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. Author manuscript; available in PMC: 2012 Sep 1.
Published in final edited form as: Osteoarthritis Cartilage. 2011 Jun 1;19(9):1132–1141. doi: 10.1016/j.joca.2011.05.008

Table 1. Criteria and scores for histological assessment of menisci.

The range of possible total scores is 0–18. This total score can be converted to a grade as follows: G1=0–4, G2=5–9, G3=10–14, G4=15–18. Grade 1 represents normal tissue, Grade 2 is mild degeneration, Grade 3 is moderate and Grade 4 is severe degeneration.

I SURFACE including lamellar layer:

Score
I–I FEMORAL SIDE:
   A Smooth 0
   B Slight fibrillation or slightly undulating 1
   C Moderate fibrillation or markedly undulating 2
   D Severe fibrillation or disruption 3
I–II TIBIAL SIDE:
   A Smooth 0
   B Slight fibrillation or slightly undulating 1
   C Moderate fibrillation or markedly undulating 2
   D Severe fibrillation or disruption 3
I–III INNER BORDER:
   A Smooth 0
   B Slight fibrillation or slightly undulating 1
   C Moderate fibrillation or markedly undulating 2
   D Severe fibrillation or disruption 3

II CELLULARITY

   A Normal 0
   B Diffuse hypercellularity 1
   C Diffuse hypo/acellular regions 2
   D Hypocellularity (empty lacuna, pycnotic cells) 3

III COLLAGEN ORGANIZATION/ALIGNMENT AND FIBER ORGANIZATION

   A Collagen fibers organized, homogenous eosinophilic staining of extracellular matrix 0
   B Collagen fibers organized, diffuse foci of hyaline or mucinous degeneration 1
   C Collagen fibers unorganized, confluent foci or bands of hyaline or mucinous degeneration, fraying 2
   D Collagen fibers unorganized, fibrocartilaginous separation (edema, cystic formation), severe fraying and tears 3

IV MATRIX STAINING (SAFRANIN O - FAST GREEN)

   A None 0
   B Slight 1
   C Moderate 2
   D Strong 3

Cell clusters: present +, ++, +++
Calcium deposition: present +, ++, +++
HHS Vulnerability Disclosure