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Meniscal repair: Preferred for young patients or those with tears in the vascular (red-red) zone, which has healing potential. Arthroscopic sutures are used to repair the torn meniscus. Partial meniscectomy : [ 7 ] If the tear is in a non-repairable location (white-white zone) or the meniscal tissue is extensively damaged, the displaced ...
A meniscal repair has a higher success rate given an adequate blood supply to the peripheral rim. [36] [failed verification] The interior of the meniscus is avascular, but the blood supply can penetrate up to about 6 millimetres (0.24 in). Therefore, meniscus tears that occur near the peripheral rim are able to heal after a meniscal repair. [1]
Another procedure requires specially designed devices that employ multiple sutures and knot pusher instruments to allow surgeons to provide excellent meniscal repair with just a single 1 ½” incision. [citation needed] The majority of meniscal tears are not suitable for repair and instead the torn piece is removed, known as a meniscectomy ...
The absent bowtie sign is a radiologic sign indicative of a meniscal tear in the knee joint. On sagittal magnetic resonance (MR) images, the body of the meniscus normally looks like a bow tie, with two distinct segments.
Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes. They are often treated with surgical repair depending upon the patient's age as they rarely heal on their own. Chronic tears are treated symptomatically: physical therapy with or without the addition of injections and anti-inflammatory medications.
Large tears to the meniscus may require surgical repair or removal. In terms of a meniscus tear, the doctor can categorize the injury in a plethora of ways. For example, a tear on the outer edge of the meniscus has great chance of healing. Doctors call this site the “red zone” because this outer portion of the meniscus is highly ...