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Injuries of Meniscus
Injuries of the Cartilage


meniscus tear, meniscal tear, bucket handle tear, Different types of meniscal injuries.
Meniscal tear if traumatic in origin requires twisting of the knee as a specific mechanism. If we cannot find twisting component in patient’s history, meniscal tear is pretty unlikely. 
Meniscal tear is even more often in patients with:
  • cruciate ligament deficiency, 
  • patients with significant varus/valgus stress during the incident.
Injury of meniscus is in approximately 50% of cases combined with  ACL  injury.

During the examination of the knee we look for certain signs and symptoms. 
Knee is usually swollen with tenderness over the meniscus and positive sign for meniscal injury or instability. We will often find signs of ligamentous instability. Patient with Locking symptoms Will confirm the diagnosis of unstable meniscal tear. 

Bucket handle meniscal tear will present with flexion contracture which is usually not greater than 10°. 

In case of any doubt MRI scan and will be requested. 

The next step would usually be knee arthroscopy, either diagnostic or therapeutic where meniscal tear can be repaired if possible. If the meniscus is damaged beyond the repair, edges can be trimmed using small nibblers. 

We tend to repair the meniscus with all inside technique. If this is not possible other techniques can be used to repair the meniscus. 

Post operatively patients will quite often need a brace to protect the meniscus during the healing period which usually takes six weeks. Particularly during the healing period of the lateral meniscus we want to restrict deep flexion beyond 90° for six weeks to minimise the risk for repair failure.

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  • Home
    • Knee Surgery >
      • Symptomatic Osteoarthritis of the Knee >
        • Primary Care >
          • Initial Management
          • Intermediate Care
          • Referral Treshold
        • Secondary Care >
          • Total Knee Replacement
          • High Tibial Osteotomy
          • Knee Arthroscopy
          • Complex Primary Total Knee Replacement
          • Postoperative Management
        • Procedures recommended by NICE
        • Procedures with limitations by NICE
        • Procedures not recommended by NICE
        • Viscosupplementation
      • Trauma to the Knee >
        • Meniscal Injuries
        • ACL Injury
      • Partial v Total Knee replacement
    • Limb Lengthening >
      • Femoral lengthening over the nail
  • Orthopaedic Trauma
    • Complex Trauma Impact
    • Principles of fine wire frame fixation >
      • Indications for fine wire frame
      • Complications >
        • Predictable complications
        • Unpredictable complications
      • Pin sites management
      • Activities >
        • Videos
        • Photos
    • Poller or Blocking screw >
      • Mechanic of Poller screw
      • Without and With a Poller Screw
      • Third Generation Poller Screws >
        • Epicentric poller screws in osteoporotic bone
        • Epicentric poller screws in comminuted spiral fracture
      • Use of Poller Screw(s) in Complex Cases >
        • Segmental Femoral Fracture
        • Low Supracondylar Femoral Fracture
        • Low Supracondylar Femoral Fracture 2nd case
        • Femoral Non-union - Antegrade Nail
        • Femoral Non-union - Retrograde nail
        • Distal Tibia Spiral Fracture
    • VAC irrigation
    • Complex Cases >
      • Femoral diaphysis defect
      • Capitellum Fractures
      • Distal Femoral Fractures
      • Proximal Humerus Fractures
      • Subtrochanteric Femoral Fractures
  • Osseointegration
    • Osseointegration-Physiotherapy
    • Osseointegration-Surgery
    • Osseointegration-NHS Perspective
  • Medico-legal
    • PI Solicitors
  • Blog
  • Contact
    • About
    • CV