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Meniscal Injury

Jennifer Schwartz, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

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

  • The menisci help to stabilize the knee (with the ACL) and distribute forces across the ...

DIAGNOSIS

HISTORY

  • Medial or lateral knee pain and swelling (increased with knee flexion)

  • Noncontact twisting mechanism of injury (if trauma present)

  • ±Mechanical symptoms (i.e., locking, catching)

    • In young...

TREATMENT

GENERAL MEASURES

  • Non-operative management is recommended as first line for most meniscal tears. This includes:

    • Rest, ice, activity modification

    • Over-the-counter medication

    • Physical therapy (PT)

    • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

PATIENT EDUCATION

Patients should be aware of the risks and benefit...

REFERENCES

1
Rotini M, Papalia G, Setaro N, et al. Arthroscopic surgery or exercise therapy for degenerative meniscal lesions: a systematic review of systematic reviews. Musculoskel Surg. 2023;107:127-...

ADDITIONAL READING

  • Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5-year follow-up of the placebo-surgery controlled FIDEL...

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

  • Chronic/degenerative meniscal tears are common in patients >40 years old and are associated with knee OA.

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

  • Conservativ...

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