Fisseler-Eckhoff A, Müller K-M
Institut für Pathologie und Zytologie, Dr. Horst Schmidt Kliniken GmbH Wiesbaden, Ludwig-Erhard-Str. 100, 65199, Wiesbaden.
Pathologe. 2011 May;32(3):220-7. doi: 10.1007/s00292-011-1420-8.
Menisci fulfill many functions within the complex biomechanics of the knee joint. In the case of meniscus lesions, sparing arthroscopic resection and surgical refixation are the treatments of choice. In terms of diagnosis, this means in general that histopathologic diagnostics are carried out on detached meniscus fragments of between 5 mm and 2 cm in size. A good knowledge of physiologically possible cellular and fibrous histological meniscus damage, as opposed to nonphysiological change regarded as normal with respect to age, is essential for diagnostic meniscus evaluation. The clinician expects clear statements from the pathologist regarding the severity of previous or secondary degenerative meniscus damage, the age and type of traumatic tears, and an appraisal of the relationship between trauma and meniscus damage from an insurance point of view. Close cooperation between the clinician and the pathologist allows for a fast and unambiguous correlation of anamnesis, the clinical picture, and morphological reporting such that problematic insurance cases can be clarified quickly.
半月板在膝关节复杂的生物力学中发挥着多种功能。对于半月板损伤，保留性关节镜下切除术和手术修复是首选治疗方法。在诊断方面，这通常意味着对大小在5毫米至2厘米之间的分离半月板碎片进行组织病理学诊断。了解生理上可能出现的细胞和纤维组织学半月板损伤，与被视为正常年龄相关的非生理性变化相对，对于半月板诊断评估至关重要。临床医生期望病理学家就先前或继发性退行性半月板损伤的严重程度、创伤性撕裂的年龄和类型，以及从保险角度对创伤与半月板损伤之间关系作出明确说明。临床医生和病理学家之间的密切合作能够快速且明确地关联病史、临床表现和形态学报告，从而迅速澄清有问题的保险案例。
