Meniscus tears refer to a tear in the shock-absorbing cartilage (meniscus) of the knee.
The meniscus is a C-shaped piece of cartilage located in the knee. Cartilage is found in certain joints and forms a buffer between the bones to protect the joint. The meniscus serves as a shock-absorption system, assists in lubricating the knee joint, and limits the ability to flex and extend the joint.
Meniscal tears are most commonly caused by twisting or over-flexing the knee joint.
- A "pop" may be felt at the time of injury
- Knee joint pain when walking
- Knee pain in the space between the bones; gets
worse when gentle pressure is applied to the joint
- Locking of the knee joint
- Recurrent knee-catching
- Difficulty squatting down
- Swelling in the knee joint
The health care provider will perform a physical examination. This will include a knee examine called the McMurray's test. For this test, you lie on your back while the health care provider holds the heel of your injured leg with your leg bent. Pressure is placed to compress the knee while the leg is rotated in and out to generate discomfort or pain. Pain or a click over the inner part of the joint means an inner (medial) meniscal tear.
For an Apley's compression test, the health care provider will have you lie on your stomach with your knee bent at a 90 degree angle. The provider will hold your foot with both hands and rotate it to the outside (lateral rotation), while
a downward force is applied to the foot. The provider's knee and thigh may be used to stabilize your thigh. Pain in the inner part of the joint may indicate an inner (medial) meniscal tear.
A test for excess joint fluid is positive in meniscal tears, indicating swelling with fluid around the joint.
Other tests that show meniscus tears may include:
- Knee MRI
- Knee joint x-ray
The goal of treatment is to reduce symptoms and protect the joint from further injury while it heals.
You should not put your full weight on the knee. You may need to use crutches. You may have been given a knee brace. This helps keep your knee from moving and to help you recover.
Other treatments include:
- Ice to reduce swelling
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and pain
Physical activity is allowed, as tolerated. Physical therapy is recommended to help regain joint and leg strength.
If the injury is acute or if you have a high activity level, knee arthroscopy (surgery) may be necessary. Age has an effect on treatment. Younger patients are more likely to have problems without surgery.
Do NOT put all your weight on your leg if it is painful.
Do not put all your weight on your leg if your health care provider told you not to do so.