2014 Mar 19;96(6):471-9. doi: 10.2106/JBJS.L.01252. Influence of Menisci on Tibiofemoral Contact Mechanics in Human Knees: A Systematic Review. It is used during treatment and rehabilitation phases, as well as, Both stretching and strengthening exercises are an important part of any ITB rehabilitation program. Meniscus repair surgery leaves the patient with excellent results. You can opt-out if you wish. This category only includes cookies that ensures basic functionalities and security features of the website. A meniscal cyst is a mixture of joint fluid produced by a tear within the meniscus tendon and the joint pad over the knee. Clipboard, Search History, and several other advanced features are temporarily unavailable. Meniscectomy. SportsMD is creating the industries most trusted sports medicine content and Telehealth appointments with sports specialized physicians. All rights reserved. The key to determining the treatment of these tears is their location. The younger and fitter you are, the better the outcome is likely to be. The specimens were subjected to a load of 1,000 N at 0 and 30 degrees of flexion and peak pressure, force and contact area were recorded. Sixty percent of people over 65 have minor tears that sometimes cause no symptoms. Your care after surgery may involve: Crutches to take stress off the knee as it heals. Rather, please consult your healthcare professional for information on the courses of treatment, if any, which may be appropriate for you. Tears are noted by how they look, as well as where the tear occurs in the meniscus. However, data on this is limited and shouldnt replace talking with your doctor about your treatment options. It's sometimes possible to repair a torn meniscus, especially in children and younger adults. Modern treatment of meniscal tears. This website uses cookies to improve your experience. Orthopedic Surgeon Mr Richard Villar explains knee cartilage surgery below: If you have a more severe meniscus tear such as a bucket handle tear, arthroscopic surgical procedures may be necessary to repair it. The menisci are two crescent-shaped pads of thick, rubbery shock-absorbing cartilage in your knee joint. MeSH Once the pain has subsided, the therapist will advise on mobility exercises to increase the range of movement at the knee joint (if needed), along with strengthening, proprioception, and functional or sports-specific exercises should be done. Spang RC III, et al. Bethesda, MD 20894, Web Policies A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. A tear that gives you a lot of pain or impairs use of your knee may require surgery to remove or repair the torn part of the meniscus. ACL tears. The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture. Please enable it to take advantage of the complete set of features! Complex tears usually require surgery to trim the damaged part of the meniscus. These lie on the inside (medial) and outside (lateral) edges of the top of your tibia (shin bone). For an athlete, playing through knee pain can cause greater problems later. Doral MN, et al. Telemedicine is gaining popularity because it can help bring you and the doctor together quicker and more efficiently. To learn more, please visit our. Central tears are on the inner side of the meniscus. Would you like email updates of new search results? However, it risks the patient developing arthritis in as little as ten to twenty years in the future. The aftercare and recovery require postoperative protection to allow healing. Surgery the tear will not fix itself. If the conservative approach doesnt work then your doctor may recommend surgery. In general, Ayurvedic treatment considers the whole state of the person, not just the specific location of the pain. Meniscus replacement is considered an option for those who had developed. Recovery time for meniscus tear surgery can go anywhere from 3-6 months after surgery. Crutches or a walker will be necessary for at least 2-7 days after surgery but the doctor we will likely encourage you to stop using them as soon as possible. In terms of symptoms: Pain is usually managed by simple painkillers such as paracetamol. Before you continue reading, keep in mind that the numbers we show you are average statistics and that every recovery is different. Compression: To help reduce swelling, you should keep something on your leg. 2014 Feb;134(2):237-55. doi: 10.1007/s00402-013-1873-8. Itll help increase your range of motion and help your knee get stronger. Question: How long after meniscus tear surgery can I go back to work? Insights Imaging. Bookshelf Here's what you need to know as well as a chart. They also provide support and stability for the knee joint. J Bone Joint Surg Am. They may also suggest physical therapy. Further to this, the tear is more likely to occur near the posterior horn . Those that are caused by an injury are often the ones that can be, A meniscectomy is a procedure that repairs a torn meniscus. 2022 Dec 9;10(12):23259671221138082. doi: 10.1177/23259671221138082. Medically reviewed by Dr Chaminda Goonetilleke, 10th Dec. 2021. After surgery, you will need to do exercises to increase and maintain knee strength and stability. When you lose part of your meniscus, the pressure on your articular or gliding cartilage increases significantly, and this causes degeneration. Also, it should only be done when the patient understands rehabilitation and surgery and all the risks included. For young and active patients who had previously undergone meniscus removal, a replacement procedure is advised when specific parameters are met. The front part of each of these is called the anterior horn, while the back part is referred to as the posterior horn. Background We describe a special, interesting phenomenon found in the anterior horn of the lateral meniscus (AHLM): most tear patterns in the AHLM are distinctive, with loose fibers in injured region and circumferential fiber bundles were separated. Theyre like shock absorbers for your bones. They may also recommend compression stockings to help prevent blood clots. About meniscus tears All from the comfort of home. The meniscus can get torn, but not all tears are the same. Meniscus tears are very common. Usually swells up quickly . Knee Surg Sports Traumatol Arthrosc. it is more common in the medial (more frequently posterior horn region 5) than in the lateral compartment of the knee. A lateral meniscus tear is an injury to the semi-circular cartilage on the outside of the knee joint. 2. . if you have sudden pain from a knee injury. You will be unlikely to pinpoint precisely when your injury occurred. Studies show that exercise routines can significantly improve knee pain and function. The anterior horn has 9.5 mm of excursion, the posterior horn 5.6 mm of excursion, and there is 3.7 mm of radial displacement . They can be injured or torn with twisting or traumatic movements of the knee. (Right) Flap tear. I had arthroscopic knee surgery to fix a lateral meniscus tear. Treatment of a torn meniscus may include observation and physical therapy with muscle strengthening to stabilize the knee joint. A physical therapist can provide a daily routine of exercises and stretches to improve your muscle strength, flexibility, range of motion, and stability. It takes longer for a meniscus repair to heal than a meniscectomy. In addition to describing the type of tear, most MRI and surgical reports will describe the location of the tear. Meniscus Repair. You might feel pain when twisting your knee, or be unable to straighten your leg fully. Knee Surg Relat Res. Symptoms of a lateral meniscus tear will vary depending on whether your injury is an acute, sudden onset injury resulting from direct impact, trauma, or twisting. Hada S, Kaneko H, Liu L, Aoki T, Takamura T, Kinoshita M, Arita H, Shiozawa J, Negishi Y, Momoeda M, Kubota M, Aoki S, Okada Y, Ishijima M. Osteoarthr Cartil Open. The cyst is referred to as parameniscal cyst when it is adjacent to the meniscus often associated with a horizontal or lateral tear of the meniscus. While a sharp pain in the knee can sometimes indicate a meniscus tear has already occurred, ignoring this pain can turn a minor injury into a much worse one. You have two C-shaped discs of cartilage (soft tissue) that connect your thigh bone to your shinbone. For example, McMurrays test and Apleys test. Recently, injuries to the anterior root of the lateral meniscus (ARLM) have been reported concomitant with some tibial fractures 7,9 or in the setting of anterior cruciate ligament (ACL . Tears of the anterior horn of the lateral meniscus have been shown to significantly increase tibiofemoral contact pressures in both the medial and lateral compartments of the knee. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Treatment of meniscal tears: An evidence based approach. Incidence and risk factors associated with meniscal injuries among active-duty US military service members. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. Arch Orthop Trauma Surg. Recovery depends on the amount of work which has been done within the knee, but usually meniscus repair is done via keyhole surgery. Note that meniscectomy may cause osteoarthritis in the long term. No bone marrow edema. Allaire R, Muriuki M, Gilbertson L, Harner CD. With root tears, meniscal extrusion often occurs, and the transmission of circumferential hoop stresses is impaired. The therapist then applies a valgus (inward) stress to the knee whilst the other hand rotates the leg externally (outwards) and extends the knee. You can reduce the frequency as your symptoms improve. This would be the most logical approach. Illustration of the mechanism in a flipped meniscus. The practitioner will move your knee and leg into different articulations, observe how you walk and squat to pinpoint what causes your signs and symptoms. It is mandatory to procure user consent prior to running these cookies on your website. 2017;28(1):22. doi:10.1007/s10856-016-5832-0, Beaufils P, Becker R, Kopf S, Matthieu O, Pujol N. The knee meniscus: management of traumatic tears and degenerative lesions. Dr. Christopher Hajnik answered. Thanks for advice on here, i had mri shown lateral meniscus tear heading to ortho in a week. Or it may develop gradually through wear and tear. A flap tear of the meniscus is an unusual tear pattern. Answer: How long you stay off your knee is dependent on the type of surgery you have. It will also help stabilize your balance and help prevent another knee injury. Different types of meniscus tears can affect your knee in various ways, depending on what the tear looks like. PMC The time varies, depending on: the type and severity of the tear. It can occur suddenly from twisting or a traumatic injury. Home treatment, If you've been sidelined by a common sports injury like an ACL tear, you're likely wondering how long it will take to heal. 2006;14(4):343-9. doi:10.1007/s00167-005-0678-x, Kramer DE, Kalish LA, Martin DJ, et al. Biomechanical analysis of the effects of medial meniscectomy on degenerative osteoarthritis. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. The patient is positioned on their front with the knee bent. 8600 Rockville Pike However, any repairable meniscus should be restored rather than removed. Prevent having a torn meniscus by regularly performing leg exercises for strengthening. The type of tear determines how much damage there is to your knee and what your recovery will be like. In some cases the recovery from meniscus surgery is measured in days t0 weeks, and in cases of a meniscus repair might take a few months to recover fully. Bookshelf Any use of this web site constitutes acceptance of our Terms of Service and Privacy Policy Copyright 2023 SportsMD Media Inc., All rights Reserved. That means they generally do not require surgical treatment. Bae JY, Park KS, Seon JK, Kwak DS, Jeon I, Song EK. Question: How long does it take to walk after meniscus surgery? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 2014;5(3):233241. Surgical versus conservative interventions for treating meniscal tears of the knee in adults. Today, in general, doctors recommend conservative treatment, not surgery, when meniscus tears result from degeneration. Orthop J Sports Med. An acute tear occurs when the knee is bent and twisted while it is bearing weight, and a degenerative tear is the result of aging. Posterior root tear of the medial and lateral meniscus. At the same time, they rotate the lower leg. The orthopedist may suggest an arthroscopic repair. Most importantly, you have to be sure that the surgeon is experienced in meniscus repair. What are the different procedures for a torn meniscus? Koh JL, Zimmerman TA, Patel S, Ren Y, Xu D, Zhang LQ. Gastrocnemius tendonitis is inflammation of the gastrocnemius tendon at the back of the knee. Incomplete and intrasubstance meniscus tears are considered "stable" injuries. Walk with crutches. Experts say choosing between knee repair and knee reconstruction surgery isn't a simple decision. We also use third-party cookies that help us analyze and understand how you use this website. i still have pain when i completely straighten my leg. The ACL prevents the meniscal fragment from completely migrating into the intercondylar notch. Immediate large volume swelling suggests injury to another structure. Epub 2013 Dec 10. Common tears include bucket handle, flap, and radial. Recent literature has highlighted the importance of early diagnosis and treatment; fortunately, these processes have been vastly improved by advances in magnetic resonance imaging and arthroscopy. Doru Paul, MD, is triple board-certified in medical oncology, hematology, and internal medicine. Your doctor may prescribe antibiotics to help stave off infection. Without surgery, recovery will take about 6 to 8 weeks, though this can vary. Complex tear anterior horn lateral meniscus, Radial tear of the body of the lateral meniscus. A horizontal tear runs along theyou guessed ithorizontal axis of the meniscus. Some clinical studies on its effectiveness exist, but more research is needed. Also consult a doctor if you continue to have pain after a course of conservative treatment. Not all meniscus tears are the same. Meniscal Injuries in Children and Adolescents: Diagnosis and Management. Swelling, pain, and tenderness along the joint line on the outside of your knee. LaPrade CM, Jansson KS, Dornan G, Smith SD, Wijdicks CA, LaPrade RF. Conservative treatment for some meniscus tears is well documented as effective. From this point, place your heel on the floor and externally rotate the tibia. Anterior horn tear of the lateral meniscus in footballers with a stable knee is characterized by pain at the anterolateral aspect of the knee during knee extension, especially when kicking a ball, and pain during weight-bearing knee extension, together with MRI finding of hyperintense signal in the anterior horn of the lateral meniscus. 2016;7(3):385398. Complex meniscal tears usually require surgery. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2019;7(1):2325967118820305. doi:10.1177/2325967118820305, Bolog NV, Andreisek G. Reporting knee meniscal tears: technical aspects, typical pitfalls and how to avoid them. Am J Orthop (Belle Mead NJ). Meniscus replacement is considered an option for those who had developed pain in the knee but have no advanced degeneration to the articular or gliding cartilage or gliding surface. Careers. The purpose of this study was to describe the effect of anterior horn of the lateral meniscus (AHLM) tears on tibiofemoral contact pressures and the ability to restore normal parameters with repair. Innervation of nociceptors in intact human menisci along the longitudinal axis: semi-quantitative histological evaluation and clinical implications. If your motion and strength are recovered. This can provide pain relief for 2 to 4 weeks. A 40-100% improvement can usually be attained in 4-6 months for 80% of people. So, If a horizontal tear is within the vascular portion of the meniscus, repair may be a good option. Disclaimer. The time of recovery varies depending on: the. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. This cadaveric study demonstrated a significant increase in tibiofemoral peak forces in both the medial and lateral compartments with a tear of the AHLM. World J Orthop. Epub 2011 Oct 26. Recovery from this surgery takes six weeks to three months. Anterior horn tears are less common and located in the front of the meniscus. Here's what to expect from. HHS Vulnerability Disclosure, Help Babu J, et al. This is because this area has rich blood supply and blood cells can regenerate meniscus tissue or help it heal after surgical repair. The fibers in the anterior lateral root are of uniform density (unlike the other roots which have central and supplemental portions). The aim of surgery is to preserve as much of your meniscus cartilage as possible. Meniscal disorders: normal, discoid, and cysts. The circumferential compression stitch for meniscus repair. eCollection 2021. A ligament connects a bone to a bone. When you undergo meniscus repair surgery, you preserve the tissue and avoid problems such as mentioned. (2018). When these kinds of tears get to the point of requiring surgical treatment, typically the only option is to trim out the damaged portion of the with arthroscopic surgery meniscus with arthroscopic surgery. Tendon and ligament imaging. Only a small part of the anterior horn is seen anteriorly. If your knee is swollen the PRICE principles should be applied (protection, rest, ice, compression, and elevation). They lie between your thigh bone (femur) and your shin bone (tibia). This website uses cookies to improve your experience while you navigate through the website. Medial meniscus extrusion is directly correlated with medial tibial osteophyte in patients received reconstruction surgery for anterior cruciate ligament injury: A longitudinal study. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). There are two semicircular menisci in the knee joint; the lateral meniscus is located on the outside, and the medial meniscus is on the inside, notes The Steadman Clinic. Kessler CS, et al. Learn about the most common knee injuries from falling, as well as which ones you can treat at home and which ones require medical attention. The second meniscus tear exercise focuses on regaining the stability of your knee. The vascular portion of the meniscus is the area of the cartilage with blood flow. 2022 Oct 20;11(11):e1851-e1861. J Bone Joint Surg Am. I would expect that the tear will worsen and that your, and dysfunction in the knee will also worsen. Recovery time can be lengthy with either one. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. The meniscus is a tendon pack that works as a shock absorber, provides stress transmission, absorbs lubrication, and provides nutrition to the knee. McMurrays test is often used to indicate cartilage injuries. It is located near the outer edge of the meniscus and has the best healing potential. Before eCollection 2021 Sep. BMC Musculoskelet Disord. Your knee may become locked if a piece of cartilage becomes lodged in the joint. Answer: In most cases, if you have a desk job, you can return to work 7-14 days after the operation. It would be best if you sought quality over lower prices as erratic operations can cost you more money and your knees. doi: 10.7759/cureus.17917. (2012). "You may even feel or hear a pop when the injury occurs.". It is caused by an underlying injury or condition, Here we explain how a professional therapist diagnoses an ACL sprain of the knee and demonstrate the Anterior drawer test and Lachmans test. In this case, a portion may break off, leaving frayed edges. Epub 2015 Jun 14. what should i expect, same leg as previous ttt? If your tear is on the outer one-third of the meniscus, it may heal on its own or be repaired surgically. By Jonathan Cluett, MD Careers. Complicated arthroscopic repair of a meniscus tear requires that the patients knee be completely immobilized for 2 weeks after surgery. Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents. An MRI scan may be needed to confirm the diagnosis and extent of the injury. Created for people with ongoing healthcare needs but benefits everyone. SportsMD provides sports injury and performance information and Telehealth Appointments with top sports medicine doctors and specialists. Theres an inner (medial) meniscus and an outer (lateral) meniscus. Without surgery, recovery will take about 6 to 8 weeks, though this can vary. Meniscus tears are the most frequently treated knee injuries. Some meniscus tears require surgery to heal the meniscus and restore the knees range of motion. Often, these kinds of tears are a sign of early degenerative changes of the meniscus (those that happen as a result of wear and tear and get worse over time). Feeling like the knee is locked in place as you try moving. Your doctor will likely recommend physical therapy. the meniscus functions to optimize force transmission across the knee. Unable to load your collection due to an error, Unable to load your delegates due to an error. It mostly has no symptoms. Meniscal Root Tears: Identification and Repair. 2014 Mar;42(3):699-707. doi: 10.1177/0363546513499314. Or whether your pain has developed gradually over time through wear and tear. meniscus tear , knee injury ,lateral meniscus - Everything You Need To Know - Dr. Nabil Ebraheim Share Watch on Where is the anterior horn of the lateral meniscus? Ice: Apply ice to your knee for 15 minutes at four-hour intervals. If the flap causes the knee to catch, a surgeon can usually fix it without removing much tissue at all. Answer: You may drive after meniscus tear surgery when you are no longer on pain mediciations and you are no longer using crutches or a knee brace. We have two menisci within our knee, the medial and the lateral meniscus. and additional surgery will most likely be required. Recovery time is another important issue in assessing any . The site is secure. Shiwaku K, Kamiya T, Otsubo H, Suzuki T, Nabeki S, Yamakawa S, Okada Y, Teramoto A, Watanabe K, Iba K, Fujie H, Yamashita T. Orthop J Sports Med. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. J Am Acad Orthop Surg. Meniscal tear: Presentation, diagnosis and management. Before Symptoms for a torn meniscus include the following. How long is recovery time for an grade 3a tear, anterior horn, lateral meniscus. from high-impact/cutting activities such as running, heavy h A non displaced tear on the periphery of the meniscus will usually heal in 6 weeks, Dr. Jovita Anyanwu and another doctor agree. Jonathan Cluett, MD, is board-certified in orthopedic surgery. Older people are likely to have meniscus damage related to degeneration from wear-and-tear. It can occur suddenly from twisting or a traumatic injury. It may also be known as Runners knee, Chondromalacia patellae,, Hamstring tendonitis/tendinopathy is inflammation or degeneration of one of the hamstring tendons at the point where it attaches to the back of the knee. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Hot off the press! Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. 2016;28(2):142146. doi:10.1259/bjr/34786470, Saliman JD. Sometimes a brace will be recommended to offload the injured area and facilitate the healing process. I've been told i likely have a minor lateral meniscus tear. However, take care not to aggravate your injured knee. Patil SS, Shekhar A, Tapasvi SR. Meniscal preservation is important for the knee joint. Eventually. The site is secure. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. Acute meniscus tears occur suddenly. Physical therapy generally leads to a good outcome. (2018). EFORT Open Rev. As a result, patients typically feel pain in the region where the tear is and experience swelling in the knee joint. This will help to strengthen the muscles around your knee and keep it stable. Partial weightbearing status (<50%), unless otherwise ordered by MD. Beaufils P, et al. Hold for 5 seconds. Learn how we can help 585 views Reviewed >2 years ago Thank Surgery Treatments for Knee Pain and Injuries, Causes of Knee Pain and Treatment Options, Meniscectomy Surgery: Everything You Need to Know, trim out the damaged portion of the with arthroscopic surgery meniscus, Meniscal preservation is important for the knee joint, The circumferential compression stitch for meniscus repair, The effect of tissue surface modification with collagenase and addition of TGF-3 on the healing potential of meniscal tears repaired with tissue glues in vitro, The knee meniscus: management of traumatic tears and degenerative lesions, Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis, Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI, Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents, Reporting knee meniscal tears: technical aspects, typical pitfalls and how to avoid them, Treatment of meniscal tears: An evidence based approach. (2012). Exercises should be done regularly, at least twice a day whilst. 2015 Oct;22(5):400-4. doi: 10.1016/j.knee.2015.05.008. A repair can also be done only if the meniscus tear is in the periphery of the meniscus and if the tissues quality is excellent and repairable. Full recovery from meniscus surgery can take anywhere from six weeks to three months. As a result, a flap that looks like a bucket handle is formed. The meniscus serves a vital purpose by cushioning our knee when we walk, run, or play. A qualified Sports Injury Therapist with a degree in Physical Education, Sports Science and Physics, and a Postgraduate Certificate in Education. The test was repeated for four different instances. When people are in their 20s or 30s, doctors commonly see intrasubstance changes (also called incomplete tears) of the meniscus on a magnetic resonance imagining test (MRI). In recent years, meniscal root tears, which by definition include direct avulsions off the tibial plateau or radial tears adjacent to the root itself, have attracted attention because of concerns that significant meniscal extrusion dramatically inhibits normal meniscal function, leading to a condition biomechanically similar to a total meniscectomy. Symptoms of Lateral Meniscus Tear Swelling and extreme pain typically happens within 24 hours of the injury. Biomechanical consequences of anterior root detachment of the lateral meniscus and its reinsertion. This part of the tibia is also known as the tibial plateau. MeSH 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis. For trimmable tears, using a curved shaver or an arthroscopic device that bites backward, called a backbiter, may be indicated. Axial PD fat sat. The recovery time for meniscus surgery depends on the type of surgery you had. So get a check-up and your doctor. doi:10.1007/s13244-016-0472-y, Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM. A true knee lock occurs when something in your knee joint gets stuck and. The healing time for a low-grade lateral meniscus tear is 4-6 weeks, but higher grade or poorly located tears may take 3-4 months. 2017;51(5):576587. Sukopp M, Schall F, Hacker SP, Ignatius A, Drselen L, Seitz AM. Anterior horn lateral meniscus tears are harder to treat technically because the surgical instruments that have been developed are not as adept at addressing these tears. Arthroscopic Triple-Loaded Soft Anchor Technique in Medial Meniscal Root Repair: A Systematic, Step-by-Step Approach. The .gov means its official. Wear knee support to help protect your knee joint while it heals. Avascular means there is no blood supply. The location of a tear determines whether or not it can heal, and the pattern of tearing influences how a doctor treats it. and do i need surgery. Meniscectomy gives the patient excellent short term results. A horizontal tear runs along the curved fibers of the meniscus.
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