A physical therapist will individualize a persons exercise regimen to prevent further injury. Small tears often heal on their own, while others may require arthroscopic surgery. Note that meniscectomy may cause osteoarthritis in the long term. Rehabilitation following meniscal repair: A systematic review. Furthermore, at 2-year follow-up, patients experienced significantly less pain, with improved clinical outcomes. WebSurgical treatment of complex meniscus tear and disease: state of the art The meniscus is important for load distribution, shock absorption and stability of the knee joint. Medial meniscal extrusion (MME) is measured 5.6mm. Is the ketogenic diet right for autoimmune conditions? When we talk about the meniscus, only about 30 % of the meniscus has an intact blood supply and is called the red zone. The remaining part of the meniscus does not have a blood supply and thus, once injured or torn, it cannot heal or be treated. So whether ayurvedic, homeopathic or allopathic medication, none of them can really help. Asia-Pac J Sports Med Arthrosc Rehabil Technol 1(21):2731, Chung KS, Ha JK, Ra HJ, Kim JG (2016) A meta-analysis of clinical and radiographic outcomes of posterior horn medial meniscus root repairs. Degenerative tears occur mainly in the medial meniscus and are most commonly encountered in older patients without any history of significant trauma [4]. Whilst APM is one of the most commonly performed orthopaedic procedures [], meniscal repair is the treatment of choice for the young athlete with an acute meniscal tear [].Meniscal repair is most commonly performed in younger populations aged under 35 years [10, 2127] and aims to preserve the entire meniscus, without excision.The Knee Surg Sports Traumatol Arthrosc 20(1):4861, Kashihara N, Furumatsu T, Kodama Y, Tanaka T, Ozaki T (2016) Concurrent lateral meniscal repair with anterior cruciate ligament reconstruction induces the extrusion of the lateral meniscus: assessments of magnetic resonance images. Arthrosc Tech 10(1):e43e48, Okazaki Y, Furumatsu T, Miyazawa S, Kodama Y, Kamatsuki Y, Hino T et al (2019) Meniscal repair concurrent with anterior cruciate ligament reconstruction restores posterior shift of the medial meniscus in the knee-flexed position. Older people are likely to have meniscus damage related to degeneration from wear-and-tear. redness or streaking at the site of the injury, persistent symptoms despite appropriate self-care. Therefore, they suggested that this type of OA patient, with MME and varus malalignment with a low MPTA, could benefit primarily from an early intervention with high tibial osteotomy (HTO), thus delaying the progression of knee OA. WebHip Labral Tear. A tear on the inner two-thirds of the meniscus that wont heal on its own because the area lacks blood flow to stimulate the immune system response. Treatment often involves OTC medications, cortisone injections, and physical therapy. 2023 Healthline Media UK Ltd, Brighton, UK. Adv Orthop. Knee 27(5):15601566, Zheng T, Song G, Li Y, Zhang Z, Ni Q, Cao Y et al (2021) Clinical, radiographic, and arthroscopic outcomes of surgical repair for radial and avulsed lesions on the lateral meniscus posterior root during ACL reconstruction: a systematic review. Home treatment, If you've been sidelined by a common sports injury like an ACL tear, you're likely wondering how long it will take to heal. The outer one-third of the meniscus has a blood supply, and so doctors refer to this area as the red zone. That can increase your risk of other knee injuries like an ACL tear or other torn ligament. Your healthcare provider may recommend taking a nonsteroidal anti-inflammatory (NSAID) medicine (such as ibuprofen or aspirin) to relieve pain and reduce swelling. This article outlines two types and their associated symptoms and causes. medial meniscal extrusion is associated with At the time the article was created Yuranga Weerakkody had no recorded disclosures. A tear in this "red" zone may heal on its own, or can often be repaired with surgery. If your symptoms persist after 3 months or your symptoms become significant, your doctor may recommend surgery to repair the tear. By using this website, you agree to our Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Here, find nine gentle exercises that may help strengthen and heal a torn meniscus. Conservative treatment is also advised for smaller tears, and stable longitudinal meniscus tears that occur in the outer third of the meniscus, the red zone. This is the area of your meniscus that has some blood supply, which aids healing. As a result, post-traumatic transposition and degeneration of the MM may not be completely prevented by ACLR alone. Your healthcare provider will physically examine your knee, looking for signs of swelling. A tear can result from a trauma, such as twisting the leg, or age-related degeneration of the knee joint. Magnetic resonance imaging (MRI) is the method of choice for the detection and evaluation of ME (Fig. Most research shows that people do just as well with physical therapy. In a recent study by Tsujii et al., it was shown that after concurrent ACLR and meniscal repair, the lateral extrusion of the LM was correlated with its healing status. If the tear is too big to repair, your surgeon may remove all or part of the meniscus. For instance, an oversized allograft achieves adequate coverage of the tibial plateau while exhibiting a large amount of extrusion, whereas the opposite applies for undersized or shrunken allografts [112]. During this procedure, the surgeon inserts a tiny camera (called an arthroscope) through a small incision into your knee. Healthline Media does not provide medical advice, diagnosis, or treatment. Clin Rheumatol 36(11):25572564, Kim JY, Bin SI, Kim JM, Lee BS, Oh SM, Park MH (2019) Tear gap and severity of osteoarthritis are associated with meniscal extrusion in degenerative medial meniscus posterior root tears. Knee Surg Sports Traumatol Arthrosc 27(2):361368, Jacob G, An S, Kumar G, Varghese J (2020) Percutaneous arthroscopic assisted knee medial collateral ligament repair. This can provide pain relief for 2 to 4 weeks. Arthroscopy 32(7):13371345, Kim NK, Bin SI, Kim JM, Lee CR, Kim JH (2017) Meniscal extrusion does not progress during the midterm follow-up period after lateral meniscal transplantation. This suggests that if patients with minimal degeneration and accurate indications undergo MAT with a well-placed graft, the graft extrusion will be minimal and the results will remain unchanged. Treatment with glucosamine, chondroitin sulfate and licofelone has It also outlines symptoms, diagnosis, and treatment and provides information on when to contact a doctor. Google Scholar, Okada K, Yamaguchi S, Sato Y, Enomoto T, Ogawa Y, Ohtori S et al (2019) Comparison of meniscal extrusion and osteophyte formation at the intercondylar notch as a predictive biomarker for incidence of knee osteoarthritis-Data from the Osteoarthritis Initiative-. Learn about the most common knee injuries from falling, as well as which ones you can treat at home and which ones require medical attention. PubMed Central Knee Surg Sports Traumatol Arthrosc 19(2):222229, Oo WM, Linklater JM, Bennell KL, Pryke D, Yu S, Fu K et al (2021) Are OMERACT knee osteoarthritis ultrasound scores associated with pain severity, other symptoms, and radiographic and magnetic resonance imaging findings? Core tip:The healing potential of chronic degenerative menisci remains poor. This study was exempted from the requirement for local institutional review board approval as it is a narrative review of the literature. People with arthritis in their knees are also more prone to meniscus tears. A hip labral tear is an injury to the labrum, the soft tissue that covers the acetabulum (socket) of the hip. Although meta-analyses validate the superiority of root repair over partial meniscectomy in terms of clinical outcomes, they also highlight the inability of root repair to successfully reduce ME [68, 69]. taking pain medications. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Scientists use genetic rewiring to increase lifespan of cells, Beyond amyloid and tau: New targets in developing dementia treatments, Napping longer than 30 minutes linked to higher risk of obesity and high blood pressure, Activity 'snacks' could lower blood sugar, complication risk in type 1 diabetes, In Conversation: Investigating the power of music for dementia, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, stability through preventing the knee from bending and straightening at extreme angles, having an occupation that requires frequent squatting or bending, inability to fully bend and straighten the knee. Your doctor may also recommend conservative measures as a first step if the tear is caused by injury to the knee. They will test your range of motion. To the best of our knowledge, the exact clinical significance of ME after ACLR has not yet been clearly elucidated, although efforts are continuously being made to minimize this phenomenon. People who play sports (like tennis, soccer, basketball or football) that involve sudden twisting movements are most likely to tear a meniscus. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-70702. Conservative treatment constitutes the first line of therapy in mild or moderate knee OA [46, 47]. Knee Surg Sports Traumatol Arthrosc 24(5):14551468, Feucht MJ, Khle J, Bode G, Mehl J, Schmal H, Sdkamp NP et al (2015) Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: a systematic review of clinical, radiographic, and second-look arthroscopic results. Koga et al. Int Orthop 39(12):24812487, Winkler PW, Wierer G, Csapo R, Hepperger C, Heinzle B, Imhoff AB et al (2020) Quantitative evaluation of dynamic lateral meniscal extrusion after radial tear repair. Arthrosc Tech 6(2):e269e274, Ahn JH, Kang HW, Yang TY, Lee JY (2016) Multivariate analysis of risk factors of graft extrusion after lateral meniscus allograft transplantation. PLoS One. [53], in a retrospective review of 131 patients who had undergone arthroscopic surgery for knee OA and were followed up for 4years, found that in regard to pain relief, arthroscopic surgery was also beneficial in patients with major MME (>3mm). Although in mild/moderate knee OA there is still no specific treatment targeting ME, the established conservative and operative treatment modalities seem equally successful in delaying the progression of OA and improving symptoms when ME is also present. 2014;34(4):981-99. CARTILAGE 21:1947603520934525, Lee DH, Lee BS, Kim JM, Yang KS, Cha EJ, Park JH et al (2011) Predictors of degenerative medial meniscus extrusion: radial component and knee osteoarthritis. 2017;25(1):76-84. Eur Radiol 22(1):211220, Lee DW, Jang HW, Lee SR, Park JH, Ha JK, Kim JG (2014) Clinical, radiological, and morphological evaluations of posterior horn tears of the lateral meniscus left in situ during anterior cruciate ligament reconstruction. Doctors may use additional clinical tests that assess range of motion in the knee from various positions. Meniscus PubMedGoogle Scholar. Knee 26(6):12921298, Zhang ZZ, Zhou YF, Luo H, Zhang HZ, Chen Z, Jiang C et al (2020) A novel surgical technique for arthroscopic repair of type II posterior lateral meniscal root tear. Heres what it involves: Treatment usually starts with the RICE method: If recommended by your doctor, use nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen to reduce pain and swelling for 8 to 12 weeks. Orthopaedics, University General Hospital of Alexandroupolis, St. Niarhos 1, Dragana, 68100, Alexandroupolis, Greece, Konstantinos G. Makiev,Ioannis S. Vasios&Paraskevas Georgoulas, Orthopaedics, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece, Konstantinos Tilkeridis,Georgios Drosos&Athanasios Ververidis, You can also search for this author in Surgery is a very effective way to repair a torn meniscus. Several strategies have been proposed to reduce allograft extrusion. CAS [54] showed that varus alignment factors, and specifically medial proximal tibial angle (MPTA), were significantly related to the extent of MME, especially as the knee OA grade progressed. This value is identified as the optimal cutoff point for a complete PRT of the LM and has 100% sensitivity and 83% specificity [92]. The authors did not receive funding for this study. Often, athletes and people who play sports for fun suffer meniscus tears. This puts tension on a torn meniscus. Makiev, K.G., Vasios, I.S., Georgoulas, P. et al. However, to date there is still no well-designed clinical trial available to ascertain the effectiveness of centralization in reducing ME. defined significant ME as when more than 25% of the meniscal body width extends beyond the tibial limit [14,15,16,17]. Clin Anat N Y N 28(6):792799, Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA et al (2019) OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage 27(11):15781589, Primorac D, Molnar V, Matii V, Hudetz D, Jele , Rod E et al (2021) Comprehensive review of knee osteoarthritis pharmacological treatment and the latest professional societies guidelines. This post will carry two messages, both equally important. Lie on the back, with the unaffected knee bent. PubMed Astur et al. This cartilage is the meniscus. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 25(2):335346, Kopf S, Beaufils P, Hirschmann MT, Rotigliano N, Ollivier M, Pereira H et al (2020) Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus. There is no established optimal surgical technique at present for restoring ME to normal values, and thus there will be a strong need for more effective and refined techniques. MK, VSI and GP participated in the study design and helped to draft the manuscript. A narrative review with focus on relevance for osteoarthritis research. It is a very common injury, especially among people who play sports. Feel like your knee locks up or might give way underneath you. Depending on the size and location of your meniscus tear, it may heal without surgery. J Orthop Res Off Publ Orthop Res Soc 36(7):18941900, Kodama Y, Furumatsu T, Miyazawa S, Fujii M, Tanaka T, Inoue H et al (2017) Location of the tibial tunnel aperture affects extrusion of the lateral meniscus following reconstruction of the anterior cruciate ligament. Arthritis Care Res 68(10):15601566, Article This post goes into considerable detail about managing a knee with arthritis and a complex or degenerative meniscus tear. Last medically reviewed on December 21, 2020. Int J Rheum Dis 17(5):536540, PubMed (2012). https://doi.org/10.1055/s-0040-1710377, Monllau JC, Ibaez M, Masferrer-Pino A, Gelber PE, Erquicia JI, Pelfort X (2017) Lateral capsular fixation: an implant-free technique to prevent meniscal allograft extrusion. David Prado/Stocksy United. However, its posterior extrusion progressed significantly regardless of the healing status [90]. Nevertheless, there is still controversy in the literature regarding the optimal threshold, as a few studies have proposed a value lower than 3mm [9, 10], whereas other researchers suggest that a cutoff value higher than 3mm is optimal [11,12,13]. Osteoarthritis Cartilage 20(12):15071513, Bevers K, Bijlsma JW, Vriezekolk JE, van den Ende CH, den Broeder AA (2014) Ultrasonographic features in symptomatic osteoarthritis of the knee and relation with pain. While many studies have shown a positive association [35,36,37,38], other studies investigating the association between ultrasound features, including ME, and pain in a series of osteoarthritic knees found no correlation between pathological ME (>3mm) and pain in knee OA. [39,40,41]. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. (D) After the 2 suture limbs have been tied arthroscopically forming a circumferential compression stitch. Meniscus tears can occur at any age. Cleveland Clinic is a non-profit academic medical center. Arch Bone Jt Surg 6(4):250259, PubMed The precise location of your knee pain can help you narrow down the potential cause. View Yuranga Weerakkody's current disclosures, see full revision history and disclosures, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity. Am J Sports Med 38(12):24482455, Ha JK, Jang HW, Jung JE, Cho SI, Kim JG (2014) Clinical and radiologic outcomes after meniscus allograft transplantation at 1-year and 4-year follow-up. A physical therapist can provide a daily routine of exercises and stretches to improve your muscle strength, flexibility, range of motion, and stability. CAS They then measured the medial meniscal extrusion (MME) with U/S under weight-bearing and reported a cutoff value of MME for knee pain of 4.3mm, with sensitivity of 84% and specificity of 85% [43]. Am J Sports Med 42(2):327335, Shelbourne KD, Roberson TA, Gray T (2011) Long-term evaluation of posterior lateral meniscus root tears left in situ at the time of anterior cruciate ligament reconstruction. Cite this article. Arthroscopic partial meniscectomy The goal of this J Knee Surg. Red-red tears are within the red zone, and red-white tears have central margins that extend into the white zone. These fibers specifically act on the LM anterior root attachment itself, explaining the reduction in the ultimate failure of the anterior root strength of the LM with disruption of these fibers [87, 93]. Advertising on our site helps support our mission. J Orthop Res 38(11):24952504, Roemer FW, Kwoh CK, Hannon MJ, Green SM, Jakicic JM, Boudreau R et al (2012) Risk factors for magnetic resonance imagingdetected patellofemoral and tibiofemoral cartilage loss during a six-month period: the Joints On Glucosamine study. WebArthroscopic surgery. Traditional Ayurvedic treatments are widely used in South Asia to reduce swelling, pain, and motion restrictions in meniscus tears and knee osteoarthritis. The menisci are crescent-shaped, fibrocartilaginous structures located between femoral and tibial condyles, which are important for load transmission and distribution, shock absorption, secondary stability and proprioception of the knee joint [1]. A Meta-analysis Am J Sports Med 46(9):22852290, Smith NA, Parkinson B, Hutchinson CE, Costa ML, Spalding T (2016) Is meniscal allograft transplantation chondroprotective? Knee Surg Sports Traumatol Arthrosc 28(11):34163425, Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jger A (2010) Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. https://doi.org/10.1155/2017/6793026, Berthiaume MJ, Raynauld JP, Martel-Pelletier J, Labont F, Beaudoin G, Bloch DA et al (2005) Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Osteoarthritis Cartilage 13(7):568574, Chan KKW, Sit RWS, Wu RWK, Ngai AHY (2014) Clinical, radiological and ultrasonographic findings related to knee pain in osteoarthritis. Google Scholar, Abat F, Gelber PE, Erquicia JI, Pelfort X, Gonzalez-Lucena G, Monllau JC (2012) Suture-only fixation technique leads to a higher degree of extrusion than bony fixation in meniscal allograft transplantation. WebYour doctor will remove a piece of the torn meniscus so your knee can function normally. https://doi.org/10.1007/s00167-020-06363-0, Miller TT, Staron RB, Feldman F, epel E (1997) Meniscal position on routine MR imaging of the knee. This study demonstrated that the macerated tear is common in the tear pattern of AHLM, which is also closely associated with the cyst predominantly found in Treatment for knee meniscus tears may involve: using the rest, ice, compression, and elevation (RICE) method. They may also share some exercises you can do at home. J Orthop Sci 24(1):121127, Chiba D, Sasaki E, Ota S, Maeda S, Sugiyama D, Nakaji S et al (2020) US detection of medial meniscus extrusion can predict the risk of developing radiographic knee osteoarthritis: a 5-year cohort study. Dawson LJ, et al. Finally, we provide a proposed treatment algorithm based on the information retrieved from the literature that could help guide clinicians in the management of ME on the aforementioned knee pathologies (Fig. Knee arthroscopy, a minimally invasive procedure, is often used to treat meniscal tears. Prepatellar bursitis is a common complaint of people who work on their knees or who engage in activities that risk blows to the knee. 1), although it may underestimate ME, as the assessment is routinely not performed under weight-bearing conditions [18,19,20]. Winkler. After recovery, your knee will be more stable, and youll be less likely to develop additional knee problems. Correct estimation of the allograft size is also important. Using the back of a chair for support, stand upright. But you can reduce your risk of a torn meniscus if you: Most people who tear a meniscus can return to full activity. Moreover, extrusion of the LM does not improve after ACLR unless the meniscal tear is repaired [87, 92]. Lie on the back and bend both knees at a 10-degree angle. Knee Surg Sports Traumatol Arthrosc. There is no consensus whether medial or lateral MAT is superior in terms of medium-term (510years) and long-term (>10years) survival. Theres an inner (medial) meniscus and an outer (lateral) meniscus. Factors that increase the risk of a meniscus tear include: Doctors classify meniscus tears according to their shape and location. Osteoarthritis Cartilage. For these reasons, certain contraindications have been introduced (Table 2) [102, 103, 105,106,107,108,109]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Here's what to expect from. J Orthop Sci 25(4):640646. Arthroscopy 31(4):699706, Lee SM, Bin SI, Kim JM, Lee BS, Park JG (2020) Absolute meniscal extrusion after lateral meniscal allograft transplantation does not progress during long-term follow-up: average of 10.3 years follow-up longitudinal magnetic resonance imaging study. Orthop J Sports Med 8(4):2325967120914568, Tsujii A, Yonetani Y, Kinugasa K, Matsuo T, Yoneda K, Ohori T et al (2021) Outcomes more than 2 years after meniscal repair for longitudinal tears of the lateral meniscus combined with anterior cruciate ligament reconstruction. Following proper treatment and rehabilitation, people can typically resume their pre-injury activities. Acta Med Okayama 70(6):441448, Narazaki S, Furumatsu T, Tanaka T, Fujii M, Miyazawa S, Inoue H et al (2015) Postoperative change in the length and extrusion of the medial meniscus after anterior cruciate ligament reconstruction. Therefore, proper placement of the posterior horn is critical to the anatomical repair of the meniscus [125,126,127]. Chin Med J (Engl) 132(21):25502558, Goto N, Okazaki K, Akiyama T, Akasaki Y, Mizu-uchi H, Hamai S et al (2019) Alignment factors affecting the medial meniscus extrusion increases the risk of osteoarthritis development. Brignardello-Petersen R, et al. [74] retrospectively analyzed MRI series with isolated ME without concomitant serious knee pathologies, and found that isolated significant ME (>3mm) was associated with MTL abnormalities. Shiraev T, et al. Furthermore, Lee et al. The knee is a complex synovial joint that can be affected by a range of pathologies: ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 28(4):11771194, Swamy N, Wadhwa V, Bajaj G, Chhabra A, Pandey T (2018) Medial meniscal extrusion: detection, evaluation and clinical implications. Jones JC, et al. It can be hard to prevent an accidental injury. Eur Radiol 29(5):26162623, Debieux P, Jimenez AE, Novaretti JV, Kaleka CC, Kriscenski DE, Astur DC et al (2020) Medial meniscal extrusion greater than 4 mm reduces medial tibiofemoral compartment contact area: a biomechanical analysis of tibiofemoral contact area and pressures with varying amounts of meniscal extrusion. However, data on this is limited and shouldnt replace talking with your doctor about your treatment options. A torn or strained meniscus is generally treated with rest, ice, over-the-counter anti-inflammatory medicines and physical therapy. Although there is still controversy in the literature in respect of the optimal cutoff value, a threshold of 3mm is considered significant. When will I be able to get back to full activity? complex tear: a combination of all or some horizontal, vertical, and radial-type tears. statement and Several other techniques of meniscal centralization with suture anchors as well as with transtibial tunnel, with or without prior meniscal release from its capsular attachments, have also been described in technical notes (Fig. Most people will need to perform exercises following surgery. Most often, the meniscus tears during a sudden motion in which your knee twists while your foot stays planted on the ground. Unable to process the form. Cookies policy. Orthop J Sports Med. PubMed Knee Surg Relat Res. We also explore recovery and when to contact a doctor. In general, Ayurvedic treatment considers the whole state of the person, not just the specific location of the pain. Google Scholar, Ozeki N, Seil R, Krych AJ, Koga H (2021) Surgical treatment of complex meniscus tear and disease: state of the art. The Relationship Between Meniscal Pathology and Osteoarthritis Depends on the Type of Meniscal Damage Visible on Magnetic Resonance Images: Data from the Osteoarthritis Initiative. Meniscal extrusion (ME) is a radiological finding, especially in magnetic resonance imaging (MRI) scans, for which there has been growing interest in recent years. Clinical significance and management of meniscal extrusion in different knee pathologies: a comprehensive review of the literature and treatment algorithm. Policy. Google Scholar, uczkiewicz P, Daszkiewicz K, Chrcielewski J, Witkowski W, Kuik L (2017) High meniscal slope angle as a risk factor for meniscal allograft extrusion. Call the offices of Dr. Brett Gilbert at (919) 788-8797 or request an appointment online, and let Dr. Gilbert help you get back to Therefore, the relative values may be significant [17]. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. If you have surgery to repair a torn meniscus, your knee should be fully recovered after a few months of physical therapy. It has been shown from studies that the risk for TKA after ACLR is seven timesgreater than in normal individuals [88]. J Knee Surg. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. It is known that ACL and meniscal function cannot be fully restored even after surgical repair [86, 90]. To perform this exercise, a person should do the following: The red zone has a blood supply, and therefore, a meniscus injury in this area may heal on its own. MPRT are defined as an avulsion fracture or a radial lesion occurring within 1cm of the bony tibial attachment [56]. An MRI scan is the method of choice for confirming a suspected diagnosis. More serious meniscus tears may not heal on their own. The results as to which technique is superior to the others remain controversial. [31] showed that lateral ME was associated with worsening of patellofemoral joint OA features at 2-year follow-up. The early results of MAT are encouraging, as pain relief and improved knee function are reported [15,16,17, 62, 104,105,106,107,108,109]. Therefore, nonoperative treatment should be reserved for nonsurgical candidates [61]. Terms and Conditions, Privacy PolicyThe information on this site is not intended or implied to be medical advice, diagnosis, or treatment. Our friendly team is here to answer your questions about knee injuries or any other problems with your bones or joints. However, it has also been hypothesized that MPRT is not the sole contributing factor predisposing to ME. Fig 3. Mordecai SC, et al. Tears in this area are typically more likely to heal on their own. All rights reserved. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 24(9):29232935, Lee SM, Bin SI, Kim JM, Lee BS, Lee CR, Son DW et al (2019) Long-term outcomes of meniscal allograft transplantation with and without extrusion: mean 12.3-year follow-up study. Meniscus tears are the most frequently treated knee injuries. Although there is a need for longer follow-up periods, the currently available data suggest a benefit of concomitant ACLR with the repair of longitudinal, radial, posterior horn and posterior root tears of the menisci, because the combination can even better reduce their shape and extrusion [92, 98,99,100]. If you have a Several preoperative and intraoperative factors (Table 3) are associated with the absolute value of allograft extrusion [16, 102, 106, 109, 120]. J Knee Surg 34(2):178186, Furumatsu T, Kodama Y, Kamatsuki Y, Hino T, Okazaki Y, Ozaki T (2017) Meniscal extrusion progresses shortly after the medial meniscus posterior root tear.
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