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In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%.
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]
The lateral meniscus is grooved laterally for the tendon of the popliteus, which separates it from the fibular collateral ligament.. Its anterior end is attached in front of the intercondyloid eminence of the tibia, lateral to, and behind, the anterior cruciate ligament, with which it blends; the posterior end is attached behind the intercondyloid eminence of the tibia and in front of the ...
Of the 52 knees reviewed, 80% of group 1 had lateral meniscus tears and 29% had associated medial meniscus tears. None of the medial meniscus tears were isolated; medial meniscus tears were not present in the absence of a lateral meniscus tear. [3] From this study, it was concluded that the structures more typically involved in a triad were the ...
There are two general types of meniscus injuries: acute tears that are often the result of trauma or a sports injury and chronic or wear-and-tear type tears. Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes.
A discoid meniscus is a congenital anomaly of the knee found in 3% of the population (up to 15% in Asia). It typically affects the lateral meniscus and may be found bilaterally (20%). Instead of the narrow crescent shape, as seen in a normal meniscus above, a discoid meniscus is thickened, and has a fuller crescent shape.
The most widely accepted theory describes meniscal cysts resulting from extrusion of synovial fluid through a peripherally extended horizontal meniscal tear, accumulating outside the joint capsule. They arise more commonly from the lateral joint margin, and occur most often in 20- to 40-year-old males.
If these structures have been disrupted by injury, there is no tension to stabilize the lateral meniscus and the lateral meniscus can displace medially into the joint causing the patient pain and reproducing their symptoms at the lateral joint line. [27] As always, the injured knee should be compared to the contralateral normal side. [28]