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A meniscal repair has a higher success rate given an adequate blood supply to the peripheral rim. [36] [failed verification] The interior of the meniscus is avascular, but the blood supply can penetrate up to about 6 millimetres (0.24 in). Therefore, meniscus tears that occur near the peripheral rim are able to heal after a meniscal repair. [1]
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 ...
The meniscus is a C-shaped piece of fibrocartilage located at the peripheral aspect of the knee joint that offers lubrication and nutrition to the joint. Each knee has two menisci, medial and lateral, whose purpose is to provide space between the tibia and the femur, preventing friction and allowing for the diffusion of articular cartilage.
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.
If the tear causes continued pain, swelling, or knee dysfunction, then the tear can be removed or repaired surgically. The unhappy triad is a set of commonly co-occurring knee injuries which includes injury to the medial meniscus.
The lateral meniscus is grooved laterally for the tendon of the popliteus, which separates it from the fibular collateral ligament.. Its anterior end is attached in front of the intercondyloid eminence of the tibia, lateral to, and behind, the anterior cruciate ligament, with which it blends; the posterior end is attached behind the intercondyloid eminence of the tibia and in front of the ...
There’s a torn ACL. Torn meniscus. A broken nose, a gash on his forehead and facial lacerations. ... He needed a root canal. Rashes, bruising, a hip flexor. He rehabs two hours most days and ...
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.