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Surgery is not appropriate for a degenerative meniscus tear, absent locking or catching of the knee, recurrent effusion or persistent pain. [25] Evidence suggests that it is no better than conservative management in those with and without osteoarthritis. [31] [32] Surgery appears to offer no benefit to adults who have mild arthritis. [32]
A bucket-handle tear of the knee is a specific type of meniscal injury characterized by a longitudinal tear of the medial or lateral meniscus, where a displaced inner fragment resembles the appearance of a "bucket handle". [1]
Conservative management is often considered first for a smaller or chronic tear that does not appear to require surgical repair. It consists of activity modification or physical therapy to strengthen and increase the range of motion .
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 ...
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]
However, recent research has called into question whether many meniscus tears actually cause pain or are simply part of the normal degenerative process of aging. A 2008 study in the New England Journal of Medicine which shows that about 60% of meniscus tears cause no pain and are found in asymptomatic subjects. [1]