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 +, ++, +++ |