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A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee called menisci. When doctors and patients refer to "torn cartilage" in the knee, they actually may be referring to an injury to a meniscus at the top of one of the tibiae. Menisci can be torn during innocuous activities such as walking or squatting.
This is a shortened version of the thirteenth chapter of the ICD-9: Diseases of the Musculoskeletal System and Connective Tissue. It covers ICD codes 710 to 739 . The full chapter can be found on pages 395 to 415 of Volume 1, which contains all (sub)categories of the ICD-9.
In sports and orthopedics, people sometimes speak of "torn cartilage" and will actually be referring to an injury to one of the menisci. There are two general types of meniscus injuries: acute tears that are often the result of trauma or a sports injury and chronic or wear-and-tear type tears.
Originally described by Dr. Paul Segond in 1879 [6] [7] after a series of cadaveric experiments, the Segond fracture occurs in association with tears of the anterior cruciate ligament (ACL) (75–100%) and injury to the medial meniscus (66–75%), lateral capsular ligament (now known as the Anterolateral ligament, or ALL), as well as injury to the structures behind the knee.
The unhappy triad, also known as a blown knee among other names, is an injury to the anterior cruciate ligament, medial collateral ligament, and meniscus.Analysis during the 1990s indicated that this 'classic' O'Donoghue triad is actually an unusual clinical entity among athletes with knee injuries.
A bucket-handle tear of the knee is a specific type of meniscal injury characterized by a longitudinal tear of the medial or lateral meniscus, where a displaced inner fragment resembles the appearance of a "bucket handle". [1]
Damage to the outer third of the meniscus has the best healing potential because of the blood supply, but the inner two thirds of the medial meniscus has a limited blood supply and thus limited healing ability. Large tears to the meniscus may require surgical repair or removal. In terms of a meniscus tear, the doctor can categorize the injury ...
Grade I injuries have no instability clinically and are associated with tenderness only, representing a mild sprain. Grade II injuries have broad tenderness over the medial knee and have some gapping with a firm end-point during valgus testing; this represents a partial tear of the ligaments. Grade III injuries have a complete ligamentous tear.