Persistent hoop and shear stresses create complex tears in the posterior horn and WebThere are two general forms of treatment for meniscus tears: conservative, or nonsurgical, and surgical. See this post to learn more about how a meniscus functions, As mentioned in my recent post, the majority of posterior horn tears are determined to be degenerative. But you can reduce your risk of a torn meniscus if you: Most people who tear a meniscus can return to full activity. Knee Surg Relat Res. Therefore, care should be taken to manage it appropriately and successfully reduce it. Ann Rheum Dis 68(6):938947, Ishii Y, Deie M, Fujita N, Kurumadani H, Ishikawa M, Nakamae A et al (2017) Effects of lateral wedge insole application on medial compartment knee osteoarthritis severity evaluated by ultrasound. The knee is a complex synovial joint that can be affected by a range of pathologies: ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Winkler. People who have surgery on these complex degenerative posterior horn tears are at higher risk of developing arthritis than those treated with surgery. Eur Radiol 22(1):211220, Lee DW, Jang HW, Lee SR, Park JH, Ha JK, Kim JG (2014) Clinical, radiological, and morphological evaluations of posterior horn tears of the lateral meniscus left in situ during anterior cruciate ligament reconstruction. [74] retrospectively analyzed MRI series with isolated ME without concomitant serious knee pathologies, and found that isolated significant ME (>3mm) was associated with MTL abnormalities. It permits immediate weight bearing following surgery and provides a full range of motion soon afterward. According to the American Academy of Orthopaedic Surgeons, treatment of a meniscus tear depends on the location of the injury, alongside other factors, including a persons: Below, we outline some potential treatment options. Makiev, K.G., Vasios, I.S., Georgoulas, P. et al. What is a meniscus injury, and how common is it? It was also shown that after ACLR, without concomitant tears of the menisci, the anteroposterior and radial extrusion of the MM tended to increase compared with preoperative levels, but all measurements remained below the threshold value of 3mm [24, 44, 95]. Jones JC, et al. Dawson LJ, et al. Also consult a doctor if you continue to have pain after a course of conservative treatment. For an athlete, playing through knee pain can cause greater problems later. The Relationship Between Meniscal Pathology and Osteoarthritis Depends on the Type of Meniscal Damage Visible on Magnetic Resonance Images: Data from the Osteoarthritis Initiative. Orthop Traumatol Surg Res 105(7):13951399, Everhart JS, Magnussen RA, Abouljoud MM, Regalado LE, Kaeding CC, Flanigan DC (2020) Meniscus tears accelerate joint space loss and lateral meniscal extrusion increases risk of knee arthroplasty in middle-aged adults. The menisci are crescent-shaped, fibrocartilaginous structures that play a crucial role in the load transition and distribution of the contact forces along the tibiofemoral articulation. JBJS Rev 4(8):e4, Kodama Y, Furumatsu T, Masuda S, Okazaki Y, Kamatsuki Y, Okazaki Y et al (2020) Transtibial fixation for medial meniscus posterior root tear reduces posterior extrusion and physiological translation of the medial meniscus in middle-aged and elderly patients. Small tears often heal on their own, while others may require arthroscopic surgery. How can you tell whether you have a meniscus tear? Last medically reviewed on December 21, 2020. Knee Surg Sports Traumatol Arthrosc 23(1):290302, Gelber PE, Torres-Claramunt R, Poggioli F, Prez-Prieto D, Monllau JC (2020) Polyurethane Meniscal Scaffold: Does Preoperative Remnant Meniscal Extrusion Have an Influence on Postoperative Extrusion and Knee Function? Over time, the joint can break down. Bhan, K. (2020). Manage cookies/Do not sell my data we use in the preference centre. Eur J Orthop Surg Traumatol 28(4):727734, Chernchujit B, Agrawal S (2019) Arthroscopic all-inside medial meniscus extrusion reduction. The incidence of meniscal tears associated with ACL injury is as high as 79%, with the LM being affected more often than the MM in acute situations [89]. This site should be used for informational purposes only. PLoS ONE 11(5):e0156183, Noyes FR, Barber-Westin SD (2015) A systematic review of the incidence and clinical significance of postoperative meniscus transplant extrusion. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 24(9):29232935, Lee SM, Bin SI, Kim JM, Lee BS, Lee CR, Son DW et al (2019) Long-term outcomes of meniscal allograft transplantation with and without extrusion: mean 12.3-year follow-up study. MNT is the registered trade mark of Healthline Media. A nonsurgical treatment approach typically involves rest and avoiding activities that trigger symptoms. A small 2018 randomized controlled study comparing conventional to Ayurvedic treatment in 151 people found that Ayurvedic treatments were beneficial in reducing osteoarthritis knee symptoms at 3, 6, and 12 months. 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. [31] showed that lateral ME was associated with worsening of patellofemoral joint OA features at 2-year follow-up. Am J Sports Med 47(12):28882894, Delinc P, Ghafil D (2012) Anterior cruciate ligament tears: conservative or surgical treatment? (2012). (ACLR+LM tears left in situ) showed narrowing of 0.33mm of the lateral joint space at 3years postoperatively, and Shelbourne et al. Today, in general, doctors recommend conservative treatment, not surgery, when meniscus tears result from degeneration. In a recent meta-analysis, the percentages of medium-term and long-term survival after medial MAT were 85.8% and 52.6%, respectively, whereas after lateral MAT they were 89.2% and 56.6%, respectively [116]. Google Scholar, Malas F, Kara M, Kaymak B, Aknc A, zakar L (2014) Ultrasonographic evaluation in symptomatic knee osteoarthritis: clinical and radiological correlation. Meniscus tear surgery is very common, with about 850,000 surgeries performed each year in the United States. The outer one-third of the meniscus has a blood supply, and so doctors refer to this area as the red zone. Knee Surg Sports Traumatol Arthrosc 28(11):34163425, Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jger A (2010) Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Treatment often involves OTC medications, cortisone injections, and physical therapy. Rehabilitation following meniscal repair: A systematic review. During this procedure, the surgeon inserts a tiny camera (called an arthroscope) through a small incision into your knee. ME has no specific clinical finding or sign and it is encountered in many knee pathologies. PubMed Central It is known that ACL and meniscal function cannot be fully restored even after surgical repair [86, 90]. Therefore, proper placement of the posterior horn is critical to the anatomical repair of the meniscus [125,126,127]. radial tear: perpendicular to both the tibial plateau and the long axis of the meniscus. These are the knee compression sleeves we recommend for stability during exercise. his post talks about the importance of balance training and strengthening-, Muscle mass.. or larger muscles are associated with longevity and better health. Arthroscopy 35(6):16581666, Jiang D, Ao YF, Gong X, Wang YJ, Zheng ZZ, Yu JK (2014) Comparative study on immediate versus delayed meniscus allograft transplantation: 4- to 6-year follow-up. Exercise programs start with an initial routine and then progress to intermediate and advanced routines. Being unable to fully bend or straighten your leg. Spang RC III, et al. Furthermore, they performed an open MTL repair in 15 patients with meniscal tear and medial ME through a mini-incision with three interconnecting suture anchors (Fig. Is the ketogenic diet right for autoimmune conditions? Conservative treatment is also advised for smaller tears, and stable longitudinal meniscus tears that occur in the outer third of the meniscus, the red zone. This is the area of your meniscus that has some blood supply, which aids healing. On imaging, it is often seen as a meniscal loss with the destruction of expected architecture. Last medically reviewed on February 8, 2022, The knee is one of the body's more complicated joints and is susceptible to various injuries. showed that the difference in the extrusion of the LM between a healthy knee and a knee with combined injury was not statistically significant. Your doctor will likely recommend physical therapy. 2017;25(1):76-84. Although there is still controversy in the literature in respect of the optimal cutoff value, a threshold of 3mm is considered significant. However, over a long-term period, the degenerative changes in the articular cartilage worsened, especially in the lateral tibial plateau, regardless of the healing status of the meniscus [85, 87, 90]. The medial meniscus covers 5060% of the medial tibial plateau, and the lateral meniscus covers 7080% of the lateral tibial plateau. A torn or strained meniscus is generally treated with rest, ice, over-the-counter anti-inflammatory medicines and physical therapy. The aim is to strengthen the muscles surrounding the knee, such as the front thigh muscles, known as the quadriceps. David Prado/Stocksy United. Meniscal tear: Presentation, diagnosis and management. The injury also commonly affects older people and those with arthritis in their knees. To perform this exercise, a person should do the following: The red zone has a blood supply, and therefore, a meniscus injury in this area may heal on its own. Lie on Intermediate routine. Can diet help improve depression symptoms? In some cases, surgery may be recommended to repair a torn meniscus. The term meniscal extrusion (ME) is used to describe the radial meniscal body displacement beyond the peripheral tibial plateau margin [7, 8]. A physical therapist will individualize a persons exercise regimen to prevent further injury. Your provider may recommend knee arthroscopy to better view and accurately diagnose your injury. Interest in ME has grown exponentially in recent years, as it is associated with several pathologies, such as knee OA, meniscal posterior root tears (MPRT), post-anterior cruciate ligament reconstruction (ACLR) and post-meniscal allograft transplantation (MAT) [6, 23, 24]. Orthop J Sports Med. For these reasons, certain contraindications have been introduced (Table 2) [102, 103, 105,106,107,108,109]. Am J Sports Med 46(5):12431250, Noyes FR, Barber-Westin SD (2016) Long-term survivorship and function of meniscus transplantation. However, arthroscopic debridement and osteotomies around the knee are also being employed in some instances in moderate knee OA before a TKR is required [51, 52]. This suggests that if patients with minimal degeneration and accurate indications undergo MAT with a well-placed graft, the graft extrusion will be minimal and the results will remain unchanged. J Orthop Res Off Publ Orthop Res Soc 24(6):12081217, Wenger A, Englund M, Wirth W, Hudelmaier M, Kwoh K, Eckstein F et al (2012) Relationship of 3D meniscal morphology and position with knee pain in subjects with knee osteoarthritis: a pilot study. Mordecai SC, et al. Zheng J, Zhai W, Li Q, Jia Q, Lin D. A Special Tear Pattern of Anterior Horn of the Lateral Meniscus: Macerated Tear. It should be highlighted that the clinical significance of meniscal allograft extrusion has not yet been clearly elucidated, since it is difficult to draw firm conclusions. Results regarding the correlation of ME with pain in knee OA remain controversial. VA conceived the idea for the study and supervised the whole study process. If you have surgery to remove all or part of your meniscus, you may be at higher risk of developing arthritis down the road. Arthroscopy 36(4):11351141, Article Am J Roentgenol 204(3):584588, Foreman SC, Liu Y, Nevitt MC, Neumann J, Joseph GB, Lane NE et al (2020) Meniscal root tears and extrusion are significantly associated with the development of accelerated knee osteoarthritis: data from the osteoarthritis initiative. Osteoarthritis Cartilage. Osteoarthritis Cartilage 25(7):10761083, Naredo E, Cabero F, Palop MJ, Collado P, Cruz A, Crespo M (2005) Ultrasonographic findings in knee osteoarthritis: a comparative study with clinical and radiographic assessment. Am J Roentgenol 216(5):13181328, Teichtahl AJ, Cicuttini FM, Abram F, Wang Y, Pelletier JP, Dodin P et al (2017) Meniscal extrusion and bone marrow lesions are associated with incident and progressive knee osteoarthritis. One way to reduce postoperative ME is by early intervention, specifically within 3months after the MPRT [70,71,72]. Sudden twisting movements such as pivoting to catch a ball can tear the cartilage. Your doctor will bend your knee, then straighten and rotate it. It can be hard to prevent an accidental injury. What are signs the injury is getting worse instead of healing? An inappropriate tibial tunnel may also cause extrusion of the LM. Currently, MPRT repair constitutes the treatment of choice, since it restores the hoop tension and the joint kinematics [65], halts the progression of OA and lowers the rate of arthroplasty [66, 67]. Nguyen J, De Smet A, Graf B, Rosas H. MR Imaging-Based Diagnosis and Classification of Meniscal Tears. Therefore, improvements in surgical techniques are necessary [102, 109]. Although there is a need for longer follow-up periods, the currently available data suggest a benefit of concomitant ACLR with the repair of longitudinal, radial, posterior horn and posterior root tears of the menisci, because the combination can even better reduce their shape and extrusion [92, 98,99,100]. Complex meniscal tears usually require surgery. The rubbery wedges of cartilage act like shock absorbers for your knee, providing cushioning for your bones and knee joint. ME depends largely on the severity and type of tear [87, 89, 91]. When will I be able to get back to full activity? https://doi.org/10.1155/2015/210972, Kijima H, Miyakoshi N, Kasukawa Y, Ishikawa Y, Kinoshita H, Ohuchi K et al (2017) Cut-off value of medial meniscal extrusion for knee pain. J Orthop Surg Hong Kong 28(1):2309499020906745, McCormack DJ, Puttock D, Godsiff SP (2021) Medial compartment osteoarthritis of the knee: a review of surgical options. If these measures do not alleviate a persons symptoms, doctors may recommend surgical options, such as a partial meniscectomy or a meniscus repair. Careful preoperative planning for correct sizing and accurate placement of the allograft is critical for preventing ME. The menisci play an important role in stabilizing the knee, easing movement of the knee joint, and absorbing shock from walking and other weight bearing activities. Without nutrients from blood, tears in this "white" zone cannot heal. Knee Surg Sports Traumatol Arthrosc 27(2):361368, Jacob G, An S, Kumar G, Varghese J (2020) Percutaneous arthroscopic assisted knee medial collateral ligament repair. Eur Radiol 29(5):26162623, Debieux P, Jimenez AE, Novaretti JV, Kaleka CC, Kriscenski DE, Astur DC et al (2020) Medial meniscal extrusion greater than 4 mm reduces medial tibiofemoral compartment contact area: a biomechanical analysis of tibiofemoral contact area and pressures with varying amounts of meniscal extrusion. Slowly lower the body, keeping the foot flat. Knee Surg Sports Traumatol Arthrosc 27(8):26172623, Astur DC, Novaretti JV, Gomes ML, Rodrigues AG, Kaleka CC, Cavalcante ELB et al (2020) Medial opening wedge high tibial osteotomy decreases medial meniscal extrusion and improves clinical outcomes and return to activity. In addition, it has been shown that after lateral MAT, the extrusion is correlated with the progression of joint space narrowing (JSN) during long-term follow-up, while after medial MAT, JSN is observed during medium-term follow-up [114]. The choice of treatment depends on several factors, including severity of Red-red tears are within the red zone, and red-white tears have central margins that extend into the white zone. Perhaps even more important is that once your knee feels better, and it However, the incidence of severe knee OA is much higher in patients who have been subjected to ACLR than individuals with intact ACL [86, 87]. Furthermore, supplementary centralization of the meniscus appears to be able to adequately reduce the ME, as it also addresses potential MTL lesions. ME is found in several knee pathologies and is well correlated with rapid knee OA progression as well as increased morbidity. Orthop J Sports Med. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Nogueira-Barbosa MH, Gregio-Junior E, Lorenzato MM, Guermazi A, Roemer FW, Chagas-Neto FA et al (2015) Ultrasound assessment of medial meniscal extrusion: a validation study using MRI as reference standard. This value is identified as the optimal cutoff point for a complete PRT of the LM and has 100% sensitivity and 83% specificity [92]. However, data on this is limited and shouldnt replace talking with your doctor about your treatment options. https://doi.org/10.1002/acr.24394, Wu PT, Shao CJ, Wu KC, Wu TT, Chern TC, Kuo LC et al (2012) Pain in patients with equal radiographic grades of osteoarthritis in both knees: the value of gray scale ultrasound. For a simple tear here, doctors may advise a short course of rest and physical therapy to see whether spontaneous healing occurs. Treatment of meniscal tears: An evidence based approach. A longitudinal tear is an example of this kind of tear. At the time the article was last revised Yahya Baba had CAS However, it remains unknown whether it is capable of delaying or modifying OA progression, and further research is warranted [32, 48, 49]. Arch Orthop Trauma Surg 132(3):321327, Kamatsuki Y, Furumatsu T, Fujii M, Kodama Y, Miyazawa S, Hino T et al (2018) Complete tear of the lateral meniscus posterior root is associated with meniscal extrusion in anterior cruciate ligament deficient knees. The inner two-thirds of the meniscus have only a limited blood supply, which is why doctors call this the white zone. An MRI scan is the method of choice for confirming a suspected diagnosis. An MRI will confirm a suspected diagnosis. In addition, given that the presence of severe ME promotes rapid progression of knee OA [44, 45], the importance of inhibiting this process and delaying the inevitable total knee replacement (TKR) is critical. Privacy Doral MN, et al. Meniscus repair involves stitching torn pieces of a meniscus back together. PubMed Am J Sports Med 38(12):24482455, Ha JK, Jang HW, Jung JE, Cho SI, Kim JG (2014) Clinical and radiologic outcomes after meniscus allograft transplantation at 1-year and 4-year follow-up. In fact, MAT supporters claim that it restores the biomechanical properties of the endogenous meniscus, prevents or slows cartilage damage, especially if the MAT is performed immediately, and improves long-term outcomes [17, 110, 111]. PubMed Central (2017). This cartilage is the meniscus. Recovery time for meniscus tear depends upon the type of surgery performed. The other factors that affect the recovery time are as follows: On an average, it takes about 4 6 weeks of time for the patient to recover completely from the meniscus surgery. We do not endorse non-Cleveland Clinic products or services. Am J Sports Med 42(2):327335, Shelbourne KD, Roberson TA, Gray T (2011) Long-term evaluation of posterior lateral meniscus root tears left in situ at the time of anterior cruciate ligament reconstruction. Surgery versus conservative treatment for meniscus tears has been a medical topic of controversy for many years. PubMed https://doi.org/10.1177/2325967120913531, Bhatia S, LaPrade CM, Ellman MB, LaPrade RF (2014) Meniscal root tears: significance, diagnosis, and treatment. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 28(4):11771194, Swamy N, Wadhwa V, Bajaj G, Chhabra A, Pandey T (2018) Medial meniscal extrusion: detection, evaluation and clinical implications. Although the ultimate cause is unknown, it is quite common to see a subluxated joint capsule in the symptomatic meniscectomized compartment. They then measured the medial meniscal extrusion (MME) with U/S under weight-bearing and reported a cutoff value of MME for knee pain of 4.3mm, with sensitivity of 84% and specificity of 85% [43]. The menisci serve a number of important functions, such as: According to 2021 research, a meniscus tear is a common injury, affecting 61 out of every 100,000 people in the general population. TK and DG designed the manuscript and helped to draft the manuscript and review it. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Effectiveness of an Ayurveda treatment approach in knee osteoarthritis A randomized controlled trial. CAS This can result from disruption of collagen fibers within the meniscus that provide hoop strength 8.. WebArthroscopic surgery. Where possible, doctors will recommend nonsurgical forms of treatment. A systematic review of radiological outcomes. Therefore, with this article we aim to provide an up-to-date review of the literature with an emphasis on the clinical significance and new concepts in the treatment and reduction of ME in the different knee pathologies in which it is encountered. 2014;34(4):981-99. (D) After the 2 suture limbs have been tied arthroscopically forming a circumferential compression stitch. statement and Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.merckmanuals.com/home/injuries-and-poisoning/sprains-and-other-soft-tissue-injuries/knee-sprains-and-related-injuries), (https://www.niams.nih.gov/health-topics/knee-problems#tab-overview), (https://orthoinfo.aaos.org/en/treatment/knee-arthroscopy/), (https://orthoinfo.aaos.org/en/diseases--conditions/meniscus-tears/), (https://www.physio-pedia.com/Meniscal_Repair). Wear athletic shoes that are appropriate for the sport youre doing. A critical review of the literature. As you get older, the cartilage in your knees wears down and gets weaker. Have swelling that doesnt go away with a few days of RICE and taking NSAIDs. Am J Sports Med 45(1):4249, Krych AJ, Bernard CD, Leland DP, Camp CL, Johnson AC, Finnoff JT et al (2020) Isolated meniscus extrusion associated with meniscotibial ligament abnormality. Arthrosc Tech 6(4):e1335e1339, Masferrer-Pino A, Monllau JC, Abat F, Gelber PE (2019) Capsular fixation limits graft extrusion in lateral meniscal allograft transplantation. Osteoarthritis Cartilage 20(12):15071513, Bevers K, Bijlsma JW, Vriezekolk JE, van den Ende CH, den Broeder AA (2014) Ultrasonographic features in symptomatic osteoarthritis of the knee and relation with pain. Degenerative tears occur mainly in the medial meniscus and are most commonly encountered in older patients without any history of significant trauma [4]. For instance, an oversized allograft achieves adequate coverage of the tibial plateau while exhibiting a large amount of extrusion, whereas the opposite applies for undersized or shrunken allografts [112]. To address the problems of patients with meniscectomy, efforts are constantly being made to develop techniques that aim at meniscal regeneration or development of meniscal scaffolds. an assessment by MRI and arthroscopy. The concurrent ACLR with repair of the menisci has shown good clinical and functional results and less risk of reoperation during the follow-up periods [83, 87]. Policy. Meniscal extrusion (ME) is a radiological finding, especially in magnetic resonance imaging (MRI) scans, for which there has been growing interest in recent years. Magnetic resonance imaging (MRI) mid-coronal view of the right knee, where the tibial eminences are most prominent. We, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. California Privacy Statement, Magnetic resonance imaging (MRI) is the method of choice for the detection and evaluation of ME (Fig. Correspondence to Am J Sports Med 48(2):326333, Patel R, Eltgroth M, Souza RB, Zhang CA, Majumdar S, Link TM et al (2016) Loaded versus unloaded magnetic resonance imaging (MRI) of the knee: Effect on meniscus extrusion in healthy volunteers and patients with osteoarthritis. Sometimes, degeneration from arthritis causes a tear, even without a knee injury. Partial meniscectomy involves trimming away the damaged meniscus. ME is strongly correlated with posterior root tears of the menisci [6]. Knee Surgery & Related Research Do I need surgery to repair or remove the torn meniscus? CAS Improper positioning of the posterior horn causes a similar deviation to the anterior horn. On the other hand, the suture-only technique has its own advantages and is therefore chosen by many surgeons [104, 111]. People who tear a meniscus often feel like something has popped in their knee at the time of the injury. Nonoperative treatment is associated with poor clinical outcomes, especially in the presence of a large ME [59], and exacerbation of OA with a higher incidence of subsequent arthroplasty over 5years of follow-up [60]. Proposed treatment algorithm for meniscal extrusion (ME) in different knee pathologies (OA osteoarthritis, ME meniscal extrusion, HTO high tibial osteotomy, MPRTs meniscal posterior root tears, ACL anterior cruciate ligament reconstruction, LM lateral meniscus, PRT posterior root tear, MAT meniscal allograft transplantation), Krych AJ, Bernard CD, Kennedy NI, Tagliero AJ, Camp CL, Levy BA et al (2020) Medial versus lateral meniscus root tears: is there a difference in injury presentation, treatment decisions, and surgical repair outcomes? Using the back of a chair for support, stand upright. Fig 3. Google Scholar, Okada K, Yamaguchi S, Sato Y, Enomoto T, Ogawa Y, Ohtori S et al (2019) Comparison of meniscal extrusion and osteophyte formation at the intercondylar notch as a predictive biomarker for incidence of knee osteoarthritis-Data from the Osteoarthritis Initiative-. Knee arthroscopy, a minimally invasive procedure, is often used to treat meniscal tears. Knee 26(6):12921298, Zhang ZZ, Zhou YF, Luo H, Zhang HZ, Chen Z, Jiang C et al (2020) A novel surgical technique for arthroscopic repair of type II posterior lateral meniscal root tear. Am J Sports Med 45(8):18641871, Novaretti JV, Astur DC, Cavalcante ELB, Kaleka CC, Amaro JT, Cohen M (2020) Preoperative meniscal extrusion predicts unsatisfactory clinical outcomes and progression of osteoarthritis after isolated partial medial meniscectomy: a 5-year follow-up study. WebHip Labral Tear. Knee Surg Sports Traumatol Arthrosc 25(2):383389, Pache S, Aman ZS, Kennedy M, Nakama GY, Moatshe G, Ziegler C et al (2018) Meniscal root tears: current concepts review. Goto et al. After recovery, your knee will be more stable, and youll be less likely to develop additional knee problems. In a biomechanical study, Paletta et at. Your doctor may also recommend conservative measures as a first step if the tear is caused by injury to the knee. https://doi.org/10.1055/s-0040-1715109, Strauss EJ, Day MS, Ryan M, Jazrawi L (2016) Evaluation, treatment, and outcomes of meniscal root tears: a critical analysis review. Arthrosc Tech 8(5):e495-501, Dean RS, DePhillipo NN, Monson JK, LaPrade RF (2020) Peripheral stabilization suture to address meniscal extrusion in a revision meniscal root repair: surgical technique and rehabilitation protocol.
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