Doctor insights on:
A Small Acl Tear And A Flipped Meniscus Is Surgery Needed
Generally yes.: Those types of tears generally do not heal themselves, and do require surgery. ...Read more
NO: Microfracture is done when the end of the bone cartilage surface has an area that is worn off. You then use a small "pick" to puncture the bone in the area that the cartilage is worn off to try to make the bone bleed onto this surface and create some scar cartilage to form in the cartilage defect area. The repair cartilage is not normal cartilage but can help some patients. Not for meniscus tear. ...Read more
Repair is better: Although not always possible, meniscal repair is better. The meniscus is needed to protect the articular cartilage of the knee. Meniscal repair is only possible when the tear involves the vascular portion of the meniscus. Small tears or those in the non-vascular portion of the meniscus, are not amenable to repair. ...Read more
Not unheard, but...: Certainly has risks. If you elect to run w/ a torn acl you need to speak w/ your physician about your strength & getting the right kind of brace to protect the joint. As for the meniscus i would need more info about the type & symptoms of tear to make a recommendation. For the best long term outcomes (w/ high activity level) i suggest surgery, better early than late. More @ drmarkgalland.Com. ...Read more
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 & virtual practice at healthtap.com/dr-clarkeholmes ...Read more
Which type of meniscus tear is more common, a repairable tear that requires suturing or a tear with shredded pieces of meniscus that's beyond repair?
Depends: At your age with a trauma to knee it would be more likeky a "clean tear". Shredded as you describe are a lot more consistent w wear and tear... ...Read more
Conservative: Usually one would use a conservative approach with anti inflammatory medication and physical therapy especially if the symptoms were gradual in onset if the symptoms were very acute in onset and readily associated with an a, cute trauma then more immediate arthroscopic surgery might be considered. ...Read moreSee 1 more doctor answer
How can a orthopedic diagnose a meniscus tear with a examination? Can a displaced meniscus root be repaired? Is that considered a tear?
It's possible: There are some findings on physical exam of the knee that would give your orthopaedic surgeon an "impression" that you have a meniscal tear. The best way to confirm this is with an mri. Arthroscopic surgery is usually used to debride (clean up) a torn meniscus and in some cases they can be repaired. ...Read moreSee 3 more doctor answers
Is a displaced meniscal root considered a tear in the meniscus? Is a displaced meniscal root a diagnosis on a mri? Please help explain
I sustained an injury of knee. The MRI result shows a tear of meniscus medialis of 3rd degree. Do I need a surgery to partially remove meniscus?
Meniscus tear, ligament tear, and vascular surgery. I'm on a full leg brace, what comes after this? Will I walk with a torn meniscus?
My surgeon has recommended a knee osteotomy as a result of a knee ulcer and torn meniscus. Is this recommended?
Yes: Pcl tears typically result from a dislocated knee. In knee dislocations, multiple ligaments are torn including the acl, pcl, and one of the collateral ligaments. Isolated PCL injuries are somewhat rare and usually occur from a direct blow to the top of knee such as a dashboard impact during a car accident or a fall directly onto a bent knee. ...Read moreSee 1 more doctor answer
Can a ligament tear in my hand heal by itself. I have a broken bone a partial tear of one ligament and a complete tear of another ?
Does a high grade partial tear or the medial retinaculum in the knee require surgery or is physical therapy a better option?
Therapy 1st: If u have dislocated your patella and injured the medial patellofemoral ligament( retinaculum) then physical therapy to strengthen the quads is a good first choice. If your patella continues to 'slip' or dislocate despite aggressive vmo strengthening/patellar brace then see a board certified ors . Surgical procedures ( including repair/ reconstruction of mpfl) can be discussed. Gl! ...Read more
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