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 factsYour options
Key points to remember
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.
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.
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:
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:
Compare your optionsCompare
Accept surgery for a torn meniscus Have surgery for a torn meniscus
Don't have surgery Don't have surgery
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 Make up one's mind what's next Certainty i. How sure do you feel correct now about your decision? Non sure at all Somewhat sure Very sure
Your SummaryHere'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 choicesCredits
References Citations
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.
i. Get the FactsYour options
Key points to remember
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.
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.
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:
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:
two. Compare your options
Personal storiesPersonal stories about meniscus tear surgeryThese 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 factsi. My treatment for a torn meniscus will depend on more than than just how I injure my knee.
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.
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.
Yous're right. Surgery may be able to prevent long-term joint problems, such every bit osteoarthritis. Decide what'southward nextone. 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? Certaintyone. 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.
Credits
References Citations
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. 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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