The meniscus is a crescentic wedge of fibre-filled cartilage, filling the space between the two long bones of the knee (tibia and femur). Each knee has two menisci - one medial (inner aspect) and one lateral (outer aspect).

knee joint showing the meniscus

The outer rim is wider and better supplied with fibres and blood vessels.

fingers explaining shape of lateral meniscus

The lateral (outer) meniscus is more 'O-shaped' than the medial meniscus, which is more 'C-shaped'. At the far ends are the two 'horns'.

knee meniscus showing the menisco-capsular junction

Areas of the outer rim, especially on the medial meniscus, are intimately related to the capsule.

 

What does the knee meniscus do?

The menisci are the shock absorbers of the knee. Their crescentic shape, with a wider outer rim and a flattened inner rim, allow them to absorb the vertical forces going through the joint, channelling the forces towards the outer edge where the fibre bundles are more tightly packed. Thus the outer edge absorbs more stress.

 

Components of the knee meniscus

meniscus relationshipsThe two menisci - medial and lateral - are shaped differently.

The lateral meniscus is 'O'-shaped and is quite mobile. The capsular attachments at the outer rim are not strong, and there is a defect in the capsular attachment where the popliteus tendon passes. So it can glide when the knee is twisted, and tears are less common.

The medial meniscus, in comparison, is 'C'-shaped with strong capsular attachments and is relatively immobile, unable to glide much when the knee is twisted, and thus suffering more tears.

 

Blood supply of the meniscus

blood supply of the meniscusThe blood supply of the meniscus comes from the outer capsule. This means that the outer rim of each meniscus is well supplied with blood, and tears in this area have a good opportunity to heal. On the other hand, the blood supply progressively reduces as it approaches the inner rim, so tears of the inner rim do not heal well.

When a surgeon describes the position of a tear he may refer to it being in the 'red' zone (implying the outer rim) or in the 'white' zone (implying the inner rim.

Synonyms: 
Knee cartilage
Knee cartilages
Semi-lunar cartilage
Semi-lunar cartilages
Meniscal cartilage
Meniscal cartilages
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Short overview of how this surgeon decides which meniscal tear to repair

An 'interpretation' of a paper from 2007, which is a literature review trying to determine whether cruciate ligament injury predisposes one to osteoarthritis of the knee.

Young people have special issues when it comes to knee injury, because their bones are still growing.

Pages

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CLINICAL PUBLICATIONS

The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Makris EA, Hadidi P and Athanasiou KA. Biomaterials. 2011 Oct; 32(30): 7411–7431.

The Basic Science of Human Knee Menisci - Structure, Composition, and Function. Fox AJS, Bedi A and Rodeo SA. Sports Health. 2012 Jul; 4(4): 340–351.

A Current Review of the Meniscus Imaging: Proposition of a Useful Tool for Its Radiologic Analysis. Lefevre N, Naouri JF, Herman S, Gerometta A, Klouche S and Bohu. Radiol Res Pract. 2016; 2016: 8329296..


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