Skip to main content

Meniscal Injury

Jennifer B. Schwartz, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

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

  • Each meniscus has a body, anterior and posterior horn.

  • The menisci help stabilize the kn...

DIAGNOSIS

HISTORY

  • Noncontact twisting or hyperflexion mechanism

  • Delayed swelling, typically >24 hours postinjury

  • Knee pain (on affected side):

    • Increased with knee flexion (i.e., stairs, squatting)

  • Loc...

TREATMENT

GENERAL MEASURES

  • Conservative treatments include rest, ice, compression, elevation, activity modification, physical therapy, intra-articular corticosteroid injections.

    • Effective first-line o...

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 al...

REFERENCES

1
Ghislain NA, Wei J, Li Y. Study of the clinical outcome between traumatic and degenerative (non-traumatic) meniscal tears after arthroscopic surgery: a 4-years follow-up study. J Clin Diag...

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 OvidMedli...

SEE ALSO

Algorithm: Knee Pain 

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

  • Degenerative meniscal tears are common in patients >40 years of age and generally do not require surgical repair.

  • MRI is imaging modality of choice to identify meniscal tears.

  • Functio...

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.

 
×