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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 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.
The examiner then rotates the leg internally while extending the knee to 90 degrees of flexion. 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 ...
More chronic injury occurs with osteoarthritis, made worse by obesity and high-impact activity. The medial meniscus and the medial compartment are more commonly affected than the lateral compartment. Often, moderate to severe injury or injury past early middle age to the meniscus will indicate a total knee replacement.
Sports-related meniscal tears often occur with other knee injuries, such as an anterior cruciate ligament tear. 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 ...
Anterior meniscofemoral ligament is found in 11.8% of the subjects during MRI scan of the knee. [2] It may be confused for the posterior cruciate ligament during arthroscopy. In this situation, a tug on the ligament while observing for motion of the lateral meniscus can be used to tell the two apart. [citation needed]
The procedures are more commonly performed to treat meniscus injury and to perform anterior cruciate ligament reconstruction. [3] While knee arthroscopy is commonly used for partial meniscectomy (trimming a torn meniscus) on middle aged to older adults with knee pain, the claimed positive results seem to lack scientific evidence. [4]
MRI can also show associated bone bruises on the lateral side of the knee, which one study shows, happen in almost half of medial knee injuries. [ 19 ] Knee MRIs should be avoided for knee pain without mechanical symptoms or effusion, and upon non-successful results from a functional rehabilitation program.