assume that it is a degenerative meniscal tear and that MRI is not necessary, Dr. Rodriguez-Merchan says.
“Then, we must treat osteoarthritic pain in a conservative [way] and inform the patient that surgery is not indicated because it is not going to improve his/her knee pain but even it is going to worsen it,” Dr. Rodriguez-Merchan says.
- Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy for a degenerative meniscus tear: A five year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. Br J Sports Med. 2020 Aug 27;bjsports-2020-102813. Online ahead of print.