Meniscus Tears
Knee meniscus tears are common injuries involving damage to the meniscus, which are C-shaped pieces of cartilage located between the thighbone (femur) and shinbone (tibia) within the knee joint. These tough, rubbery structures act as shock absorbers, cushioning the joint and helping to distribute weight evenly during movement.
Meniscus tears can occur due to sudden twisting or rotating movements of the knee, often seen in sports such as basketball, soccer, or skiing. They can also result from degenerative changes associated with aging, where the meniscus gradually weakens and becomes more prone to tearing with less forceful movements.
Symptoms of a tear may include pain, swelling, stiffness, clicking or popping sensations in the knee joint, and difficulty fully straightening or bending the knee. In some cases, the knee may feel unstable or give way during weight-bearing activities.
Treatment for knee meniscus tears depends on several factors, including the size and location of the tear, as well as the individual's age, activity level, and overall health.
Most Common Type of Meniscus Tears
Radial Tear
A radial tear is a common type of meniscus tear characterized by a tear that extends perpendicular to the edge of the meniscus, often resembling a radial pattern. These tears can occur in various regions of the meniscus and may be stable or unstable depending on their location and extent. Radial tears can lead to symptoms such as pain, swelling, and mechanical symptoms like catching or locking in the knee joint.
Horizontal Tear
Horizontal tears involve a tear that runs parallel to the tibial plateau, typically occurring in the body or central portion of the meniscus. These tears can vary in severity and may lead to symptoms such as pain, swelling, and limited range of motion in the knee joint. Horizontal tears can compromise the structural integrity of the meniscus and may increase the risk of joint instability over time.
Bucket Handle Tear
A bucket handle tear is a longitudinal tear that extends into the meniscus, often resulting in a displaced fragment that resembles a bucket handle. These tears can cause significant mechanical symptoms, such as knee locking or giving way, due to the displacement of the torn meniscal tissue. Prompt surgical intervention is often necessary to address bucket handle tears, as they can lead to complications like joint instability or cartilage damage if left untreated.
Degenerative Tear
Degenerative tears occur as a result of age-related changes in the meniscus, such as wear and tear, degeneration, and weakening of the tissue. These tears are often characterized by fraying or shredding of the meniscus and are common in older individuals, particularly those with osteoarthritis. Degenerative tears may not always cause significant symptoms, but they can contribute to knee pain, swelling, and stiffness over time.
Complex Tear
Complex tears involve a combination of different tear patterns, such as radial tears combined with horizontal or oblique tears. These tears can be challenging to manage and may require individualized treatment approaches based on the specific characteristics and location of the tear.
- Christopher S. Raffo, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - James S. Gardiner, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - John Christoforetti, MD, FAAOS
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
Specialized Meniscus Tear Treatment in Montgomery County, Maryland
Discover personalized care for knee tears at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team of orthopedic experts offers tailored treatment options to address your specific needs and promote optimal healing. Whether you're experiencing pain, swelling, or limited mobility due to a meniscus tear, we're here to help you find relief and regain function in your knee. Reach out to us at (301) 515-0900 or easily schedule your appointment online.