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A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee called menisci. When doctors and patients refer to "torn cartilage" in the knee, they actually may be referring to an injury to a meniscus at the top of one of the tibiae .
Young, active individuals: Especially those engaged in sports like soccer, basketball, or skiing. Traumatic events: Sudden twisting or pivoting movements with the knee in flexion and rotation. Degenerative knees: Less commonly, a bucket-handle tear can occur in older individuals with preexisting meniscal degeneration.
Removal of the meniscus cartilage leads to progressive, degenerative arthritis of the knee joint. Replacing the badly damaged or deficient meniscus with a meniscus transplant from a human donor restores normal knee structure and helps protect the remaining joint surfaces. Meniscal transplantation is relatively uncommon, although it is gaining ...
The procedures are more commonly performed to treat meniscus injury and to perform anterior cruciate ligament reconstruction. [3] While knee arthroscopy is commonly used for partial meniscectomy (trimming a torn meniscus) on middle aged to older adults with knee pain, the claimed positive results seem to lack scientific evidence. [4]
If the tear causes continued pain, swelling, or knee dysfunction, then the tear can be removed or repaired surgically. The unhappy triad is a set of commonly co-occurring knee injuries which includes injury to the medial meniscus.
Damage to the outer third of the meniscus has the best healing potential because of the blood supply, but the inner two thirds of the medial meniscus has a limited blood supply and thus limited healing ability. Large tears to the meniscus may require surgical repair or removal. In terms of a meniscus tear, the doctor can categorize the injury ...
Articular cartilage does not usually regenerate (the process of repair by formation of the same type of tissue) after injury or disease leading to loss of tissue and formation of a defect. This fact was first described by William Hunter in 1743. [1] Several surgical techniques have been developed in the effort to repair articular cartilage defects.
The conclusions are that it is an effective treatment for full thickness chondral defects. The evidence does not suggest ACI is superior to other treatments. [3] One ACI treatment, called MACI (autologous cultured chondrocytes on a porcine collagen matrix), is indicated for healthy patients 18–55 with medium to large sized damage to their ...