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How To Repair A Torn Parachute

Meniscus Tear: Should I Have Surgery?

Meniscus Tear: Should I Take Surgery?

You may desire to accept a say in this decision, or you may simply desire to follow your doctor's recommendation. Either fashion, this information will aid you sympathize what your choices are and then that you tin can talk to your doctor well-nigh them.

Meniscus Tear: Should I Have Surgery?

Get the facts

Your options

  • Have surgery to treat a meniscus tear.
  • Don't have surgery. Employ home handling and concrete therapy to treat your articulatio genus.

Key points to remember

  • Your decision most surgery for a torn meniscus will depend on where the tear is located, the pattern of the tear, and how big it is. Your surgeon'due south feel and preference, also equally your age, health, and activity level, tin can besides affect your handling options.
  • At that place are ii kinds of surgery for a meniscus tear. Ane kind repairs the tear by sewing it dorsum together. The other kind removes function or all of the meniscus. In general, it's better to fix the meniscus than to remove it.
  • Some types of tears tin can't be stock-still. For example, radial tears sometimes can be stock-still, merely it depends on where they are. Simply well-nigh horizontal, long-standing, and degenerative tears—those caused by years of wear and tear—can't be stock-still. For these kinds of tears, you may need to have part or all of the meniscus removed.
  • You may want to accept surgery if your articulatio genus pain is too bang-up or if you are unable to practice daily activities.
  • Surgery may assistance you reduce the risk of other articulation problems, such as osteoarthritis . There are no long-term studies to bear witness it, but many doctors believe that successful meniscus repair helps to evenly spread the stress placed on the genu articulation. If the knee is protected from uneven force, there is a lower risk of future articulation problems.
  • Some kinds of tears heal on their ain. Instead of surgery, you may try rest, ice, compression, and propping up your leg on a pillow when you sit or prevarication down.

FAQs

A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each genu has two menisci (plural of meniscus) —1 at the outer edge of the human knee and one at the inner edge. The menisci keep your articulatio genus steady by balancing your weight beyond the human knee. A torn meniscus can forestall your articulatio genus from working correct.

A meniscus tear is usually acquired by twisting or turning, often with the foot planted while the knee is bent. These tears tin occur when you lift something heavy or play sports. Equally you go older, your meniscus gets worn. This can get in tear more than easily.

If you lot are older, yous may not know what you did to cause the tear. Or you may only recollect feeling pain later on you got upward from a squatting position, for example. Pain and slight swelling are often the just symptoms.

There are three types of meniscus tears, each increasing in severity. The more serious the tear, the more than severe the symptoms.

With a small-scale tear, you may have slight pain and swelling. This usually goes away in 2 or 3 weeks.

With a moderate tear, y'all may feel hurting at the side or center of your knee joint. Swelling slowly gets worse over 2 or 3 days. This may make your genu experience stiff and limit how well you can bend your knee. Usually you are withal able to walk. You lot might experience a abrupt pain when you twist your knee or squat. These symptoms go away only can come back if you twist or overuse your knee.

In astringent tears, pieces of the torn meniscus can move into the joint space. This can make your knee catch, pop, or lock. You may not be able to straighten information technology. Your knee may feel "wobbly" or buckle without warning. It may swell and become stiff right later on the injury or within 2 or iii days.

In that location are 2 basic types of treatment for a torn meniscus—nonsurgical treatment and surgery.

  • With nonsurgical treatment, you use residual, water ice, compression, and meridian, and y'all take physical therapy. You may wear a knee brace for a short time.
  • With surgery, you tin can have one of the post-obit:
    • Surgical repair to run up the tear together.
    • Partial meniscectomy, which is surgery to remove the torn section of the meniscus.
    • Total meniscectomy, which is surgery to remove the entire meniscus. This surgery is not usually done, because it increases the adventure of osteoarthritis in the human knee.

When possible, information technology'southward ameliorate to fix the meniscus than to remove information technology. If the meniscus can be fixed, you have a lower risk of future articulation problems. footnote one

Your doc volition probable suggest the treatment that he or she thinks will piece of work best for you based on where the tear is, the pattern of the tear, and how large it is. Your age, your health, and your action level may also touch on your treatment options. In some cases, the surgeon makes the final decision during surgery, when he or she can see how strong the meniscus is, where the tear is, and how large the tear is.

  • If you have a small-scale tear at the outer border of the meniscus (in what doctors telephone call the red zone ), you may want to try dwelling house handling. These tears ofttimes heal with remainder.
  • If you accept a moderate to large tear at the outer edge of the meniscus (red zone), you may want to think well-nigh surgery. These kinds of tears tend to heal well after surgery.
  • If you have a tear that spreads from the cerise zone into the inner two-thirds of the meniscus (called the white zone ), your conclusion is harder. Surgery to repair these kinds of tears may not work. You may need a partial meniscectomy instead.
  • If you have a tear in the white zone of the meniscus, repair surgery usually isn't done, because the meniscus may not heal. But fractional meniscectomy may be done if torn pieces of meniscus are causing pain and swelling.

Some kinds of tears can't exist fixed. Radial tears sometimes can be stock-still, merely it depends on where they are. Most of the time, horizontal , long-continuing, and degenerative tears—those caused by years of wear and tear—can't be fixed. The older you are, the less likely it is that your tear can be repaired. For these kinds of tears, y'all may need to take part or all of the meniscus removed.

When possible, meniscus surgery is done using arthroscopy instead of open surgery. During arthroscopy, your physician puts a lighted tube with a tiny camera—chosen an arthroscope, or scope—and surgical tools through small incisions.

In a young person, surgery to fix the tear may be the first pick, because information technology may restore use of the knee joint.

Surgery has risks, including infection, a claret jell in the leg, damage to nerves or claret vessels, and the risks of anesthesia. Afterwards surgery y'all may however take pain and joint stiffness.

Surgery to repair tears in the meniscus relieves symptoms 85% of the time. This ways that of 100 people who take this surgery, 85 have relief from hurting and can utilize their knee normally, while 15 practise not. footnote 2

Meniscus repair is most successful:

  • In younger people.
  • In knees that have skilful stability.
  • In longitudinal tears or in radial tears that occur in the red zone .
  • If the repair is done in the first few weeks afterwards the injury.

Surgery to remove part of the meniscus (meniscectomy) is improve at keeping your articulatio genus stable than surgery to remove all of the meniscus. Fractional removal also allows a quicker and more consummate recovery than total removal.

Removing the whole meniscus typically reduces some symptoms. But losing the meniscus reduces the cushioning and stability of the joint. Near people, especially if they are young or active, are not satisfied with a full meniscectomy. This is why surgeons try to remove every bit little of the meniscus every bit possible.

Studies of partial meniscectomy have shown that 78% to 88% of people accept good results from partial meniscectomy. This means that 78 to 88 people out of 100 people who have this surgery accept reduced symptoms and are able to render to most or all of their activities. footnote ii

Small tears institute at the outer edge of the meniscus often heal with rest. Instead of surgery, you may try residue, water ice, pinch, and elevation. You may wear a articulatio genus brace. You can endeavor over-the-counter medicine such as ibuprofen or naproxen to help with pain and to reduce swelling.

If your symptoms go abroad, your doctor may propose exercises to build upward your quadriceps and hamstring muscles and increase your flexibility. It's important to follow your doctor'south guidelines so that you lot don't hurt yourself again.

Your doctor may recommend surgery because:

  • You still have pain later on trying other treatment, such as rest and concrete therapy.
  • Your knee "locks upward" instead of working normally.
  • Yous may exist able to reduce the risk of future joint bug ( osteoarthritis ).
  • You lot are an active person and your tear is in the red-to-white zone . Surgery can help render your knee to normal.

Compare your options

Compare

What is usually involved?

What are the benefits?

What are the risks and side effects?

Accept surgery for a torn meniscus Have surgery for a torn meniscus

  • You have surgery to fix or remove the meniscus. In most cases, yous will go home on the same 24-hour interval as the surgery.
  • Either blazon of surgery is followed by rehabilitation that includes rest, walking, and doing exercises until you take full range of motion without pain.
  • Later surgery to ready your meniscus, yous must limit move for up to 2 weeks. It may take weeks or months before you tin can go back to your daily activities after surgery.
  • Surgery to repair tears in the meniscus relieves symptoms 85% of the time. That means that of 100 people who have this surgery, 85 have relief from hurting and can use their knee joint normally, while 15 do non. footnote two
  • Surgery to repair tears may reduce the risk of long-term joint problems.
  • Out of 100 people who had surgery to remove role of the meniscus, 78 to 88 had relief from hurting and knee problems. footnote ii
  • You lot may still take pain and joint stiffness after surgery.
  • Surgery has risks, such every bit:
    • Infection.
    • Damage to nerves or blood vessels around the knee.
    • Claret clots in the leg.
    • Harm to the joint.
    • Risks from anesthesia.
  • Your age and your health tin also bear upon your risk.

Don't have surgery Don't have surgery

  • You lot try rest, ice, compression, and elevation.
  • You may habiliment a knee brace.
  • Y'all try over-the-counter medicine such every bit ibuprofen or naproxen to assist with pain and swelling.
  • You lot may do exercises to build up your thigh muscles (quadriceps and hamstrings) and increase your flexibility.
  • You may exist able to relieve pain and return your knee to normal.
  • Y'all avoid surgery that you may not need if the tear heals on its ain.
  • Yous avoid the risks of surgery.
  • Yous tin still take surgery later if your symptoms don't get improve.
  • Your tear may non heal on its own, so you may however need surgery.
  • You may still take hurting, or your hurting may get worse.
  • You lot may not accept total use of your knee joint.

I've had quite a chip of hurting on one side of my human knee for a couple of weeks, merely my symptoms have decreased. My medico thinks that my meniscus may be healing on its own. I'g withal seeing my doctor, though, and I've started rehabilitation with a physical therapist. He's got me going through range-of-motion and knee strengthening exercises at habitation. I don't think I'll need surgery.

Jose, age 41

A few months ago, I started having hurting in my right genu when I would motion it certain ways. My doctor examined my articulatio genus and asked me about my symptoms. He diagnosed a tear in my meniscus. A follow-up MRI confirmed it. I've been doing rehabilitation, but it's been 2 months and I've all the same got pain, particularly if I twist my knee at all. The orthopedic surgeon thinks that I may have a flap or piece of the torn meniscus moving in the genu, which is giving me a lot of problems with my genu locking. He's recommending surgical repair, and I am going to get ahead with the surgery.

Will, age 63

I injured my knee nigh a month ago in a tennis game. It didn't take my doctor long to diagnose a meniscus tear, and I'm going to take an arthroscopic test to see just how much I've damaged the knee. The surgeon says she tin exercise repairs in the same procedure. My female parent has severe osteoarthritis, and I believe that my genu may develop early arthritis if I don't get this tear taken intendance of. The arthroscopic surgery makes sense to me.

Alondra, age 32

I am a serious athlete and this isn't my first injury. But this is the first time I've had to think well-nigh surgery. I've had bad pain in my articulatio genus fairly constantly since I twisted it in the gym a few weeks ago. Information technology's particularly bad if I bend or flex my knee. The surgeon says that the MRI shows a large tear in the inner part of my meniscus, and that'due south the role that doesn't heal well. He's recommending a partial meniscectomy to remove the damaged tissue. He says that he'll only have to remove a small role of the meniscus and I'll still take stability in the articulatio genus, and no more pain! I'k going to have the surgery adjacent week.

Marlon, age 30

What matters virtually to you?

Your personal feelings are just every bit important as the medical facts. Think almost what matters almost to you in this conclusion, and show how y'all feel about the following statements.

Reasons to have surgery

Reasons not to accept surgery

I want to exercise whatever I can to fix my knee.

I recall my meniscus tear is pocket-sized. I desire to wait and run into if my knee gets ameliorate earlier I accept surgery.

More important

As important

More important

I'thou in a lot of pain, and I want to have surgery then I tin can beginning feeling better.

My pain isn't too bad.

More important

Equally of import

More than of import

I think surgery may help me avoid long-term joint problems.

I don't want to take surgery for any reason.

More important

Equally important

More important

I accept the risks of surgery.

I feel that surgery is as well risky for me.

More important

Every bit of import

More important

My other important reasons:

My other important reasons:

More important

As important

More important

Where are you leaning now?

Now that you've idea about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning correct at present.

Having surgery

Not having surgery

Leaning toward

Undecided

Leaning toward

What else do y'all need to brand your decision?

Check the facts

1, My treatment for a torn meniscus will depend on more than than just how I injure my knee joint.
2, Surgery may not be able to set every tear.
three, Surgery may help me avoid long-term joint issues.

Make up one's mind what's next

1, Do y'all understand the options bachelor to you lot?
ii, Are you clear almost which benefits and side furnishings affair most to yous?
three, Exercise you lot have enough support and advice from others to make a choice?

Certainty

i. How sure do you feel correct now about your decision?

Non sure at all

Somewhat sure

Very sure

2, Check what you need to do before you lot make this determination.

Your Summary

Here'due south a record of your answers. Y'all can employ it to talk with your doctor or loved ones near your decision.

Next steps

Which manner you're leaning

How sure you are

Your comments

Key concepts that you understood

Central concepts that may demand review

Patient choices

Credits

Author Healthwise Staff
Primary Medical Reviewer William H. Blahd Jr. Doctor, FACEP - Emergency Medicine
Primary Medical Reviewer Adam Husney MD - Family unit Medicine
Principal Medical Reviewer E. Gregory Thompson Dr. - Internal Medicine
Chief Medical Reviewer Kathleen Romito Medico - Family unit Medicine
Primary Medical Reviewer Patrick J. McMahon Doctor - Orthopedic Surgery

References

Citations

  1. McMahon PJ, et al. (2014). Sports medicine. In HB Skinner, PJ McMahon, eds., Current Diagnosis and Treatment in Orthopedics, fifth ed., pp. 88–155. New York: McGraw-Loma.
  2. Beynnon BD, et al. (2010). Meniscal injuries. In JC DeLee et al., eds., DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice, 3rd ed., vol. 2, pp. 1596–1623. Philadelphia: Saunders Elsevier.

You may want to take a say in this decision, or you may only want to follow your physician's recommendation. Either way, this data will help you empathize what your choices are then that yous can talk to your doctor about them.

Meniscus Tear: Should I Have Surgery?

Here'due south a record of your answers. You tin can use information technology to talk with your doctor or loved ones about your decision.

  1. Become the facts
  2. Compare your options
  3. What matters well-nigh to you?
  4. Where are you leaning now?
  5. What else do yous need to make your decision?

i. Get the Facts

Your options

  • Have surgery to care for a meniscus tear.
  • Don't have surgery. Utilise home handling and physical therapy to treat your knee.

Key points to remember

  • Your conclusion about surgery for a torn meniscus will depend on where the tear is located, the pattern of the tear, and how large it is. Your surgeon's feel and preference, as well as your historic period, health, and activity level, can also bear on your treatment options.
  • There are ii kinds of surgery for a meniscus tear. One kind repairs the tear by sewing it back together. The other kind removes part or all of the meniscus. In general, it'southward amend to fix the meniscus than to remove it.
  • Some types of tears can't exist fixed. For instance, radial tears sometimes can be fixed, but it depends on where they are. But most horizontal, long-standing, and degenerative tears—those caused past years of wear and tear—can't be fixed. For these kinds of tears, yous may need to take part or all of the meniscus removed.
  • You may want to have surgery if your knee hurting is too groovy or if you are unable to exercise daily activities.
  • Surgery may help you reduce the chance of other joint problems, such equally osteoarthritis . There are no long-term studies to testify it, but many doctors believe that successful meniscus repair helps to evenly spread the stress placed on the knee articulation. If the knee is protected from uneven force, there is a lower risk of hereafter joint problems.
  • Some kinds of tears heal on their own. Instead of surgery, yous may try rest, ice, compression, and propping up your leg on a pillow when yous sit down or lie down.

FAQs

What is a meniscus tear?

A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus) —one at the outer edge of the knee and i at the inner border. The menisci keep your articulatio genus steady by balancing your weight across the genu. A torn meniscus tin can prevent your knee from working right.

How is a meniscus injured or torn?

A meniscus tear is normally caused past twisting or turning, often with the foot planted while the knee is bent. These tears can occur when you lift something heavy or play sports. As you lot get older, your meniscus gets worn. This tin can make information technology tear more than hands.

If y'all are older, you lot may not know what you lot did to cause the tear. Or you may only remember feeling hurting afterwards yous got up from a squatting position, for example. Pain and slight swelling are often the simply symptoms.

What are the types of meniscus tears?

There are 3 types of meniscus tears, each increasing in severity. The more than serious the tear, the more than severe the symptoms.

With a minor tear, y'all may have slight hurting and swelling. This usually goes away in ii or three weeks.

With a moderate tear, yous may feel pain at the side or center of your knee. Swelling slowly gets worse over 2 or iii days. This may make your knee joint feel stiff and limit how well you tin bend your knee. Ordinarily you lot are still able to walk. You might feel a sharp pain when yous twist your knee or squat. These symptoms go away but tin can come back if you twist or overuse your knee.

In severe tears, pieces of the torn meniscus can motion into the joint space. This tin make your knee catch, pop, or lock. You may not be able to straighten it. Your knee joint may feel "wobbly" or buckle without alarm. It may swell and become stiff right subsequently the injury or within two or 3 days.

How is a torn meniscus treated?

There are two basic types of treatment for a torn meniscus—nonsurgical treatment and surgery.

  • With nonsurgical treatment, y'all use rest, ice, compression, and top, and you have physical therapy. Y'all may clothing a articulatio genus brace for a short time.
  • With surgery, you lot tin can accept one of the following:
    • Surgical repair to sew the tear together.
    • Partial meniscectomy, which is surgery to remove the torn section of the meniscus.
    • Total meniscectomy, which is surgery to remove the entire meniscus. This surgery is not ordinarily washed, because it increases the run a risk of osteoarthritis in the knee joint.

When possible, it's amend to set the meniscus than to remove it. If the meniscus tin be fixed, you have a lower chance of future joint problems. 1

Your medico will likely suggest the handling that he or she thinks will work all-time for yous based on where the tear is, the pattern of the tear, and how big it is. Your age, your health, and your activeness level may likewise affect your treatment options. In some cases, the surgeon makes the concluding conclusion during surgery, when he or she can meet how strong the meniscus is, where the tear is, and how large the tear is.

  • If you have a small tear at the outer edge of the meniscus (in what doctors call the crimson zone ), you may want to effort dwelling house handling. These tears frequently heal with rest.
  • If you have a moderate to large tear at the outer border of the meniscus (cherry-red zone), y'all may want to retrieve nearly surgery. These kinds of tears tend to heal well after surgery.
  • If you take a tear that spreads from the cherry-red zone into the inner ii-thirds of the meniscus (called the white zone ), your decision is harder. Surgery to repair these kinds of tears may non piece of work. You lot may demand a partial meniscectomy instead.
  • If you have a tear in the white zone of the meniscus, repair surgery usually isn't washed, because the meniscus may not heal. But partial meniscectomy may be done if torn pieces of meniscus are causing pain and swelling.

Some kinds of tears can't be fixed. Radial tears sometimes can be stock-still, simply information technology depends on where they are. Most of the time, horizontal , long-standing, and degenerative tears—those caused by years of wear and tear—can't exist fixed. The older you are, the less likely it is that your tear can be repaired. For these kinds of tears, you may need to have function or all of the meniscus removed.

When possible, meniscus surgery is done using arthroscopy instead of open up surgery. During arthroscopy, your doctor puts a lighted tube with a tiny photographic camera—called an arthroscope, or scope—and surgical tools through pocket-size incisions.

In a young person, surgery to fix the tear may be the get-go option, because it may restore use of the human knee.

Surgery has risks, including infection, a claret clot in the leg, damage to nerves or blood vessels, and the risks of anesthesia. After surgery yous may still have pain and articulation stiffness.

How well does surgery work?

Surgery to repair tears in the meniscus relieves symptoms 85% of the time. This ways that of 100 people who take this surgery, 85 have relief from pain and can apply their knee joint normally, while xv do non. 2

Meniscus repair is virtually successful:

  • In younger people.
  • In knees that accept good stability.
  • In longitudinal tears or in radial tears that occur in the red zone .
  • If the repair is done in the first few weeks after the injury.

Surgery to remove function of the meniscus (meniscectomy) is better at keeping your human knee stable than surgery to remove all of the meniscus. Fractional removal also allows a quicker and more complete recovery than total removal.

Removing the whole meniscus typically reduces some symptoms. But losing the meniscus reduces the cushioning and stability of the joint. Most people, particularly if they are young or agile, are not satisfied with a total meniscectomy. This is why surgeons attempt to remove as lilliputian of the meniscus as possible.

Studies of fractional meniscectomy have shown that 78% to 88% of people take good results from partial meniscectomy. This means that 78 to 88 people out of 100 people who have this surgery have reduced symptoms and are able to render to most or all of their activities. 2

What can yous do instead of surgery for a torn meniscus?

Small tears found at the outer edge of the meniscus often heal with residual. Instead of surgery, you may try residue, water ice, compression, and elevation. You lot may wear a articulatio genus brace. You lot can endeavour over-the-counter medicine such equally ibuprofen or naproxen to help with hurting and to reduce swelling.

If your symptoms go away, your doc may propose exercises to build up your quadriceps and hamstring muscles and increase your flexibility. Information technology's important to follow your md's guidelines then that you don't hurt yourself again.

Why might your medico recommend surgery?

Your doctor may recommend surgery because:

  • You still accept pain after trying other handling, such every bit rest and physical therapy.
  • Your knee "locks up" instead of working normally.
  • Yous may be able to reduce the take chances of future joint issues ( osteoarthritis ).
  • You are an active person and your tear is in the crimson-to-white zone . Surgery can help return your knee to normal.

two. Compare your options

Have surgery for a torn meniscus Don't take surgery
What is usually involved?
  • You have surgery to ready or remove the meniscus. In most cases, you volition get home on the aforementioned day as the surgery.
  • Either type of surgery is followed past rehabilitation that includes residual, walking, and doing exercises until you lot take full range of motion without pain.
  • Later surgery to fix your meniscus, y'all must limit movement for up to ii weeks. Information technology may take weeks or months earlier yous can get back to your daily activities after surgery.
  • You endeavor rest, water ice, pinch, and height.
  • You may wear a knee brace.
  • Yous try over-the-counter medicine such equally ibuprofen or naproxen to assistance with pain and swelling.
  • You may practise exercises to build upward your thigh muscles (quadriceps and hamstrings) and increase your flexibility.
What are the benefits?
  • Surgery to repair tears in the meniscus relieves symptoms 85% of the fourth dimension. That means that of 100 people who take this surgery, 85 have relief from pain and can use their genu normally, while 15 practise not. 2
  • Surgery to repair tears may reduce the risk of long-term joint issues.
  • Out of 100 people who had surgery to remove part of the meniscus, 78 to 88 had relief from pain and knee problems. ii
  • You may be able to relieve pain and return your knee to normal.
  • You avoid surgery that yous may not need if the tear heals on its ain.
  • Yous avoid the risks of surgery.
  • You can nevertheless take surgery subsequently if your symptoms don't go better.
What are the risks and side effects?
  • You may nonetheless have hurting and articulation stiffness afterward surgery.
  • Surgery has risks, such as:
    • Infection.
    • Damage to nerves or claret vessels around the knee.
    • Blood clots in the leg.
    • Damage to the joint.
    • Risks from anesthesia.
  • Your historic period and your wellness can also affect your risk.
  • Your tear may not heal on its own, so you may still need surgery.
  • Y'all may nonetheless have pain, or your pain may get worse.
  • Yous may not take full utilise of your knee.

Personal stories

Personal stories about meniscus tear surgery

These stories are based on information gathered from health professionals and consumers. They may be helpful every bit yous make important health decisions.

"I've had quite a bit of pain on ane side of my knee for a couple of weeks, simply my symptoms have decreased. My doctor thinks that my meniscus may be healing on its own. I'1000 still seeing my doctor, though, and I've started rehabilitation with a physical therapist. He's got me going through range-of-motion and knee strengthening exercises at dwelling. I don't recollect I'll demand surgery."

— Jose, age 41

"A few months ago, I started having pain in my correct knee when I would motion it certain ways. My medico examined my knee joint and asked me about my symptoms. He diagnosed a tear in my meniscus. A follow-up MRI confirmed it. I've been doing rehabilitation, but it's been 2 months and I've still got pain, particularly if I twist my knee at all. The orthopedic surgeon thinks that I may have a flap or piece of the torn meniscus moving in the knee joint, which is giving me a lot of problems with my articulatio genus locking. He's recommending surgical repair, and I am going to go ahead with the surgery."

— Volition, age 63

"I injured my knee nearly a calendar month ago in a lawn tennis game. It didn't take my doctor long to diagnose a meniscus tear, and I'k going to have an arthroscopic test to meet but how much I've damaged the knee. The surgeon says she can practice repairs in the aforementioned procedure. My mother has severe osteoarthritis, and I believe that my knee may develop early arthritis if I don't get this tear taken care of. The arthroscopic surgery makes sense to me."

— Alondra, age 32

"I am a serious athlete and this isn't my first injury. But this is the get-go time I've had to think about surgery. I've had bad hurting in my knee fairly constantly since I twisted it in the gym a few weeks ago. It's peculiarly bad if I bend or flex my knee joint. The surgeon says that the MRI shows a big tear in the inner part of my meniscus, and that's the part that doesn't heal well. He's recommending a partial meniscectomy to remove the damaged tissue. He says that he'll only take to remove a pocket-sized office of the meniscus and I'll nonetheless have stability in the knee, and no more pain! I'm going to have the surgery next week."

— Marlon, historic period xxx

3. What matters most to you?

Your personal feelings are just as important as the medical facts. Think about what matters most to you in this determination, and prove how you feel about the following statements.

Reasons to have surgery

Reasons not to have surgery

I desire to do whatever I tin can to fix my articulatio genus.

I think my meniscus tear is minor. I desire to wait and see if my human knee gets better before I have surgery.

More important

Every bit important

More important

I'm in a lot of pain, and I want to accept surgery so I can starting time feeling better.

My hurting isn't too bad.

More important

Equally important

More important

I think surgery may aid me avert long-term articulation issues.

I don't desire to have surgery for whatsoever reason.

More important

Every bit important

More than important

I take the risks of surgery.

I feel that surgery is likewise risky for me.

More important

Equally important

More than important

My other important reasons:

My other of import reasons:

More important

Equally important

More of import

4. Where are you lot leaning now?

Now that you lot've thought nigh the facts and your feelings, yous may have a general idea of where y'all stand on this decision. Testify which way yous are leaning right now.

Having surgery

Not having surgery

Leaning toward

Undecided

Leaning toward

5. What else do y'all need to make your determination?

Check the facts

i. My treatment for a torn meniscus will depend on more than than just how I injure my knee.

  • True
  • False
  • I'chiliad non sure

You lot're right. Your treatment for a torn meniscus volition depend on where the tear is located, the pattern of the tear, and how big it is. Your age, wellness, and activity level can too affect your treatment options.

2. Surgery may not be able to fix every tear.

  • Truthful
  • Simulated
  • I'm not sure

You're right. Some kinds of tears can't be fixed. Radial tears sometimes can be fixed, but it depends on where they are. Most of the fourth dimension, horizontal tears and tears caused by years of article of clothing and tear can't be fixed.

iii. Surgery may help me avoid long-term joint problems.

  • True
  • Imitation
  • I'm not sure

Yous're right. Surgery may be able to prevent long-term joint problems, such every bit osteoarthritis.

Decide what'southward next

one. Do you understand the options available to you?

2. Are yous articulate about which benefits and side furnishings matter nearly to you?

iii. Do you lot have enough support and advice from others to make a pick?

Certainty

one. How certain practise you experience correct now near your determination?

Not sure at all

Somewhat certain

Very sure

ii. Check what you demand to exercise before you make this decision.

  • I'1000 ready to take activeness.
  • I want to discuss the options with others.
  • I want to learn more about my options.

Credits

By Healthwise Staff
Master Medical Reviewer William H. Blahd Jr. Doctor, FACEP - Emergency Medicine
Chief Medical Reviewer Adam Husney Doc - Family Medicine
Master Medical Reviewer Eastward. Gregory Thompson MD - Internal Medicine
Primary Medical Reviewer Kathleen Romito MD - Family Medicine
Primary Medical Reviewer Patrick J. McMahon MD - Orthopedic Surgery

References

Citations

  1. McMahon PJ, et al. (2014). Sports medicine. In HB Skinner, PJ McMahon, eds., Current Diagnosis and Treatment in Orthopedics, 5th ed., pp. 88–155. New York: McGraw-Hill.
  2. Beynnon BD, et al. (2010). Meniscal injuries. In JC DeLee et al., eds., DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice, 3rd ed., vol. 2, pp. 1596–1623. Philadelphia: Saunders Elsevier.

Annotation: The "printer friendly" document will not contain all the information available in the online document some Information (e.chiliad. cantankerous-references to other topics, definitions or medical illustrations) is only bachelor in the online version.

  • Top of the folio

McMahon PJ, et al. (2014). Sports medicine. In HB Skinner, PJ McMahon, eds., Electric current Diagnosis and Treatment in Orthopedics, 5th ed., pp. 88-155. New York: McGraw-Hill.

Beynnon BD, et al. (2010). Meniscal injuries. In JC DeLee et al., eds., DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice, 3rd ed., vol. 2, pp. 1596-1623. Philadelphia: Saunders Elsevier.

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