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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.
Acute injury to the medial meniscus frequently accompanies an injury to the ACL (anterior cruciate ligament) or MCL (medial collateral ligament). A person occasionally injures the medial meniscus without harming the ligaments. Healing of the medial meniscus is generally not possible unless the patient is very young, usually <15 years old.
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. 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 ...
It has been reported that severe acute and chronic grade III medial knee injuries often involve the sMCL in combination with the POL. [ 10 ] [ 24 ] Direct surgical repair or reconstruction, therefore, should be performed for both of these ligaments because they both play an important role in static medial knee stability. [ 25 ]
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]
A specific pattern of injury called the "unhappy triad" (also known as the "terrible triad," or "O'Donoghue's triad") involves injury to the ACL, MCL, and medial meniscus, and occurs when a lateral force is applied to the knee while the foot is fixed on the ground.
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