What is a Meniscal Tear?
Meniscus tear is the commonest knee injury in athletes, especially those involved in contact sports. A sudden bend or twist in your knee causes the meniscus to tear. This is a traumatic meniscus tear. Elderly people are more prone to degenerative meniscal tears as the cartilage wears out and weakens with age. The two wedge-shaped cartilage pieces present between the thighbone and the shinbone are called meniscus. They stabilise the knee joint and act as "shock absorbers".
Symptoms of Meniscal Tears
Torn meniscus causes pain, swelling, stiffness, catching or locking sensation in your knee making you unable to move your knee through its complete range of motion.
Diagnosis of Meniscal Tears
Your orthopaedic surgeon will examine your knee, evaluate your symptoms and medical history before suggesting a treatment plan. The treatment depends on the type, size and location of tear as well your age and activity level. If the tear is small with damage only in the outer edge of the meniscus, non-surgical treatment may be sufficient. However, if the symptoms do not resolve with non-surgical treatment, surgical treatment may be recommended.
Surgical Treatment for Meniscal Tears
Knee arthroscopy is the commonly recommended surgical procedure for meniscal tears. The surgical treatment options include meniscus removal (meniscectomy), meniscus repair, and meniscus replacement. Surgery can be performed using arthroscopy where a tiny camera will be inserted through a tiny incision which enables the surgeon to view the inside of your knee on a large screen and through other tiny incisions, surgery will be performed. During meniscectomy, small instruments called shavers or scissors may be used to remove the torn meniscus. In arthroscopic meniscus repair the torn meniscus will be pinned or sutured depending on the extent of tear.
Meniscus replacement or transplantation involves replacement of a torn cartilage with the cartilage obtained from a donor or a cultured patch obtained from a laboratory. It is considered as a treatment option to relieve knee pain in patients who have undergone meniscectomy.