partial meniscectomy and meniscal repair

how many meniscus injuries are there per year?

850,000

what are 70% of reported meniscal tears?

traumatic

how do traumatic meniscal tears occur?

with a twist on a planted foot, or a rapid change of direction

what are 30% of meniscal tears?

degenerative in nature

what are symptoms of a traumatic meniscal tear?

• locking (joint stuck in a certain position for a period of time OR sudden loss of ROM)

• joint line pain

• delayed effusion

will all individuals with a meniscal tear experience pain or symptoms?

NO! degenerative tears probably wont

is non surgical management of degenerative tears as effective as surgical management?

YES!!! PT should be done in ANY patient with a degenerative meniscal tear

what are the two surgical managements done?

• partial meniscectomy

• meniscal repair

what is the periphery of the meniscus like?

it is WELL VASCULARIZED and tears WILL be repaired

what is the central part of the meniscus like?

it is AVASCULAR, and tears WILL NOT be repaired

when is the posterior horn compressed?

during flexion

does the medial or lateral meniscus move less?

medial meniscus

is the medial or lateral meniscus torn more?

medial meniscus

what muscle attaches to the medial meniscus?

the semimembranosus through capsular connections

what muscle attaches to the lateral meniscus?

the popliteus via aponeurosis

what is rehabilitation protocol after a partial meniscectomy/debridement?

• No ROM restriction

• WBAT

• 3-6 visits total

are their WB precautions after a meniscal repair?

• yes! limit WB

are there ROM precautions after a meniscal repair?

yes, limit ROM to 90 degrees

after a meniscal repair should OKC exercise or CKC exercises be initiated first?

OKC exercise, it has less compression and therefore less shear

why should you cautious resisted hamstrings after a meniscal repair?

the semimembranosus attaches to the medial meniscus

how long should you avoid deep squats after meniscal repair?

avoid deep squats for 3-6 months

is there bracing after meniscal repair?

may or may not be, (it can limit flexion)

what does return to sports look like for a meniscal repair?

usually takes 4-5 months but highly dependent on MD precautions