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Meniscal Injury

Jennifer Schwartz, MD Reviewed 06/2022
 


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.

  • Meniscal tea...

DIAGNOSIS

HISTORY

  • Medial or lateral knee pain and swelling—increased with knee flexion, walking down stairs

  • Noncontact twisting mechanism of injury (if trauma present)

  • ± Locking, catching

    • Limited associat...

TREATMENT

GENERAL MEASURES

  • For traumatic tears (with locking sensation, implying bucket handle tear):

    • Consider surgery—these patients generally have greater improvement after surgery compared to patient...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

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

REFERENCES

1
Geffroy L. Meniscal pathology in children and adolescents. Orthop Traumatol Surg Res. 2021;107(1S):102775.
2
Wesdorp MA, Eijgenraam SM, Meuffels DE, et al. Traumatic Meniscal Tears Are Assoc...

ADDITIONAL READING

  • Abram SGF, Beard DJ, Price AJ; BASK Meniscal Working Group. Arthroscopic meniscal surgery: a national society treatment guideline and consensus statement. Bone ...

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 generally managed conservatively.

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

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