Meniscal injuries in active patients theodore t manson, md, ms andrew jcosgarea, md dr manson is a resident in thedepartment of orthopaedic surgery, johns hopkins university school of medicine, and dr cosgarea is associate professor anddirector, division of sports medicine and shoulder surgery, department of. A method for repair of meniscal injuries comprising induction of meniscal regeneration by introducing a strongly adhesive collagen-polyethylene glycol (peg) hydrogel to a site of injury. Meniscal tears are among the most common knee injuries athletes, particularly those who play contact sports, are at risk for meniscal tears however, anyone at any age can tear a meniscus. Meniscal tears can be categorised as traumatic o r degenerative the physical block is usually a bucket handle tear of the meniscus (image 2), but may be caused by other injuries including a rupture of the anterior cruciate ligament or tibial eminence fracture it is therefore important to differentiate these different injuries.
Meniscal injuries in active patients theodore t manson, md, ms andrew j cosgarea, md dr manson is a resident in the department of orthopaedic surgery, johns hopkins university school of. Meniscal injuries are one of the most common injuries in orthopaedics currently, there is a great knowledge about the different type of injuries, as well as a more comprehensive treatment strategy in this chapter, the most commonly performed treatments for meniscal pathologies are described. Both retrospective and blinded analyses of thin-section, high-resolution magnetic resonance (mr) images of the knee joint, produced using a solenoid surface coil, indicate that mr imaging is an effective technique for evaluating meniscal injuries. Injuries to the menisci and the meniscal ligaments are a common cause of stifle lameness in adult horses lesions range from mild fibrillation of the meniscal ligaments and surface of the menisci, causing low-grade, chronic lameness, to severe tears of the meniscal ligament and menisci, causing acute and severe lameness.
What is meniscal repair the menisci (singular, meniscus) are rubbery, c-shaped pieces of cartilage in the knee that sit between the femur (thigh bone) and tibia (shin bone), stabilizing the knee and acting as shock absorbersmeniscal tears are common knee injuries, especially for athletes menisci can tear in a number of different ways. Meniscal tears are one among the common injuries to the knee joint it can occur at any age, but are more common in athletes playing contact sports the meniscus is a small, c shaped piece of cartilage in the knee. Meniscal injuries gretchen l flo, dvm, ms from the department of small animal clinical sciences, veterinary teaching hospital, michigan state university college of veterinary medicine, east lansing, michigan department of small animal clinical sciences veterinary teaching hospital michigan state university college of veterinary medicine east lansing michigan veterinary teaching hospital. Meniscus repair is recommended for tears that occur in the vascular region (red zone or red-white zone), are longer than 1 cm, are root tears, involve greater than 50% of the meniscal thickness, and are unstable to arthroscopic probing.
A torn meniscus can happen due to injury or a degenerative process as in aging the meniscus is a type of cartilage in your knee joint the meniscus sits between the cartilage surfaces of the bone to distribute weight and to improve the stability of the joint. Meniscal injuries 1 what is causing the pain and how did i get it meniscus is a thin tissue in between the knee joint, and its main role is to absorb shock as the knee joint bends meniscus can be torn with a sudden twisting fall or gradually torn over time when the knee twists, it places a lot of stress on the meniscus. Equine meniscal injuries: a retrospective study of 14 horses katherine a flynn, bvms, mrcvs and mary beth whitcomb, dvm ultrasound provides a reliable, non-invasive diagnostic modality for the diagnosis of equine meniscal.
A meniscus is a crescent-shaped fibrocartilaginous anatomical structure that, in contrast to an articular disk, only partly divides a joint cavity in humans they are present in the knee , wrist , acromioclavicular , sternoclavicular , and temporomandibular joints  in other animals they may be present in other joints. Symptoms of meniscal injuries meniscal injures are tears in the meniscus and are fairly common the typical mechanism of injury is a twisting and flexing motion of the knee. Meniscal injuries may be the most common knee injury the prevalence of acute meniscal tears is 61 cases per 100,000 persons the overall male-to-female incidence is approximately 25:1 the peak incidence of meniscal injury for males is in those aged 31-40 years for females, the peak incidence is in those aged 11-20 years.
Meniscal injuries injury with rotational force ,on a partially flexed knee eg:foot ball players,kabadi players most common site- posterior horn most common type- longitudinal tear length ,depth, position of tear– position of the meniscus in relation to condyles at the time of injury. Meniscal injuries the knee is the largest joint in the human body and proper function and health of the knees is required to perform most everyday activities the knee is made up of the lower end of the femur (thighbone), the patella (kneecap), and the upper end of the tibia (shinbone. Meniscal injuries the meniscus, which in ancient greek (meniskos) literally means a 'crescent', is the medical name for any crescent-shaped cartilage tissue that sits in a joint between two bones.
A meniscal tear can be accurately diagnosed with a doctor's physical examination however, an mri can be useful to determine the extent of the injury, the displacement of a tear, and help determine if there are any other associated injuries. Meniscal injuries anatomy meniscal tears frequently occur in sports like football, basketball, tennis or skiing still, it is a condition that can occur at any time of life it can come about with very low energy mechanisms in older patients. Basketball is a highly competitive sport in which the knee joint is constantly subject to physical stresses basketball-related traumatic injuries are the result of specific technical movements even though basketball is not considered a contact sport, injuries in basketball players are due both to.
Priate diagnosis and treatment of meniscal injuries is critical to avoid chronic lameness in these patients given the frequency, expense, and clinical importance of meniscal injuries, a thorough understanding of the meniscus is important for general practi. Meniscal injuries may result from an acute injury or from gradual degeneration with aging vertical tears (eg, bucket-handle tears) tend to occur acutely in individuals 20 to 30 years of age and are usually located in the posterior two thirds of the meniscus [ 13 , 17 . The acl is typically completely torn when injured and often occurs in conjunction with other ligament injuries, as well as meniscal tears and chondral defects an isolated tear of the acl is often a straightforward clinical diagnosis, however with concomitant injury of other structures, pain inhibition frequently precludes an adequate clinical. Meniscal tears have become extremely common injuries as a result of the higher level of competition among our young athletes acting as a load bearing cartilaginous structure, located on both the inner and outer aspects of the knee, it provides stability and acts as a major shock absorber for the knee when playing sports.