Meniscus Injury

 The Meniscus from Above

The Meniscus from Above

Meniscal tears are very common injury to the knee joint. The meniscus are “C-Shaped” shock absorbers that sit between the ends of the femur and the tibia.

The meniscus’ role is to spread the joint surface load evenly. There are two basic types of meniscal injuries - traumatic and degenerative.

Traumatic meniscal tears usually occur in younger patients with associated ligament injuries, such as anterior cruciate ligament tears or a other ligament injury.

Watch Dr Christopher Vertullo present on "Why I Repair Meniscal Tears" at theOSSM Physiotherapy Education 2014, Gold Coast

Did You Know? 

MANY MENISCAL TEARS ARE REPAIRABLE
The outer 1/3rd of the meniscus has a blood supply. If the tear is confined to this location, then the tear can be sutured back together.  About 80% of repaired meniscus will successfully heal together. 

NOT ALL YOUR PAIN IS DUE TO A MENISCAL TEAR
Often some of the pain is due to co-existing osteoarthritis, bone bruising or ligament damage.

SYMPTOMS OF OSTEOARTHRITIS AND MENISCAL TEARS ARE SIMILAR
Pain, swelling and stiffness can be due to both meniscal tears and osteoarthritis. 

YOU DON’T HAVE TO HAVE A INJURY TO TEAR THE MENISCUS
It is more common for degenerative tears not to have a traumatic event to the joint. Most atraumatic degenerative tears do not require surgery. 

 

 The Peripheral Third of the Medial Meniscus has a Blood Supply Allowing successful repair. 

The Peripheral Third of the Medial Meniscus has a Blood Supply Allowing successful repair. 

Degenerative tears occur in isolation with the meniscus becoming soft and easily torn.  Unstable meniscal tears cause pain, swelling, clicking and locking, usually they are shaved or repaired at arthroscopy. Shaving the meniscus is called a partial menisectomy. Preserving functioning meniscal tissue is important to protect the articular surfaces. Damage and loss of the meniscus results in increased joint surface load.  Some tear patterns are worse than others with bigger meniscal tears causing more problems due to subsequent increased joint load.

 Meniscal Tear Patterns

Meniscal Tear Patterns