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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 ...
The meniscal tear is the most common knee injury. It tends to be more frequent in sports that have rough contact or pivoting sports such as soccer. It is more common in males than females, with a ratio of about two and a half males to one female. Males between the ages of 31 and 40 tend to tear their meniscus more frequently than younger men.
Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes. They are often treated with surgical repair depending upon the patient's age as they rarely heal on their own. Chronic tears are treated symptomatically: physical therapy with or without the addition of injections and anti-inflammatory medications.
Injury to the medial meniscus is about five times greater than injury to the lateral meniscus due to its anatomical attachment to the MCL. [8] Lateral meniscal tears are more common in acute ACL injuries, whereas medial meniscal injuries are more common in chronic ACL-deficient knees and more amenable to repair. [9]
Philadelphia 76ers veteran Dwight Howard recalls his own meniscus tear and he has a message for Joel Embiid.
Another procedure requires specially designed devices that employ multiple sutures and knot pusher instruments to allow surgeons to provide excellent meniscal repair with just a single 1 ½” incision. [citation needed] The majority of meniscal tears are not suitable for repair and instead the torn piece is removed, known as a meniscectomy ...
The closer the tear is to the peripheral blood supply the higher the likelihood of successful repair. [15] [16] Patients with unrepairable meniscal injuries usually have symptoms of pain, catching, swelling or locking in the knee. [17] The surgeon may perform a partial or complete meniscectomy to alleviate the symptoms in the short-term. [17]