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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%.
Patients with a bucket-handle tear typically present with the following symptoms: [3] Knee locking: A classic symptom where the displaced fragment physically blocks full extension of the knee; Pain: Sudden, sharp pain localized to the joint line; Swelling: Acute hemarthrosis (blood in the joint) due to associated trauma
Small tears can be treated conservatively, with rest, ice, and pain medications until the pain is under control, then exercise may be started with gradually increasing intensity, to improve range of motion and decrease swelling. More severe tears of the lateral meniscus require surgical repair or removal, which can often be done ...
If a "thud" or "click" is felt along with pain, this constitutes a "positive McMurray test" for a tear in the posterior portion of the lateral meniscus. Likewise, external rotation of the leg can be applied to test the posterior portion of the medial meniscus. [2]
Articular cartilage damage may also be found in the shoulder causing pain, discomfort and limited movement. Cartilage structures and functions can be damaged. Such damage can result from a variety of causes, such as a bad fall or traumatic sport-accident, previous knee injuries or wear and tear over time.
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.
Pain and swelling or focal mass at the level of the joint. The pain may be related to a meniscal tear or distension of the knee capsule or both. The mass varies in consistency from soft/fluctuant to hard. Size is variable, and meniscal cysts are known to change in size with knee flexion/extension.
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]