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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 ...
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%.
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 ...
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]
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.
If a "thud" or "click" is felt along with pain, this constitutes a "positive McMurray test" for a tear in the posterior portion of the lateral meniscus. Likewise, external rotation of the leg can be applied to test the posterior portion of the medial meniscus. [2]
Each meniscus have anterior and posterior horns that meet in the intercondylar area of the tibia. [13] Medial meniscus is bigger, less curved, and thinner. Its posterior horn is thicker (14mm) than the anterior horn (6mm). [13] The lateral meniscus is smaller, more curved (nearly circular), and has more uniform thickness than medial meniscus ...
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 ...