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In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%.
Meniscal repair: Preferred for young patients or those with tears in the vascular (red-red) zone, which has healing potential. Arthroscopic sutures are used to repair the torn meniscus. Partial meniscectomy : [ 7 ] If the tear is in a non-repairable location (white-white zone) or the meniscal tissue is extensively damaged, the displaced ...
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 ...
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.
Likewise, external rotation of the leg can be applied to test the posterior portion of the medial meniscus. [ 2 ] The McMurray test is named after Thomas Porter McMurray , [ 2 ] a British orthopedic surgeon from the late nineteenth and early twentieth century who was the first to describe this test.
The specific structures that can be evaluated are the popliteus tendon attachment on the femur, the popliteomensical fascicles, the coronary ligament of the posterior horn of the lateral meniscus, and the meniscofemoral and meniscotibial portions of the mid-third lateral capsular ligament. [5]
The transverse ligament is reported in 58 per cent of subjects and is thus the most prevalent of four described meniscomeniscal ligaments. The other ligaments, all three of which are reported with a frequency of less than 4 per cent, are the posterior transverse ligament, described as a bundle of fibers connecting the posterior horns of the menisci; and the medial and lateral oblique ligaments ...
If this maneuver produces pain, this constitutes a "positive Apley test" and damage to the meniscus is likely. Lateral rotation tests for medial implications (meniscal during compression and ligamentous when distracting the tibia) and medial rotation tests for lateral implications again (meniscal during compression and ligamentous when ...