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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%.
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.
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.
A tear in the meniscus may cause a pedunculated tag of the meniscus which may become jammed between the joint surfaces. To perform the test, the knee is held by one hand, which is placed along the joint line, and flexed to complete flexion while the foot is held by the sole (of the foot) with the other hand.
Of the 52 knees reviewed, 80% of group 1 had lateral meniscus tears and 29% had associated medial meniscus tears. None of the medial meniscus tears were isolated; medial meniscus tears were not present in the absence of a lateral meniscus tear. [3] From this study, it was concluded that the structures more typically involved in a triad were the ...
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 ...
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]
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