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It was thought that the role played by the menisci was limited and it was common for the complete surgical removal of them following any damage. Meniscus tears are the most common injury presenting to orthopaedic knee surgeons and are often the result of sports injury; most commonly with the twisting of a flexed knee under load.
In older knees the meniscus becomes less elastic and can tear with a lower level of movement or even spontaneously if the progressive degeneration is severe enough. Immediate treatment for any knee pain should follow the RICE (rest, ice, compression, elevation) principle. Once diagnosed the injury should be rested and any aggravating activities should be stopped with the aim being to remove as much load and stress from the knee joint as possible.
An Active650 knee support will help you as your rest, recovery and rehabilitation progresses.
As the rehabilitation begins or, in the case of minor tears, as you start to increase your activity you need to move the knee as much as you can, in order to prevent the joint from stiffening and to strengthen the surrounding muscles. The key is to mobilise and load the knee in a controlled manner, within the limits of pain. Conventional restrictive supports will not only prevent movement of the knee they can result in the muscles becoming reliant on the brace. I do like the fact that the Freezie Wrap makes it easier for me to ice my knee than using anything elseRating: Caron NotarmuziResults may vary.
Left untreated, meniscus injuries can be extremely debilitating and lead to life long complications. In older people whose menisci are more likely to be worn down, a tear can result from even a very minor injury.
This step of knowing what type of meniscus injury you are suffering from is key to your recovery! Your doctor or orthopedic surgeon will be able to test whether you have a meniscus injury and then will determine what type you have through a variety of tests.
Tears of the meniscus can be divided into two groups; those in which there is locking and the diagnosis is clear, and those in which locking is absent and the more difficult to diagnosis.
A physical exam will be performed to determine if you have any signs of a meniscus tear or possibly another knee injury. Joint Line Tenderness is simply performed by applying pressure over the meniscus area while you are laying flat on your back. CAT scans (or CT - computerized tomography) can be used to provide a 3-dimensional assessment of the bones and soft tissues in and around your knee joint and may be used to identify a meniscus tear. MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the soft tissues in and around your knee joint (muscles, tendons, ligaments, menisci, other connective tissues). The type of test recommended will depend on your symptoms and the opinion of your medical professional. The severity of your meniscus tear will vary depending on which meniscus is injured and the location, type and shape of the tear. Red-on-Red meniscus tear is in the red zone (the outer part of your meniscus and knee joint).
Red-on-White meniscus tear is between the red zone and the middle (includes the outside rim and center portion of your meniscus). White-on-White meniscus tear is in the white zone (the middle and inner part of your meniscus).
Tear Types: Your knee joint can also be divided into the anterior horn (mobile, curved portion at front of meniscus), the posterior horn (less mobile, curved portion at back of the meniscus) and the body (middle section of the meniscus, thicker on outside and thinner on the inside).
A partial meniscus tear (partial thickness in depth - meniscus still remain attached) tends to be smaller and more stable because it stays connected to the front and back of your knee and doesn't move about freely.
A complete meniscus tear (full thickness - tissue separates from your meniscus and tear goes all the way through) tends to be larger and less stable because it hangs by a thread of cartilage.
Degenerative meniscus tears have frayed edges on the inner rim, where the meniscus is thinnest, which can eventually tear in multiple directions and can lead to a completely degenerated meniscus.
We have tools that will help you to prevent and treat the symptoms of meniscus related injury When it comes to your injured knee, it's best to start effective long term healing right away. The shape of your meniscus tear is important because it will help determine the type of treatment you receive; some tears will heal without surgery, some can be treated surgically and some can't be fixed. A longitudinal tear extends lengthwise, following the collagen fibers that run parallel to the contour of the meniscus. If a longitudinal tear doesn't heal properly it can lead to a displaced tear, known as a bucket handle tear.
A radial tear starts as a sharp split along the inner edge of your meniscus and eventually runs part way or all the way through your meniscus, dividing it into a front and back section (across the middle body instead of down the length). A small tear is difficult to notice, but when it grows and becomes a complete tear it will open up and look like a part is missing. To learn about conservative home treatments options for meniscus injuries or other soft tissue knee injuries visit our meniscus treatment page.
If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits.
Knee injuries are very common, meniscus injuries occur in most sports, but most commonly occur in contact sports.
Meniscus Injuries often occur in combination with ligament injuries, particularly when the medial meniscus is involved.


Injury to the medial meniscus is about 5 times more common than injury to the lateral meniscus.
Last week was the first time I tried the Infernowrap on my right knee and it seems to help just from one treatment.
I used the knee Inferno wrap again last night and put it on the medium power and it's helping tremendously. Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. The joint is protected by the patella (kneecap), and cushioned by articular cartilage that covers the ends of these bones.
The arthroscope is a fiber optic instrument (narrower than a pen) which is put into the knee joint through two small incisions.
Arthroscopy allows the surgeon to view the inside of the knee joint and perform a variety of surgeries.
Knee arthroscopy can be performed with general anesthesia (going to sleep), or regional anesthesia (spinal or epidural block).
Our staff will help to set up the surgery through your insurance company and will instruct you on any paperwork that may be necessary. The day before surgery you will be told what time to report to the hospital or surgery center. Please be aware that the process of getting checked in, prepared for surgery, undergoing the operation, and recovering from anesthesia takes the majority of the day. Prior to your discharge, you will be given specific instructions on how to care for your knee. If a meniscus repair is performed, you will receive a brace to restrict the motion of your knee.
Your return to your desired activity level will depend on the extent of damage and the procedure performed on your knee. The meniscus is a wedge shaped cartilage ring found on both the inside and outside of the knee between the femur (thigh bone) and tibia (shin bone). The meniscus is usually injured by twisting on a planted foot or squatting down and forcefully bending the knee.
Most tears of the meniscus lead to knee pain in the area of the tear, on the inside or outside of the knee.
A set of x-rays may be ordered to evaluate the knee for arthritis or a fracture of the bones.
Ligaments in the knee can be injured at the same time as the meniscus, depending on how your knee was injured. Some people with meniscus tears will respond to conservative treatment, including rest, medications, and physical therapy. Before the development of arthroscopy, large incisions had to be made over the knee joint to remove the entire meniscus. Depending on the type of tear, the piece of meniscus that is torn may be removed from the knee (partial meniscectomy) or repaired (meniscus repair). The anterior cruciate ligament (ACL) is one of the main ligaments in the center of the knee. The ACL is most commonly injured during a twisting or pivoting episode of the knee when the foot is planted on the ground. The examination in the office usually can almost always determine when there is significant ACL injury, by testing the ability of the ligament to prevent the tibia from moving forward on the femur.
The ACL cannot heal on its own, but not all tears of the ACL need to be fixed with surgery. People who lead a more sedentary lifestyle may be able to get by with exercise and a brace to stabilize the knee. In ACL reconstruction, a replacement graft (ligament) is positioned in the joint at the site of the former ACL and then fixed to the thigh and lower leg using a metal button, and small plate with post. Choices for the type of replacement graft include autografts (using your own tissue) or allografts (donor tissue from a cadaver).
Most patients are able to go home the same day; rarely others spend the night for a 23-hour stay.
You will receive a brace for your knee that you will wear for the first two to four weeks after surgery. The most important part of the rehabilitation program initially is making sure the knee gets complete extension (totally straight). If I do a good surgery, and you do a good rehabilitation, you do not need a brace after ACL reconstruction. To Schedule an appointment with one of our Sports Medicine Specialist please call: (314) 336-2555.
I have used both but mostly the Freezie Wrap for the inflammation from the meniscus injury.
It is more difficult to diagnose a lateral meniscus tear than a medial meniscus tear because of its tear shape and location and it may go unnoticed until it is much larger. The intensity of your pain, the how long you have had your symptoms and the limitations you are experiencing. Your doctor will visually assess and palpate (feel) the bones and soft tissue in and around both of your knees to evaluate symmetry and spot any differences.


There are a variety of different tests available to help them analyze the situation; and the recommendation will be dependent on your injury. It is helpful in identifying abnormal bone shapes, fractures, arthritis, and degeneration (wear and tear) within the joint. Other methods such as electromyogram or arthroscopic surgery can be used to determine the degree and location of your meniscus tear if required.
In this information will be very helpful in your process of recovery and helping you decide if you surgery may be the next chapter in your knee injury recovery.
Both sides of the tear are in tissue that receives a good supply of blood; as a result it experiences a quick healing rate. This type of meniscus tear heals slowly, as the outer edge of the tear generally receives good blood supply and the inner part of the tear doesn't. The torn part moves about in your joint which can lead to further complications and damage if not treated. Our Advisers are highly trained individuals and will help find the long term healing goal that's right for YOU.
Tears come in many shapes and sizes, however there are 3 basic shapes for all meniscal tears: longitudinal, horizontal, and radial.
This tear does not go all the way through the meniscus and it divides your meniscus into an inner and outer section; however the tear generally never touches the outer rim of the meniscus. This is a complete tear that goes all the way through and never touches the inner rim of your meniscus.
This type of tear is horizontal on the surface of your meniscus and creates a flap that flicks when your knee moves. This tear generally occurs between the posterior horn and middle section and is seen frequently in your lateral meniscus.
Details about what and when it started, and whether or not you have ever had treatments (for this or a similar condition in the past) are very helpful in discovering your injury. This will identify abnormalities such as inflammation, bone deformity, and atrophied muscles. To test the lateral meniscus the doctor will ask you to turn your feet and knees in as far as possible; for medial meniscus tests, you turn your feet and legs out fully. It can identify a discoid meniscus, or loose bones and bone abnormalities that may mimic a torn meniscus. The most common locations for meniscus injury are in the posterior horn and longitudinal tears. The fibrocartilage of the meniscus has limited blood flow compared to other soft tissue in the body. A bucket handle tear in the white-on-white zone is usually removed surgically as healing is very unlikely.
If these tears are not treated, they may become more damaged and develop a displaced tear often referred to as a bucket handle tear (longitudinal), flap tear (horizontal) or parrot beak tear (radial). There is a risk that the handle may flip over and can catch on the femur, locking the joint and increasing pain. It is often not visible and moves from the posterior horn or mid section to the inside of your meniscus.
It is a result of a strong force that tears your meniscus from the inner rim; it can easily become a complex tear if left untreated.
Complex tears are a combination of two or more of these basic shapes with damage occurring in more than one direction and depth. It generally starts as a partial tear in the posterior horn, which can sometimes heal on its own.
Horizontal tears are rare and often start after a minor injury from rotation or degeneration.
As it gets larger, it will catch or lock more frequently, and prevent your meniscus from protecting the articular cartilage during weight bearing. It is seen most often in young athletes, and happens in conjunction with 50% of ACL injuries. Since the periphery of the meniscus is not compromised and there is enough tissue left to heal, the cushioning function of the meniscus is maintained. This tear is the result of a traumatic event or forceful and repetitive stress activities and it is often associated with other injuries such as ACL tears. Other ligament or cartilage injuries can occur in combination with injuries to the ACL, which can be seen on the MRI.
Whether or not the meniscus can be fixed or need to be trimmed depends on the location, the size, and the age of the tear. If this tear extends from the apex of your meniscus to the outer rim, you may develop a meniscal cyst (a mass that develops from a collection of synovial fluid along the outside rim of the meniscus). A KT-1000 Knee Ligament Arthometer is another test commonly performed in the office to evaluate how unstable the knee may be.



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