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Meniscal Injury

Jennifer B. Schwartz, MD Reviewed 06/2020
 


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

  • Knee pain (increased with knee flexion)

  • Pain with descending stairs

  • Noncontact twisting mechanism

  • ± Locking, catching

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

TREATMENT

GENERAL MEASURES

  • Nonsurgical management is appropriate first-line treatment for symptomatic meniscal tears without mechanical symptoms (3)[C].

  • Conservative treatments include: rest, ice, activ...

REFERENCES

1
Liechti DJ, Constantinescu DS, Ridley TJ, et al. Meniscal repair in pediatric populations: a systematic review of outcomes. Orthop J Sports Med.  2019;7(5):2325967119843355.
2
Ferrari M...

ADDITIONAL READING

  • Abram SGF, Beard DJ, Price AJ, et al. Arthroscopic meniscal surgery–A National Society Treatment Guideline and Consensus Statement. Bone Joint J.  2019;101-B(6):652–659.

  • Bruno F...

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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