If there is a lot of stress on the knee, the meniscus can wear away and tear. It may become too painful or the knee may lock. This will prevent movement of the joint. Rest may help in some cases. For severe tears, though, surgery may be necessary. A brace can help secure the knee. It may help you walk or perform daily activities.
Surgery is usually the best option for treating the meniscus. Dealing with joint pain can cause major disruptions to your day. Sign up and learn how to better take care of your body. Click below and just hit send! The basic science of human knee menisci: structure, composition, and function. Sports Health. Are all cartilage problems the same? Frobell RB. Change in cartilage thickness, posttraumatic bone marrow lesions, and joint fluid volumes after acute ACL disruption: a two-year prospective MRI study of sixty-one subjects.
J Bone Joint Surg Am. Treatment of meniscal tears: an evidence based approach. World J Orthop. Penn Medicine. Meniscus tears: Why you should not let them go untreated. Published November 10, ,. University of Washington Orthopaedics and Sports Medicine.
Torn meniscus. Physical examination of the knee: meniscus, cartilage, and patellofemoral conditions. J Am Acad Orthop Surg. The meniscus. Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth.
At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Recap There are two types of cartilage in the knee. Treatments for Loss of Cartilage in Knee.
Recap Articular cartilage injuries include fissuring, thinning, flaps, and defects that may expose bone within the joint. Recap Tears to the meniscus usually need surgery. This procedure can be done arthroscopically. This type of procedure is technically demanding and requires specialized expertise. We take a size-matched donor cadaveric meniscus and place it in the patient arthroscopically.
The new meniscus provides support and acts as a shock absorber. This procedure, which can help knee pain and possibly prevent arthritis, is only performed in cases when most of the meniscus cartilage must be removed.
Before meniscal transplantation, the meniscal deficient knee did not have a treatment option. Using an arthroscope a thin flexible scope used to visualize the joints in the knee surgeons perform this procedure by creating a few small incisions in the knee. They will then place other instrumentation inside the knee to remove the torn cartilage. The arthroscope enables surgeons to look closely at the knee joint for signs of arthritis, loose cartilage and other problems. Incisions are very small about 1 centimeter and are closed with stitches that are placed inside or outside of the knee.
The Penn Center for Advanced Cartilage Repair and Osteochondritis Dissecans Treatment is recognized as one of the pre-eminent cartilage restoration centers nationally — becoming 3 in the nation for volume of autologous chondrocyte implantation surgeries.
Our orthopaedic team is highly experienced in cartilage repair, meniscal transplantation and osteochondritis dissecans treatment. Our surgeons and researchers are committed to developing new technology to make meniscus treatment and cartilage repair safer and more reproducible.
Each member of our orthopaedic team is highly experienced in cartilage repair, meniscal transplantation and osteochondritis dissecans treatment. This includes our nurses who triage patients and our nurse practitioners and our physician assistants who evaluate each case. As a team, we arrive at optimal treatment plans designed just for you.
Access myPennMedicine For Patients and Visitors. The consequence is that the meniscus has no ability to repair or remodel after a tear. Therefore, if you have a large meniscus tear, it cannot heal itself over time. Finally, the larger tears can cause damage to the hyaline cartilage.
Loss of hyaline cartilage is irreparable and can lead to premature osteoarthritis. Delaying the surgery can lead to irreparable damage to the gliding cartilage in the knee joint. This is done as a brief outpatient procedure and recovery is very quick. Most patients are able to walk comfortably within 10 days of surgery. Patients should limit their activity and not engage in sports for the first 4 weeks after surgery.
We use two small incisions in the front of the knee about 5mm in length for the arthroscopic clean out. Recovery is rapid and most patients are able to resume light aerobic activity after 4 weeks and full exercise at 8 weeks. A common exception is in cases of mensicus tear with extensive damage to the hyaline cartilage in the same area. This is a common presentation for heavier patients in their 50s. The MRI is very sensitive for mensicus tears but its ability to visualize hyaline cartilage damage is limited.
Extensive hyaline cartilage damage may only be discovered at the time of surgery. Unlike isolated meniscal tears, recovery from extensive hyaline cartilage tears is very protracted. For more information about the surgery and what to expect during and after your knee surgery look at the link below for knee arthroscopy surgery instructions.
It has additional information about when, where and how that you may forget to ask in clinic. Knee Arthroscopy Surgery Instruction Sheet. Monday am - pm Tuesday am - pm Wednesday am - pm Thursday am - pm Friday am - pm Saturday Closed Sunday Closed. Knee Meniscus Tear. Hip Replacement more info. Knee Replacement more info. ACL Tear more info. Meniscus Tear more info. PRP more info.
Rotator Cuff Tear more info. Joint Replacement more info.
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