Knee meniscus disorders involve.........
Knee meniscus disorders involve the followings:
1.)Medial meniscus
2.)Lateral meniscus.
3.) Symptomatic meniscal tears
4.) Oblique and vertical longitudinal tears
Disorder means “TEARS”
The two semicircular pads of cartilage in the knee between the joint surfaces (femoral and tibial condyles) of the upper leg bone (femur) and lower leg bone (tibia). Menisci serve as shock absorbers. The most common meniscus disorder is a tear.
The medial meniscus is more commonly torn than the lateral, because it is more firmly anchored to the joint capsule and surrounding ligaments. Tears are classified according to location, shape, size, and stability. The major classes of tears include the vertical longitudinal, oblique (often called parrot-beaked, or flap tear), displaced (bucket handle), degenerative, transverse, horizontal, or complex (involving multiple tears). Oblique and vertical longitudinal tears are the most common.
Symptomatic meniscal tears usually require sugery because the meniscus has a relatively poor blood supply and does not heal easily without intervention. Only the peripheral 10% to 30% of the medial meniscus and 10% to 25% of the lateral meniscus is well-vascularized (Kocher) and thus capable of healing. If a peripheral tear is in the vascularized portion of the meniscus, it may heal if it is surgically repaired. However, if such a peripheral tear is not surgically repaired, repetitive knee motion typically prevents the tear from healing, and over time it may lengthen, worsening the original tear. The more common location for tears is in the non-vascularized portion of the meniscus. This portion of the meniscus gets its nutrition from the joint fluid (synovial fluid), and without a blood supply it is not capable of healing. Thus, for these tears the surgeon can remove the central torn portion of the meniscus (partial menisectomy) or remove the entire meniscus and replace it with an allograft (meniscal transplant).
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