Meniscal Injuries: Mechanism and Classification

Sports Med Arthrosc Rev. 2021 Sep 1;29(3):154-157. doi: 10.1097/JSA.0000000000000311.

Abstract

Meniscal tears may be managed through conservative physical therapy and nonsteroidal anti-inflammatory medications or operative intervention. Meniscal repair is superior to partial meniscectomy with better functional outcomes and less severe degenerative changes over time. Surgical advances in operative techniques, modern instrumentation and biological enhancements collectively improve healing rates of meniscal repair. However, failed repair is not without consequences and can negative impact patient outcomes. Therefore, it is imperative for surgeons to have a thorough understanding of the vascular zones and biomechanical classifications of meniscal tears in order to best determine the most appropriate treatment.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Conservative Treatment
  • Humans
  • Magnetic Resonance Imaging
  • Meniscectomy / methods
  • Menisci, Tibial / blood supply
  • Menisci, Tibial / surgery
  • Physical Therapy Modalities
  • Rupture / classification
  • Rupture / diagnostic imaging
  • Rupture / pathology
  • Rupture / therapy
  • Tibial Meniscus Injuries* / classification
  • Tibial Meniscus Injuries* / diagnostic imaging
  • Tibial Meniscus Injuries* / pathology
  • Tibial Meniscus Injuries* / therapy
  • Wound Healing

Substances

  • Anti-Inflammatory Agents, Non-Steroidal