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The other meniscus rests on the lateral tibial plateau; this is the lateral meniscus. [3] [4] The menisci are nourished by small blood vessels but have a large area in the center with no direct blood supply (avascular). This presents a problem when there is an injury to the meniscus, as the avascular areas tend not to heal.
A meniscus tear is one of the most common knee injuries, and it’s known for causing significant pain, swelling, and restriction of movement that can seriously disrupt an active lifestyle.
Each meniscus has an outer vascular zone (red-red zone), which has a good blood supply and healing potential as well as a central avascular zone (white-white zone), which has limited healing capability. [2] The medial meniscus is more prone to injury due to its firm attachment to the joint capsule and limited mobility. The lateral meniscus is ...
Healing of the medial meniscus is generally not possible unless the patient is very young, usually <15 years old. 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 ...
ACL reconstruction can protect the meniscus from injury, doctors say. A weak knee can also lead to another ACL tear. In fact, 11 patients (14%) in the new study re-injured their ACL.
However, the meniscus has poor blood supply, and, therefore, healing can be difficult. Traditionally it was thought that if there is no chance of healing, then it is best to remove the damaged and non-functional meniscus, although at least one study has shown that there is little significance if a meniscectomy is done for degenerative tear. [7]
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