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Doctor insights on: Complex Lateral Meniscus Tear Surgery

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I had surgery for a medial and lateral meniscus tear 4 months ago. I still have pain when I completely straighten my leg. Scar tissue?

I had surgery for a medial and lateral meniscus tear 4 months ago. I still have pain when I completely straighten my leg. Scar tissue?

Meniscal tear postop: It could very well be scar tissue. The meniscus (or menisci-plural) may have continued to tear also. My guess is that you may have underlying arthritis, which often gets exacerbated with a knee injury. The location of your pain is also very important. I would recommend having your surgeon that did the knee scope check you out again if the pain is significant. ...Read more

Dr. Frederick Buechel, jr. md
355 Doctors shared insights

Torn Meniscus (Definition)

In the knee joint there are two types of cartilage, articular cartilage and meniscal cartilage. The meniscus is a triangular shaped piece of fibro-cartilage that sits between the femur and tibia. The meniscus can tear as a result of injury or secondary degenerative changes that occur over time. Because the meniscus cartilage dies not have it's own blood supply, tears often ...Read more


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I had arthroscopic knee surgery to fix a lateral meniscus tear. But I was doing a squat and felt popping right there could I have torn my meniscus?

I had arthroscopic knee surgery to fix a lateral meniscus tear. But I was doing a squat and felt popping right there could I have torn my meniscus?

Yes: Yes, it is possible that you tore your meniscus again, particularly if it was not yet fully healed. There are other possibilities as well. I would certainly let your surgeon know. ...Read more

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I've been told I likely have a minor lateral meniscus tear. With conservative treatment only, what could I generally expect as recovery time?

I've been told I likely have a minor lateral meniscus tear. With conservative treatment only, what could I generally expect as recovery time?

Estimated 3-6 months: Conservative/nonsurgical care for a lateral meniscus tear can include relative rest- esp. From high-impact/cutting activities such as running, heavy hiking, sports, exercise classes; physical therapy; regenerative injections such as platelet-rich plasma and bracing. Meniscal tears are slow to heal as blood supply is poor. If I can help, then join my care team at www. Healthtap. Com/dr-clarkeholmes ...Read more

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Just had an arthroscopy for a lateral meniscus tear just wondering how long it will be till the stiffness goes away?

Just had an arthroscopy for a lateral meniscus tear just wondering how long it will be till the stiffness goes away?

Week or two: With effort on your behalf to regain range of motion, stiffness usually resolves within 1-2 weeks following a simple arthroscopic meniscectomy. ...Read more

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Thanks for advice on here, I had mri shown lateral meniscus tear heading to ortho in a week. What should I expect, same leg as previous TTT?

Thanks for advice on here, I had mri shown lateral meniscus tear heading to ortho in a week. What should I expect, same leg as previous TTT?

Arthroscopy: The orthopedist may suggest an arthroscopic repair. This would be the most logical approach. Any subsequent therapy would come after a full objective examination of the joint space. ...Read more

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What's the key difference between a knee sprain and a small lateral meniscus tear?

What's the key difference between a knee sprain and a small lateral meniscus tear?

Ligament/cartilage: A knee sprain is a stretch or tear of a ligament. A ligament connects a bone to a bone. 4 major ligaments of the knee- ACL, PCL, MCL, PCL. The meniscus is a C-shaped cartilage structure that sits between the femur and tibia. One on the outside/lateral meniscus and one on the inside/medial meniscus. A wide # of treatments exists for each. If I can help, then www. Healthtap. Com/dr-clarkeholmes ...Read more

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Can I have chronic lateral meniscus tear or lateral meniscocapsular separation even if the MRI was normal?

Can I have chronic lateral meniscus tear or lateral meniscocapsular separation even if the MRI was normal?

It is possible: MRI results are not 100% accurate. Meniscocapsular junction tears can be hard to identify on MRI. Your symptoms and what you are experiencing as well as your clinical exam are important to determine your exact diagnosis even with an MRI. I always tell my patients as an orthopedic surgeon I treat patients, I don't treat MRI's. ...Read more

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Complex entire horizontal lateral meniscus tear no swollen locking catching knee can stairs climb up down+bend now pain on off can I wait arthoscopy?

Complex entire horizontal lateral meniscus tear no swollen locking catching knee can stairs climb up down+bend now pain on off can I wait arthoscopy?

You can wait: It you're not symptomatic and that knee isn't limiting the activities that you want you do, I would recommend waiting on arthroscopy as the risks of surgery would outweigh the expected benefit. If it starts bothering you more or if it is in fact limiting your activities, then consideration of surgery is reasonable ...Read more

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I have a micro fracture of the tibial plateau and a lateral meniscus tear, what to do?

I have a micro fracture of the tibial plateau and a lateral meniscus tear, what to do?

Depends: The micro-fracture will heal. Meniscal tears sometimes heal, but usually remain torn although the pain goes away. Depending on your lifestyle/activity level surgery is option not mandated. If you decline offered repair, there will likely be repeat episodes of pain/recovery. Surgery usually removes the tear and knee/activity returns essentially to normal, although traumatic arthritis eventually. ...Read more

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In MRI report, they told me lateral and medial meniscus tear. Can I get it corrected by excercise/medicine etc? How to confirm if I need surgery?

In MRI report, they told me lateral and medial meniscus tear. Can I get it corrected by excercise/medicine etc? How to confirm if I need surgery?

See ORS: A meniscus tear may feel better w/nsaids and pt but the meniscus will not heal w/this treatment. Turning, twisting and squatting activities may further tear the meniscus. They generally cause pain, sometimes popping or'catching' and swelling. See your ors. The tx. Of choice is arthroscopy w/meniscus repair vs. Resection. ...Read more

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How long is recovery time for an grade 3a tear, anterior horn, lateral meniscus. And do I need surgery.

How long is recovery time for an grade 3a tear, anterior horn, lateral meniscus. And do I need surgery.

Yes I would consider: Surgery the tear will not fix itself. Recovery depends on whether it is repaired or resected. If it is repaired (usually if you are young 25 or so and under) them recovery can be 6-8 weeks. If it is resected 2-3 weeks. ...Read more

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I have complex tear of the lateral meniscus. What can be done, surgery? How long will recovery take?

Surgery: You need surgery. Recovery depends on how badly it is torn, but most of these are done arthroscopically, and recovery time is in the weeks-long time frame. ...Read more

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How long does it take for symptoms of a pinched lateral meniscus to settle. Does this term mean I have a tear? I had surgery in July for this.

How long does it take for symptoms of a pinched lateral meniscus to settle. Does this term mean I have a tear? I had surgery in July for this.

Days to Weeks: Usually your symptoms should resolve very quickly after surgery. If you ate still symptomatic 6 months later, you should have a re-evaluation. You may need PT or other treatment. ...Read more

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What to do if I have surgery for tears involving both medial and lateral meniscus and a baker's cyst?

What to do if I have surgery for tears involving both medial and lateral meniscus and a baker's cyst?

Not sure about the..: Question, but I assume you are asking about the surgery and recovery. Surgery is typically knee arthroscopy through two poke holes on either side of the kneecap. It is an outpatient procedure and you can typically bear full weight immediately after surgery. The surgery removes the torn portions of meniscus and decompressed the cyst. Your recovery is typically 3 to 4 weeks. ...Read more

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My MRI says I have a horizontal tear in the body of the lateral meniscus. Am I going to need surgery?

My MRI says I have a horizontal tear in the body of the lateral meniscus. Am I going to need surgery?

Www. Usradreivew. Com: If you would like a second opinion on your MRI study, visit www. Usradreview. Com ...Read more

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Can you tell me about surgery for tears involving both medial and lateral meniscus and a baker's cyst?

Can you tell me about surgery for tears involving both medial and lateral meniscus and a baker's cyst?

Arthroscopic: Arthroscopic surgery is the surgery typically done for tears of the medial and/ or lateral meniscus. Depending on the type of tear, the surgery typically involves either repairing or debridment of the tears. ...Read more

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What do you suggest if my MRI says that I have a horizontal tear in the body of the lateral meniscus is shown do I need surgery?

Yes, if...: If you have meniscal tear symptoms (pain, catching, swelling) esp. W / twisting, pivoting or squatting and the MRI is well done than knee arthroscopy can be very helpful for horizontal, cleavage tears of the lateral meniscus. This type of tear is commonly seen w/ Bakers' cysts. See an experienced arthroscopist. Best of Luck! ...Read more

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I fell and have a near complete tear of my ACL and have tear to my medial and lateral meniscus. I have surgery next week. What should I expect?

I fell and have a near complete tear of my ACL and have tear to my medial and lateral meniscus. I have surgery next week. What should I expect?

Moderate pain: Depends on how much surgery is to be done. Meniscus only is less complex. Acl reconstruction is more extensive. Usually done as outpatient. Physical therapy as soon as you are able. ...Read more

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I had a vertical tear on medial meniscus in posterior horn and a radial tear on lateral meniscus in posterior aspect, do I need to go for surgery?

I had a vertical tear on medial meniscus in posterior horn and a radial tear on lateral meniscus in posterior aspect, do I need to go for surgery?

Possibly: Really depends on your pain and symptoms. If you are having swelling or mechanical clicking or catching you may need a scope to address the tears. You are young so the vertical tear still may be salvageable as well as the lateral tear. Want to try to preserve as much meniscus as possible in your age so would advise seeing someone fellowship trained in sports or complex arthrscopic knee techniques. ...Read more

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My MRI says " chronic changes of the medial meniscus with complex tearing of the posterior horn noted. Lateral meniscus in intact". Will surgery help?

My MRI says " chronic changes of the medial meniscus with complex tearing of the posterior horn noted. Lateral meniscus in intact". Will surgery help?

Yes: If u are having medial (inside) knee pain w/ swelling and or " catching " and are in good health arthroscopic meniscal repair vs. Resection can be helpful. If you are overweight and have significant associated knee arthritis your chances of improving after the " scope" are lessened. See a board certified ors who is proficient @ knee arthroscopy. Good luck! ...Read more

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MRI show obliq tear body and posterior horn lateral meniscus, extending infr artic surface and ulceration articular cartilage patella. Surgery/Therapy?

MRI show obliq tear body and posterior horn lateral meniscus, extending infr artic surface and ulceration articular cartilage patella. Surgery/Therapy?

Not necessarily: Torn knee cartilages often don't require surgical treatment. Physical therapy, NSAIDS, etc may suffice. Your orthopedic surgeon is best qualified to advise you. ...Read more

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What is the recovery time after surgery for meniscus tear?

What is the recovery time after surgery for meniscus tear?

Repair vs removal: This procedure is completed arthroscopically. You may have a meniscus repair or a partial menisectomy (removal). The repair is ideal, if possible, for preventing arthritic changes, but requires a longer recovery time. In either case recovery is relatively quick; you may start ambulating as tolerated post-op with a debridement. Post-op rehab will concentrate on motion, & quad strength. ...Read more

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How long will it take to recover from keyhole surgery on a meniscus tear?

Repair vs debride?: A meniscus repair mandates a slower rehabilittion that allows the necessary biology of healing ot occur else the repair will fail. A meniscal debridement is more likely for most tears an affords a rapid rehabiltation with immediate advancement of motion and weight bearing to full as sson as you can tolerated both. Work (desk) is usally ok after several days to a week. ...Read more

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Does having a cortisone shot help a meniscus tear or is surgery the only option?

Does having a cortisone shot help a meniscus tear or is surgery the only option?

Cortisone injection: A cortisone injection can be helpful for an older patient with a degenerative meniscal tear and associated osteoarthritis. The cortisone will not "heal" the tear but reduce some of the surrounding inflammation. ...Read more

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Do you need knee surgery for a meniscus tear?

Do you need knee surgery for a meniscus tear?

Generally, yes.: They usually do not heal themselves. See an orthopedic knee surgeon to determine if surgical intervention is the right option for you. ...Read more