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Meniscus Tear -- Not just a jock's injury!

1 - I can do better 2 - Jury's out 3 - Pretty darn good 4 - Splendiferous 5 - Awesometastic (by 19 people)   Your rating: 1 - I can do better 2 - Jury's out 3 - Pretty darn good 4 - Splendiferous 5 - Awesometastic

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Rated G. (Control what you see)

A common site of injury -- often seen in contact sports -- but affecting the common man as well.

 

meniscus is either of two specific parts of cartilage of the knee. The knee contains a lateral meniscus and a medial meniscus.  Did you know that the medial meniscus is more commonly affected than the lateral meniscus?  Have you had knee pain?  Do you think you have a meniscus tear?  How do you know if you have such a tear?

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"I had arthroscopy in July 2007 to repair a torn medial meniscus."

Post-op 6 months ~ Left knee

Meniscus Tears may run in the family ...

It appears as though the tendency to have meniscus tears may indeed be in the genes. My mother has experienced similar issues, but actually had her meniscus removed!

What is the meniscus? 

:This article is about the parts in the human knee.For other uses of the term meniscus, see meniscus and lens (optics).

In anatomy, a meniscus is a moon-shaped figure. It usually refers to either of two specific parts of cartilage of the knee. The knee contains a lateral meniscus and a medial meniscus. Both are cartilaginous tissues that provide structural integrity to the knee when it undergoes tension and torsion. The menisci are also known as 'semi-lunar' cartilages - referring to their half-moon "C" shape - a term which has been largely dropped by the medical profession, but which led to the menisci being called knee 'cartilages' by the lay public.

Although menisci are largely associated with the knee, they are similar in function to structures called articular disks in other parts of the body.

What is the lateral meniscus? 

The external semilunar fibrocartilage on the outer side ...

The lateral meniscus, also called the external semilunar fibrocartilage, is a fibrocartilaginous band that spans the lateral side of the interior of the knee joint. It is one of two menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force, as seen in contact sports.

What is the medial meniscus? 

The medial meniscus is a fibrocartilage band that spans the medial knee, and lies on the head of the tibia. It is also referred to as the internal semilunar fibrocartilage, as it is nearly semicircular in form. It is a common site of injury, especially if the knee is twisted, as commonly occurs in contact sports.

Capsule of right knee-joint (distended). Posterior aspect. Gray's Anatomy.

Leg Pain 

Leg Pain

Amazon Price: $49.95 (as of 10/13/2008)

This small volume is devoted to one of the most common patient complaints encountered by practitioners of adult medicine, and one that frequently presents the initial examining physician with a diagnostic conundrum. Few internists, primary care physicians, emergency room physicians, or medical or surgical subspecialists are thoroughly familiar with the neurologic, orthopedic, immunologic, and vascular causes of leg pain, and help from the literature requires access to multiple texts from diverse medical and surgical specialties.

Leg Pain brings together, in a compact and easily transportable volume, expertise from the fields of vascular surgery, neurology, orthopedics and rheumatology, to offer insights into the clinical signs and symptoms associated with leg pain of diverse origins.

Symptoms of meniscus tear

Knee pain.
Swelling of the knee.
Tenderness when pressing on the meniscus.
Popping or clicking within the knee.
Limited motion of the knee joint.

More about a meniscus tear ... 

In osteoarthritis, the meniscus is either torn or worn away from overuse, age, or injury. The joint will be in pain when in use, but when there is no load, the pain goes away.

A torn meniscus can be repaired through some surgery and the body's ability to heal itself. In addition, there are techniques under research which involve sutures and biological glues to enable healing. If the tear is far away from the meniscus' blood supply (the meniscus becomes avascular towards the unattached, thin interior edge), then repair is unlikely.

In these cases arthroscopic surgery allows for a meniscectomy, removing the torn tissue and allowing the knee to function with some of the meniscus missing. Usually younger patients are more resilient and react well to this treatment, while older, more sedentary patients do not have such rejuvenating ability.

In situations where the meniscus is torn beyond repair or partial removal, a total menisectomy and meniscus replacement may be the only option before a total knee replacement.

In sports and orthopedics, people will sometimes speak of "meniscus surgery" and a "torn meniscus" and be referring to an injury to one of the menisci. Tears in the meniscus may be assessed and measured via a minimally invasive test called meniscometry.

Diagnosing meniscus tear

X-rays and MRIs are the two tests commonly used in patients who have meniscus tears.

An x-ray can be used to determine if there is evidence of degenerative or arthritic changes to the knee joint.

The MRI is helpful at actually visualizing the meniscus.

The Official Patient's Sourcebook on Injuries to the Meniscus 

The Official Patient's Sourcebook on Injuries to the Meniscus

Amazon Price: $24.95 (as of 10/13/2008)

This book has been created for patients who have decided to make education and research an integral part of the treatment process. Although it also gives information useful to doctors, caregivers and other health professionals, it tells patients where and how to look for information covering virtually all topics related to injuries to the meniscus (also meniscus injury; meniscus tears; tear of the meniscus), from the essentials to the most advanced areas of research. The title of this book includes the word official. This reflects the fact that the sourcebook draws from public, academic, government, and peer-reviewed research. Selected readings from various agencies are reproduced to give you some of the latest official information available to date on injuries to the meniscus. Given patients' increasing sophistication in using the Internet, abundant references to reliable Internet-based resources are provided throughout this sourcebook. Where possible, guidance is provided on how to obtain free-of-charge, primary research results as well as more detailed information via the Internet. E-book and electronic versions of this sourcebook are fully interactive with each of the Internet sites mentioned (clicking on a hyperlink automatically opens your browser to the site indicated). Hard-copy users of this sourcebook can type cited Web addresses directly into their browsers to obtain access to the corresponding sites. In addition to extensive references accessible via the Internet, chapters include glossaries of technical or uncommon terms.

What is arthroscopy? 

It's a minimally invasive procedure ...

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed either to evaluate or to treat many orthopaedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage.

The advantage of arthroscopy over traditional open surgery is that the joint does not have to be opened up fully. Instead, only two small incisions are made - one for the arthroscope and one for the surgical instruments. This reduces recovery time and may increase the rate of surgical success due to less trauma to the connective tissue. It is especially useful for professional athletes, who frequently injure knee joints and require fast healing time. There is also less scarring, because of the smaller incisions. Irrigation fluid is used to distend the joint and make a surgical space. Sometimes this fluid leaks into the surrounding soft tissue causing extravasation and edema *[http://en.wikipedia.org/wiki/Extravasation]Wikipedia ariticle on extravasation

The surgical instruments used are smaller than traditional instruments. Surgeons view the joint area on a video monitor, and can diagnose and repair torn joint tissue, such as ligaments and menisci or cartilage

Arthroscopy is used for joints of the knee, shoulder, elbow, wrist, ankle, and hip.

Meniscus repair

In order for the meniscus repair to heal, the tear must be near this outer edge in an area of good blood supply.

Arthroscopically placed tacks can be used, or the torn edges can be sutured or sometimes trimmed.

Both procedures function by reapproximating the torn edges of the meniscus to allow them to heal in their proper place.

Meniscus Tear videos 

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wajdi'z meniscus tear

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What is a knee meniscus tear?

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Outcomes of treatment for Left...

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meniscus tear part 2

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Arthroscopic Surgery "Medial M...

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Arthroscopic Meniscal Repair -...

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Outcomes of treatment for Left...

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Outcomes of treatment for Left...

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Surgery

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The news on meniscus tears 

SAINTS ROOKIE ELLIS RULED OUT
Ellis, who left Thursday's practice with the injury, has been diagnosed with a medial meniscus t...
Brewers' Weeks tears meniscus, replaced by Escobar
Assistant general manager Gord Ash said an MRI on Weeks showed a meniscus tear. Weeks would be eligi...
Gage expects to start in Week 7
Gage didn't know if the injury was a meniscus tear, and he wouldn't comment when asked about...
Appel, Harrison limited after knee surgeries
In addition, forward Michelle Harrison also is recovering from surgery to repair a meniscus tear in...

Physical Rehabilitation

My PT involved 4 weeks of 3 visits per week. Although PT was scheduled for the following week after arthroscopy, I waited an additional week to get started.

Techniques in Musculoskeletal Rehabilitation 

Techniques in Musculoskeletal Rehabilitation

Amazon Price: (as of 10/13/2008)

* Provides the physical therapy student or practitioner with a comprehensive to the design implementation, and supervision of rehabilitation programs for orthopedic injuries and disorders
* Three sections cover achieving the goals of rehabilitation, using the proper tools, and detailing specific techniques
* Lavishly illustrated and chock full of tables, summaries and suggestions for further study

Univ. of North Carolina, Chapel Hill. Provides the physical therapist with a comprehensive guide to the design, implementation, and supervision of rehabilitation programs for musculoskeletal injuries. For students and practitioners.

The buzz on torn meniscus arthroscopy 

Knee meniscectomy: promising scope in India — by DR.DHEERAJ BOJWANI
Knee meniscectomy is a procedure in which the orthopaedic surgeon uses an arthroscope and other tool...
Evaluation of Meniscus Allograft Transplantation With Serial ...
Purpose: The purpose of this study was to evaluate change in meniscal allograft extrusion during the...
Arthroscopic and Magnetic Resonance Imaging Evaluation of Meniscus ...
All 50 patients had clinical and MRI evaluation followed by knee arthroscopy. The MRI and arthroscop...
Arthroscopic shoulder treatment in India: Get it. — by RAVI JESWANI
The most common arthroscopic procedures include repairing cartilage and meniscus problems in the kne...

Great books on leg exercises 

The Little Butt & Thighs Workout Book (Little Book)

Amazon Price: $15.29 (as of 10/13/2008)
List Price: $16.99

Great Legs (Six Week Workout)

Amazon Price: $10.95 (as of 10/13/2008)
List Price: $10.95

Stronger Legs and Lower Body

Amazon Price: $12.21 (as of 10/13/2008)
List Price: $17.95

The Complete Book of Butt and Legs

Amazon Price: (as of 10/13/2008)
List Price: $29.95

Drop me a line ... 

Have you or someone you know torn a meniscus? Had or contemplating surgery? I'd love to hear from you.

RyanRE

Nice work Julie. I LOVE NFL football and there are a lot of knee injuries. I never realized that "real" people had the same type of injuries.

Posted September 09, 2008

Cristina

Ever since I stopped playing competitive sports, both of my knees seem to have fallen apart. They both grind (very audible, not too much pain) and feel loose. Then a few years ago I injured and detached my right medial hamstring and that seemed to lead to my right knee locking out. So I started seeing a sports med chiropractor and he said that I most likely tore my meniscus and thru supplementation and ultrasound I could essentially 'rebuild' it. What are your thoughts? And if you agree, what type/brand of supplements would you recommend?

Posted September 05, 2008

TheNewGreenWayToHealthyLiving

I did have a meniscus tear and do believe it does run in the family! My mother had surgery on both a month later, just incredible how things work like this!

Posted July 31, 2008

TheWicker

Interesting lens and nice layout! Thanks for sharing this info. Urban, lensmaster of Anxiety Disorder Treatment

Posted July 28, 2008

Dr_Joe

Very informative.
Great lens. Rated it 5 stars.
Feel free to visit sexual health.

Posted June 30, 2008

 
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