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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.
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]
A 2008 study in the New England Journal of Medicine which shows that about 60% of meniscus tears cause no pain and are found in asymptomatic subjects. [1] The three major treatments for a damaged meniscus are repair, removal, and transplantation. The surgery is often carried out arthroscopically. [citation needed]
A torn meniscus is commonly referred to as torn cartilage in the knee. Menisci tear in different ways and are noted by how they look, as well as where the tear occurs in the meniscus. Two types of tears include minor, which includes stiffness and swelling within two to three days but usually goes away in two to three weeks.
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 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]
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.
Arthroscopic surgery, however, does not appear to result in benefits to adults when performed for knee pain in patients with osteoarthritis who have a meniscal tear. [18] [12] [19] This may be due to the fact that a torn meniscus may often not cause pain and symptoms, which may be caused by the osteoarthritis alone. [20]
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