Casscells S W
Clin Orthop Relat Res. 1978 May(132):196-200.
Data was collected on 300 cadaver knees dissected for the prime purpose of studying chondromalacia of the patella. Simultaneous observations were also made on the state of the meniscus and the articular cartilage in the tibio-femoral joint. The data did not seem to support the oft-repeated statement that the torn meniscus is the primary cause of unicompartmental osteoarthritis. Investigations were also carried out on 69 additional cadaver knees and 100 consecutive unselected arthroscoped knees in which there was damage either to the meniscus or the adjacent joint surfaces. In 60% of the combined series of cadaver and arthroscoped knees, the meniscal changes could not be correlated with the condition of the articular cartilage. In the remaining 40% in which there was coexisting pathology in the meniscus and the articular cartilage, a cause and effect relationship could not be established, but there was no evidence that a torn meniscus posed a significant threat to the articular cartilage.
收集了300个用于主要研究髌骨软骨软化症的尸体膝关节的数据。同时，还对胫股关节半月板和关节软骨的状态进行了观察。数据似乎并不支持经常重复的说法，即撕裂的半月板是单髁骨关节炎的主要原因。还对另外69个尸体膝关节和100个连续未选择的关节镜检查膝关节进行了调查，这些膝关节的半月板或相邻关节面有损伤。在尸体膝关节和关节镜检查膝关节的联合系列中，60%的半月板变化与关节软骨状况无关。在其余40%半月板和关节软骨并存病理情况的病例中，无法确立因果关系，但没有证据表明撕裂的半月板对关节软骨构成重大威胁。
