Meniscus Injuries Questions & Answers

Updated: Oct 12, 2018
  • Author: Bradley S Baker, MD; Chief Editor: Craig C Young, MD  more...
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Questions & Answers

Overview

What are meniscus injuries?

What should be the focus of history in the evaluation of meniscus injuries?

Which physical findings suggest a meniscus injury?

Which provocative maneuvers are performed in the exam for meniscus injuries?

What is the role of imaging studies in the diagnosis of meniscus injuries?

What is the role of MRI in the grading of meniscus injuries?

What are the benefits of arthroscopy in the diagnosis of meniscus injuries?

What is the initial treatment for meniscus injuries?

What are the surgical options for treating meniscus injuries?

What is included in physical therapy following surgery for meniscus injuries?

What is the role of medical therapy in the treatment of meniscus injuries?

What is the appearance of a meniscus tear on MRI?

What is the prevalence of meniscus injuries in the US?

What is the global prevalence of meniscus injuries?

What is the functional anatomy relative to meniscus injuries?

What is the functional anatomy of the medial meniscus?

What is the functional anatomy of the posterior and anterior horn of the medial meniscus?

What is the functional anatomy of the lateral meniscus?

What are the mobilities of the lateral and medial menisci?

What is the microanatomy relative to meniscus injuries?

What is the most abundant component of the menisci?

What is the vascular anatomy relevant meniscus injuries?

What is the significance of vascular supply in meniscus injuries?

What is the neuroanatomy relevant to meniscus injuries?

What is the role of the meniscus in load and force distribution in the knee?

How does meniscectomy affect load and force distribution in the knee?

What are the joint stabilizing forces in the meniscal structure?

How are meniscus injuries classified?

Presentation

What should be the focus of the history in the evaluation of meniscus injuries?

Which physical findings suggest a meniscus injury?

DDX

What are the differential diagnoses for Meniscus Injuries?

Workup

What is the role of imaging studies in the workup of meniscus injuries?

What is the role of arthroscopy in the workup of meniscus injuries?

Treatment

What is the role of nonoperative management of meniscus injuries?

What is the efficacy of nonoperative management of meniscus injuries?

What is the role of surgery in the treatment of meniscus injuries?

When is surgery indicated for meniscus injuries?

What is the basic principle of surgical intervention to treat meniscus injuries?

What are the surgical options for treating meniscus injuries?

What is the role of partial meniscectomy in the treatment of meniscus injuries?

What is the role of meniscus repair in the treatment of meniscus injury?

What is the role of the ACL in the treatment of meniscus injuries?

What are the principles of meniscus injury repair?

How is fixation accomplished during meniscus injury repair?

What is the efficacy of all-inside technique for the treatment of meniscus injuries?

What is the treatment approach for meniscal root tears?

What is the challenges of meniscal root tear surgical repair?

What is the efficacy of pullout techniques to treat meniscus injuries?

What is the efficacy of arthroscopic surgery for degenerative meniscus tears?

What is the efficacy of exercise therapy in the treatment of degenerative meniscus tears?

What is the role of allograft transplantation in the treatment of meniscus injuries?

What are the goals of physical therapy in the treatment of meniscus injuries?

What is included in the physical therapy for meniscus injuries during the recovery phase?

What are the complication rates for arthroscopic meniscectomy?

What are the complication rates for meniscus repairs?

Medications

What is the role of medical therapy in the treatment of meniscus injuries?

Which medications in the drug class Narcotic analgesics are used in the treatment of Meniscus Injuries?

Which medications in the drug class Analgesics are used in the treatment of Meniscus Injuries?

Which medications in the drug class Nonsteroidal anti-inflammatory drugs are used in the treatment of Meniscus Injuries?

Follow-up

When can athletes return to play following surgical treatment of meniscus injuries?

What percentage meniscal repairs fail to heal?

What are the complications of untreated meniscus injuries?

How are recurrent meniscal injuries prevented?