MENISCUS REPAIR
Arthroscopy
Meniscus Repair
Causes
Symptoms
In cases of sudden injury, meniscus tears can lead to instant pain localized to the affected area of the knee, along with possible swelling, bruising, and restricted movement. Patients might notice a clicking or catching sensation while walking, and twisting the affected foot can intensify the pain. In severe instances where the torn meniscus becomes lodged out of position, the knee may feel locked, a condition known as a bucket handle meniscus.
Diagnosis
Your surgeon will conduct a comprehensive examination, including a detailed medical history, physical examination, and X-rays. During the examination, they may observe swelling, limited motion, and weakened strength. If the meniscus is affected, touching the knee may elicit pain. Your surgeon might also perform specific movements to provoke symptoms, such as pain and clicking, indicating a torn meniscus. While X-rays typically appear normal, MRI imaging is valuable for confirming the diagnosis, assessing the tear's characteristics, and aiding in surgical planning. Additionally, MRI can help identify any other concurrent injuries.
Treatment
Non-operative
Certain meniscus tears can be effectively managed without resorting to surgery. Your surgeon might recommend a combination of anti-inflammatory medication, physical therapy, cryotherapy, and adjustments in activity to alleviate pain and inflammation while bolstering the muscles surrounding the knee, thereby diminishing the strain on the meniscus. Additionally, your surgeon may propose an injection as part of the treatment plan. However, for patients experiencing persistent symptoms such as pain or clicking, surgical intervention may be necessary. It's important to note that bucket handle meniscus tears typically cannot be addressed through non-surgical means and usually require surgical correction.
Operative
In many instances, meniscus tears can be effectively addressed through minimally invasive arthroscopic surgery. Your surgeon will assess the size and nature of the tear, as well as the condition of the torn tissue, to determine the most suitable approach. This may involve either removing the damaged portion of the meniscus or repairing it using sutures. However, it's important to note that extensive removal of the meniscus can accelerate the deterioration of joint cartilage, ultimately leading to arthritis. The specifics of your postoperative rehabilitation plan will be determined by your surgeon.