Meniscal Tears

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A torn meniscus is an injury to one or more of the two meniscal cartilages within the the knee. The two menisci consist of medial and lateral mensicus. A tear to the meniscal cartilage is often the result of an any activity that causes forceful twisting or rotating of the knee joint. These activities can include aggressive pivoting, sudden stops, sudden turns, kneeling, deep squatting, of lifting something heavy. In older adults, degenerative changes associate with age can result in in torn meniscus.

Symptoms that may be present with torn meniscus:

A popping sensation

Swelling or stiffness

Knee instability

Pain, especially with twisting or rotating the knee

Difficulty fully extending the knee

Feeling of as if the knee was locked in place.

In athletes, a torn meniscus can also be accompanied with a tear or injury to the ACL.

Test and Diagnosis:

A physical exam by a physician can often be the first sign of a torn meniscus. This exam will likely be followed by a radiograph of the knee, and even an MRI of the knee joint. MRI is the preferred imaging modality to evaluate the extent of a previously determined meniscal tear.

Treatment Options:

Treatment for meniscal tears often start with a conservative approach of rest, ice, OTC pain relievers, physical therapy, and/or orthotic devices such as arch supports and shoe inserts. If symptoms persist, surgical intervention maybe necessary. This can involve either an arthroscopic repair of the torn menisci, or trimming of the menisci. The surgery usually allows patients to go home the same day, with full recovery taking several weeks or months.

Prevention:

Regular exercises to strengthen the knee joint is beneficial.

Use proper protective gear during athletic activity.

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