Grade III tear in posterior horn of medial meniscus

[Abdul Rafeh]

This is the injury happened to my friend while playing football..... Like month ago... He twisted his Knee after playing a pass toward the team mate.....
CLINICAL INFO:
                       Cortical signal void of bones forming in the Knee joint are intact with no discrete evidence of fractures, joint subluxation/dislocation. Marrow signal of visualized bones appear normal with no evidence of bone bruise. Medial & lateral collateral, anterior & posterior cruciate ligaments are intact and have normal MR signal. Grade III tear is seen in the posterior horn of medial meniscus. Anterior horn of medial meniscus is normal.  Anterior & posterior horn of lateral meniscus are normal... NO evidence of intra or extra articular lose body is seen. signal void of surrounding vessels and rest of the
visualized surrounding soft tissue are intact.

IMPRESSION:
                   Small joint effusion is seen. GRADE III tear is seen in posterior horn of medial meniscus.



His physio told him to rest for 3months & the injury will heel itself..some exercises were also told to do.
While a surgeon told him to get a surgery as soon as possible....
Any Suggestions on that? 

[vickster]

Physio is a good starting point buit he also needs to talk to his specialist doctor again, meniscus tears are often poor healers due to a lack of blood supply (does depend where the tear is).  Tears can also get worse, so he must rest it and avoid anything that may lead to further damage, i.e. no football etc

Personally, if he is young and active, then getting surgery might be a wise idea and he should talk to the surgeon.  He needs to ask the surgeon if it can be repaired - it is much better than a trim if at all possible  to retain the tissue

Have him have a read of this

http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus/how-meniscus-injured

http://www.kneeguru.co.uk/KNEEnotes/specialist-commentaries/dr-frank-r-noyes/2004/meniscal-tears-young-people

[Abdul Rafeh]

Thanks for the post.. And yes he is 22y old... and i will make sure he reads the Note!

[sajidawan67]

I am also facing the same kind of problem, the MRI reports says following

Clinical indication:
Pain in right knee.

Technique:
Multiplanar, multisequential non contrast MRI right knee joint.

Report:
Mild joint effusion is noted. Grade-III tear is noted involving the posterior horn of medial meniscus. ACL & PCL are intact. Lateral meniscus is unremarkable. Medial and lateral collateral ligaments are normal. No bone bruise seen. Para articular soft tissues are normal. Ligamentous patellae is unremarkable.

IMPRESSION:
Mild joint effusion is noted.
Grade-III tear is noted involving the posterior horn of medial meniscus.


Do you think I need a surgery or physiotherapy. I am 49 years old.

My second question is what exercises I should do to support and improve my ingury,

Thanks
Sajid Awan
[email protected]