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MENISCUS TEAR

normal meniscus.jpg

normal meniscus

meniscus tear.jpg

torn meniscus

The meniscus is the soft cartilage cushion for the knee joint which provides stability and shock absorption. The blood supply to the meniscus varies by location — certain areas of the meniscus have better blood supply than others. When a tear occurs, treatment depends in the size, shape, and location of the tear. 

 

A meniscus tear can cause a swollen, painful knee and intermittent symptoms of locking up, catching, and/or buckling (giving way). 

 

This soft cartilage can easily be torn in a variety of ways: a fall or trauma, a plant-and-twist (pivot) injury, or simply through wear-and-tear. An examination in the office as well as MRI imaging will confirm the presence of a meniscus tear, and of which morphology. Depending on the size, shape, and location of your meniscus tear, there are different treatment options:

 

  • Meniscus Repair: when an area of the meniscus with sufficient blood supply is torn, it is repairable.

  • Partial Meniscectomy: when an area of the meniscus with insufficient blood supply is torn, the torn portion is not repairable and must be debrided (“smoothed out” or “removed”).

  • Physical therapy: symptoms caused by some smaller meniscus tears will improve completely with low impact strengthening designed to optimize the biomechanics of the knee.

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