Nonoperative Management of Degenerative Meniscus Tears Is Worth a Try.

Abstract

Clinical trials comparing arthroscopy and physical therapy for degenerative meniscal tears show no significant difference. Methodologically, these trials have flaws. Intention-to-treat analysis allows therapy patients to crossover to surgery, and outcomes of these surgically treated patients are paradoxically reported in the therapy group. In contrast, it is impossible for surgery patients to crossover. Nevertheless, initial nonoperative management of degenerative meniscal tears is worth a try.