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Letters |18 October 2016

Treatment of Meniscal Tear

Jeffrey N. Katz, MD, MSc; Morgan H. Jones, MD, MPH

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We agree, in general, with Drs. Buchbinder and Harris' critical assessment on the efficacy of APM in patients with degenerative meniscal tear. However, we would like to comment on 2 arguments that they make in support of their concluding statement that APM should not be offered to patients with degenerative meniscal tear.
First, although APM is a risk factor for osteoarthritis progression, meniscal damage is a risk factor, as well (1). No studies to date have disentangled the effect of surgery from the effect of the underlying tear. At this point, advising a patient with meniscal tear that surgery increases the risk for osteoarthritis progression would not be appropriate.
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Katz JN, Jones MH. Treatment of Meniscal Tear. Ann Intern Med. ;165:603. doi: 10.7326/L16-0326

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Published: Ann Intern Med. 2016;165(8):603.

DOI: 10.7326/L16-0326

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2016 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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