Skip to main content

Meniscal Injury

Jennifer B. Schwartz, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • The menisci are fibrocartilaginous structures between the femoral condyles and tibial plateaus.

  • The menisci help stabilize the knee and distribute forces across the joint.

  • There are ac...

DIAGNOSIS

HISTORY

  • Pain with descending stairs

  • Noncontact twisting mechanism

    • Knee pain (increased with knee flexion)

  • ± Locking, catching

    • Limited association between self-reported mechanical symptoms and pre...

TREATMENT

GENERAL MEASURES

  • Conservative treatments: rest, ice, activity modification, OTC medications, physical therapy, intra-articular corticosteroid injections

    • Effective first-line options for many p...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Return to play requires that the patient be pain free, have full range of motion, and full strength.

  • Following meniscal repair, patients can generally return to ac...

REFERENCES

1
Pihl K, Turkiewicz A, Englund M, et al. Association of specific meniscal pathologies and other structural pathologies with self-reported mechanical symptoms: a cross-sectional study of 566...

ADDITIONAL READING

  • Beaufils P, Becker R, Kopf S, et al. The knee meniscus: management of traumatic tears and degenerative lesions. EFORT Open Rev.  2017;2(5):195–203. [View Abstract on OvidMedlin...

CODES

ICD10

  • S83.209A Unsp tear of unsp meniscus, current injury, unsp knee, init

  • S83.249A Oth tear of medial meniscus, current injury, unsp knee, init

  • S83.289A Oth tear of lat mensc, current injury, unsp...

CLINICAL PEARLS

  • Chronic/degenerative meniscal tears are common in patients >40 years old and are generally managed conservatively.

  • Acute/traumatic meniscal tears are more common in young athletes an...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×