Question 1

a small acl tear and a flipped meniscus? is surgery needed?

Accepted Answer

Depends: It depends on your activity level, pain associated with the injury, and presence of mechanical symptoms like locking up, giving out.

Question 2

what is usually done for a acl tear? and does it heal one its own without surgery? can a piece of meniscus get stuck under the patella?

Accepted Answer

ACL reconstruction: Symptomatic instability resulting from a torn ACL is usually treated with ACL reconstruction. A piece of a torn meniscus can become stuck or lodged anywhere to include under the patella, especially if it becomes a free fragment or loose body (rare). More common in the area of the patellofemoral joint is synovium/scar tissue, or a cartilage flap from the patella or trochlea.

Question 3

acl tear vs.a meniscus tear which is worse ? which is worse an acl tear or a meniscus tear ? what is the difference in recovery time after surgery and pain after ?

Accepted Answer

It : It is difficult to say which is "worse."  it depends on what you mean by it.  An acl tear can cause buckling of the knee on stairs or during side-to-side action in athletics.  A meniscal tear can cause catching and locking of the knee.  Both can be painful.  Both can predispose the knee to later arthritis.

If you're over 60, a meniscal tear can be a normal part of aging.  On the other hand, some people can use their muscles to compensate for an acl tear.

What we do know it that they are worse in combination.  The instability from the acl tear can cause more damage to the torn meniscus and accelerate wear in the knee.

Acl reconstruction usually has a prolonged recovery period with intense physical therapy to prevent a stiff knee.  Meniscal tear surgery usually has a less intense recovery period.  Most adults have to have the loose, torn portions removed.  The recovery afterwards is based on pain and swelling.  However, in young athletes, who can have meniscal repairs, the recovery may be similar to acl reconstruction.

Question 4

in my mri scan report it shows complex grade 3 posterior horn medial meniscus tear and high grade acl tear.but there is no locking and poping sound and there is no pain while doing any activity like climb stairs,walking,running,is surgery require?

Accepted Answer

: This is a judgement call, as depends upon knee stability and likelihood of progressive healing associated with conservative therapy.  The big issue is the potential development of "wear and tear arthritic degeneration" (chondromalacia).  At your age, 21 yrs, you have potential for worsening over the  years.  Obtain at least 2 orthopedic surgical consultations and decide.

Question 5

mri shows i have torn acl & meniscus tear. tear was repaired in oct'13. my knee keeps giving out & i keep falling. i am 68.is acl surgery safe for me?

Accepted Answer

If your healthy: ; have no comorbidities your age should not be a problem.

Question 6

is it painful to have surgery for an acl tear or mensicus tear?

Accepted Answer

Variable: Pain after an acl reconstruction is quite variable, and can depend on the technique, time in surgery, and graft choices. The actual acl reconstruction done with an all-inside technique in 30 minutes or less has very low pain levels, and many patients are able to walk within days of surgery. Techniques vary as do pain levels. Donating your own graft is much more painful than the acl reconstruction.

Question 7

what can i do about a small acl tear and a flipped meniscus?

Accepted Answer

Surgery still likely: The flipped meniscus and not the 'partial' acl tear may actually be the injury that warrants arthroscopy sooner than later if the tear is symptomatic. Your ortho surgeon will help you decide. If the meniscus tear becomes or is asymptomatic, then surgery can be avoided assuming you have no complaints of instability after physical therapy from  partial acl tear. Picture of isolated pl bundle tear.

Question 8

does a torn acl and lateral meniscus require surgery?

Accepted Answer

Yes: If you desire to get back to an active lifestyle, typically yes.

Question 9

i have a torn acl & meniscus. is surgery the only option.

Accepted Answer

Not the only option: Some patients can recovery fairly well with nonoperative treatment with aggressive PT/rehab and a brace. However, there is risk that the meniscus can tear further, lock the knee joint and create continued pain. Also, without the ACL the knee can remain unstable, further increasing risk to the meniscus. If I can be of help, then join my care team &amp; virtual practice at healthtap.com/dr-clarkeholmes

Question 10

i had hole in meniscus and torn acl had surgery 4 years ago i felt worse after surgery. pain is bad still poping locks up i fell and think i re injur?

Accepted Answer

Knee injury: The only way to find out what is going on is to go see your orthopedic surgeon for an evaluation.  You may need a knee MRI as well.

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Doctor answers about:

A small ACL tear and a flipped meniscus Is surgery needed

A member asked:

A small acl tear and a flipped meniscus? is surgery needed?

A member asked:

What is usually done for a acl tear? and does it heal one its own without surgery? can a piece of meniscus get stuck under the patella?

A member asked:

Acl tear vs.a meniscus tear which is worse ? which is worse an acl tear or a meniscus tear ? what is the difference in recovery time after surgery and pain after ?

A member asked:

In my mri scan report it shows complex grade 3 posterior horn medial meniscus tear and high grade acl tear.but there is no locking and poping sound and there is no pain while doing any activity like climb stairs,walking,running,is surgery require?

A member asked:

Mri shows i have torn acl & meniscus tear. tear was repaired in oct'13. my knee keeps giving out & i keep falling. i am 68.is acl surgery safe for me?

A member asked:

Is it painful to have surgery for an acl tear or mensicus tear?

A member asked:

What can i do about a small acl tear and a flipped meniscus?

A member asked:

Does a torn acl and lateral meniscus require surgery?

A member asked:

I have a torn acl & meniscus. is surgery the only option.

A member asked:

I had hole in meniscus and torn acl had surgery 4 years ago i felt worse after surgery. pain is bad still poping locks up i fell and think i re injur?

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