oblique tear of medial meniscus

HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. The posterior horn of the medial meniscus is especially likely to develop tears as we get older. Transtibial pullout repair is a new arthroscopic technique to repair meniscal root tears, . Tell your doctor of any recurrent swelling or of your knee repeatedly giving way. In this procedure, the surgeon inserts a miniature camera through a small incision (portal) in the knee. Meniscal intra-substance signal abnormalities are defined as an increased signal that does not fulfill the criteria for a meniscal tear according the "two-slice-touch" rule (i.e., it does not reach the meniscal surface on two consecutive views) and is a common finding on routine MRI of the knee (Fig. Nonoperative treatments are often successful in patients with certain types of tear patients who have no loss of joint function, suffer minimal pain or swelling and are willing to reduce their activities temporarily or in the long term. The medial meniscus is C-shaped, while the lateral meniscus is more . See your ortho for an evaluation. Nonsteroidal anti-inflammatory drugs (NSAIDs). w/severe pain? Non-operative treatment of degenerative posterior root tear of the medial meniscus. Symptoms of a meniscus tear. X-rays and MRIsallow the doctor to evaluate the bone and soft tissue at the knee. The test is positive if symptoms are reproduced on rotation 10. It is possible that your symptoms of pain, etc will improve with time without surgery.But that doesn't mean the tear healed. Mui LW, Engelsohn E, Umans H. Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury? Knees with a deficient medial meniscus and an ACL tear have an increased anterior tibial translation of about 60% at 90 of flexion. If you undergo surgery it will likely be followed by physical therapy to optimize knee strength and stability. Arnoczky SP, Warren RF, Spivak JM. With meniscal repair, weight bearing may be severely limited for up to six weeks following surgery, and protection from heavy stress to the knee extends for up to six months. Ask if your condition can be treated in other ways. Walking can become difficult. The lateral meniscus is on the outside of the knee. To learn more, please visit our. These tears often require surgical treatment to restore the proper function of the knee. (386) 254-6819, Main Office & Walk-In Clinic The doctors at the Orthopaedic Associates of Central Maryland are here to repair your knee problems, hip pain, and arthritis issues so you can get back to enjoying life. Arthroscopic treatment is typically required for adequate symptom relief in patients with displaced meniscal flap tears. Additional pain may be felt when flexing or twisting the knee. The meniscus is a piece of rubber-like cartilage in the knee situated within the femur and tibia, or thigh bone and shin bone. Two bones meet to form your knee joint: the femur and the tibia. Liodakis E, Hankemeier S, Jagodzinski M, Meller R, Krettek C, Brand J. If you have a meniscus tear, this movement may cause pain, clicking, or a clunking sensation within the joint. Survivorship analysis and clinical outcome of one hundred cases. 3 Thornton DD, Rubin DA. Arthroscopic meniscus repairs typically takes about 40 minutes. Because other knee injuries can cause similar symptoms, your doctor may order imaging tests to help confirm the diagnosis. As stated above, the most common cause of Posterior Horn Medial Meniscus Tear can be trauma to the knee which can be sustained due to a sporting injury, a slip and fall, a blunt trauma to the knee, and in majority of the cases natural degeneration of the meniscus due to the work load of the knee. (11a) A 3D illustration of a bucket handle tear demonstrates that these tears actually are longitudinal in nature (arrows), coursing parallel to the c-shaped fibers of the meniscus. He/she will probably recommend surgery. 2nd ed. Clin J Sport Med 2009;19:912. The anatomic landmark for repair is anterior to the PCL footprint on the tibia. Meniscus tears simply do not heal on their own, regardless of conservative treatment. The Royal Australian College of General Practitioners, 100 Wellington Parade, East Melbourne, Victoria 3002, Australia. We believe that by repairing these tears, the degenerative process may be delayed or halted (Figure 6). Always follow your healthcare professional's instructions. True locking is less common, and suggests a bucket-handle tear, with the torn fragment preventing full extension. Intrasubstance/incomplete tear (top left) This type of tear is often a sign of degenerative changes in the meniscus tissue. Reciprocally, an increased force is also placed on an ACL graft with a deficient medial meniscus. Many meniscus tears will not need immediate surgery. The posterior horn is located on the back half of the meniscus. Another exam finding is palpating the anteromedial joint line, while placing a varus stress on a fully extended knee and feeling for meniscal extrusion. Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. We have also seen complete meniscal root avulsions in the cruciate ligament-injured knee with complete injury of the medial ligament and posterior oblique ligament that opens in full extension. Those with a meniscus tear are also more likely to develop osteoarthritis in the injured knee. This technique allows for anatomic reduction and fixation of the meniscal root by restoring the joint contact pressure and area similar to the intact state. A gradient-echo T2*-weighted sagittal image demonstrates a tear within the posterior horn of the medial meniscus (arrow). If this cartilage tears, the result is pain, stiffness, and swelling. There are two menisci, a medial one on the "inside" of the knee and a lateral one on the "outside" of the knee. Lateral meniscus is intact. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Tears are typically vertical in young patients and horizontal in the elderly (Figure 5). For information:Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Aging is also a risk factor due to general wear and tear of the knees. A lateral meniscus tear (torn meniscus) is a tear of the semicircular fibrous cartilage discs in the knee. Flaps cause mechanical instability - meaning they interrupt the smooth function of the knee joint and will make your knee joint feel unstable. This most often happens when the tear develops over a period of time. If mechanical symptoms are present in this subset of patients, a partial or subtotal meniscectomy may improve symptoms; although, these tears are not usually associated with traditional meniscal-based mechanical symptoms. from the American Academy of Orthopaedic Surgeons, Questions and Answers for Patients Regarding Elective Surgery and COVID-19. 7 Yao L, Stanczak J, Boutin RD. I could not really walk on it. As recognition of the critical function of the menisci in normal biomechanical function of the knee has grown, attempts at preserving meniscal tissue via repair as opposed to partial meniscectomy have also gained favor. The healing time in children is a little less as the healing process is faster in children than in adults. This pattern of tear requires resection to prevent propagation of the tear as the flap gets caught within the joint during flexion. In addition, focal chondral lesions occur more commonly with medial than lateral-sided injuries. With regard to tear morphology, the classic ideal candidate for meniscal repair is the peripheral longitudinal tear. If you've torn your meniscus, it might take 24 hours or more for pain and swelling to begin, especially if the tear is small. Rotator Cuff and Shoulder Conditioning Program. Explains two kinds of surgery. Great Britain: Hodder Arnold, 2005. Sometimes this type of tear can heal on its own but it may require surgery if symptoms dont subside. Knee Surg Sports Traumatol Arthrosc 2010;18:5359. I read on a medical site that it is difficult to get to the posterior horn of the meniscus and sometimes there is a need to make an incision or the knee becomes dislocated. Once the initial healing is complete, your doctor will prescribe rehabilitation exercises. Adjunctive measures to promote vascularity and healing at the repair sites are also recommended. All Rights Reserved. These injuries have been reported to change joint loading due to failure of the meniscus to convert axial loads into hoop stresses. In addition to the root tear, the MRI often shows chondral loss or fissuring, other areas of meniscal tearing, bone marrow edema or osteophyte formation (Figure 5). If the tear cant be repaired, occasionally the meniscus can be surgically trimmed. This part of the tibia is also known as the tibial plateau. Jul 2000;35(3):217-30. How is Oblique Fracture Treated? Meniscal root tears are a form of radial tear that involves the central attachment of the meniscus (12a). The meniscus is broken down into the outer, middle, and inner thirds. Before your visit, write down questions you want answered. The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). ICD 9 Codes: 717.4 derangement of the lateral meniscus 717.3 derangement of the medial meniscus 836.0 lateral meniscus tear 836.1 medial meniscus tear Case Type / Diagnosis: Functional Anatomy: The menisci are semi lunar shaped cartilages on the medial and lateral sides of the knee joint. This is one of the first muscles to atrophy post knee immobilization Question options: is lis oblique is lis medius In rehabilitating an ACL, . Arthroscopy. Two wedge-shaped pieces of fibrocartilage act as shock absorbers between your femur and tibia. Disclosures: Blake and Johnson report no relevant financial disclosures. Have swelling, stiffness or tightness in your knee. Sagittal peripheral meniscal images demonstrate the normal anatomical 'bow-tie configuration' (the central meniscal body with the anterior and posterior horns as well circumscribed triangles. There is no resting pain. meniscal tear / avulsion off tibial plateau CIRCUMFERENTIAL FIBERS basicall equivalent to a total meniscetyomy - try to repair these at all cost! Surgery is most likely needed to resolve your problem. A meniscus tear can occur when the knee is suddenly twisted while the foot is planted on the ground. Clinical results of meniscus repair in patients 40 years and older. However, anyone at any age can tear the meniscus. Short description: Oth meniscus derang, post horn of medial meniscus, l knee The 2023 edition of ICD-10-CM M23.322 became effective on October 1, 2022. Operative Arthroscopy, 3rd Edition, 2002, Lippincott Williams and Wilkins. Meniscal tear configurations: categorization with MR imaging. No bone marrow edema. Meniscal injury is common, and the medial meniscus is more frequently injured. They are most frequently seen at the posterior horn of the medial meniscus. London;1897. Over 2 to 3 days, however, the knee will gradually become more stiff and swollen. I have an oblique tear of the posterior horn medial meniscus with prominent interior medial extrusion. Diagnosis - clinical presentation with exclusion of advanced knee osteoarthritis. Extrusion of the medial meniscus (MM) is associated with knee joint pain in osteoarthritic knees. Nicholas Colyvas, MDClinical ProfessorDepartment of Orthopaedic Surgeryorthosurg.ucsf.edu Scuderi G, Tria A. Read before you think. Oblique tears commonly cause flaps and flaps are generally not good. Am J Sports Med 2004;32:67580. It is important to describe your symptoms accurately. Most oblique meniscus tears are happen in the posterior third of the medial meniscus. Your doctor will bend your knee, then straighten and rotate it. The first one is traumatic and the second one is a degenerative meniscal tear. Magnetic resonance imaging is first line for investigating potential meniscal lesions, but should not replace thorough clinical history and examination. Evaluation of meniscal injury accounts for most requests for MR imaging of the knee at most institutions. Deep leg presses and squats greater than 70 of knee flexion should be avoided for at least 4 months after surgery. 9 Lecase LK, Helms CA, Kosarek FJ, Garret WE. Detailed review of funding for diagnostic imaging services. 13 Newman AP, Daniels AU, Burks RT. This "C" shaped cartilage helps disperse impact and displace force exerted upon the knee while walking, running, and other mild to high-energy and impact motions. Apley test (grinding) test: The patient lies prone, with their knee flexed to 90 degrees and their hip extended. Torn meniscus symptoms Symptoms are usually sudden onset, however, can develop gradually over time. Meniscus tears are extremely common knee injuries. Bernstein J. or ? They may not even be apparent with an arthroscopic examination. The difference in tear type between these populations is explained by the three-dimensional fibrous structure of the meniscus: horizontal delamination occurs in degenerative injuries, while the fibrous structure is ruptured in a vertical fashion in younger patients. 2023 Cedars-Sinai. Optimal diagnosis and management is essential to prevent long term sequelae. In circumstances where the flap causes catching in the knee, the flap can simply be removed. Although C, a vertical tear, is commonly used to describe such an appearance, the better answer is D, a longitudinal tear. Ligaments: their nature and morphology. Meniscal repair surgeries do the best when the meniscal tear extends into the middle 50% of meniscal substance. Because the pieces cannot grow back together, symptomatic tears in this zone that do not respond to conservative treatment are usually trimmed surgically. Age of injury peaks at 2029 years.7 Partial meniscectomy (removal of the torn section) is one of the most commonly performed orthopaedic surgical procedures.8. Clin Orthop Related Res 2010;468:11902. These are the horns. 5 Non-Christmas Movies to Watch This Holiday, Best Online Games to Play with your Friends, 12 tips for creating visual content on social media. An oblique tear (7a,8a) is often referred to as a parrot-beak tear, as the tear shape resembles a parrots beak. The medial meniscus is on the inner side of the knee joint. Athletes, particularly those who play contact sports, are at risk for meniscus tears. Recent kinematic/biomechanical studies have also shown the importance of the medial meniscus to anterior translation of the knee. These tears can be challenging to recognize on MRI,9 but are important to diagnose since they are often highly symptomatic due to a reactive synovitis. Diagnosis can be suspected clinically with joint line tenderness and a positive Mcmurray's test, and can be confirmed with MRI studies. Flaps cause mechanical instability - meaning they interrupt the smooth function of the knee joint and will make your knee joint feel unstable. 11 Plain radiography is only useful to exclude differentials and computed tomography (CT) is markedly inferior to MRI for meniscal imaging.12 Magnetic resonance imaging is the gold standard, first choice for investigation of suspected meniscal tears.2,1316. Acute meniscus tears often happen during sports. Superior and inferior branches of the medial and lateral geniculate arteries supply the peripheral third of the menisci via the perimeniscal capillary plexus.3,4, Meniscal tears occur due to a shear force between the femur and tibia. Bucket-handle tears are actually a form of longitudinal tear in which subsequent displacement of the inner rim of the tear results in a configuration that resembles the handle of a bucket (11a). If the knee is still painful, or if it locks, your doctor may recommend surgery. The McMurray test (shown here) will help your doctor determine if you have a meniscus tear. The younger population, particularly males with knee instability, is most commonly affected by this type of tear [56]. Physiotherapy at two visits per week for at least 8 weeks is recommended.20 There is little evidence for strapping of meniscal injuries and this is not currently recommended. It is important that these root avulsions are anatomically repaired back to the bone. AJSM 1999; 27:242-250. Oblique tears give rise to flaps which are mechanical unstable and associated with mechanical symptoms. You might develop the following signs and symptoms in your knee: A popping sensation. What to Do If Your Orthopaedic Surgery Is Postponed. Explains when surgery is done. The menisci the medial meniscus and lateral meniscus - are crescent-shaped bands of thick, rubbery cartilage attached to the shinbone (tibia). Perhaps the best know of these is the bucket-handle tear. Displacement of the inner rim of the tear (arrowheads) results in the classic "bucket-handle" configuration. There are numerous types of meniscus tears, including: 1. This type of tear is particularly devastating to meniscal function. Vincken PW, ter Braak AP, van Erkel AR, et al. The knee: a comprehensive review. Description of Medial Meniscus Tear The medial meniscus is an important shock absorber on the inside (medial) aspect of the knee joint. Repair of such lesions can result in dramatic clinical as well as MR imaging results (17a,17b). This puts tension on a torn meniscus. This region of the outer meniscus, sometimes referred to as the red zone, is thought to occupy approximately 15% of the peripheral meniscus.4 Tears that occur within the red zone of the meniscus are more likely to heal than those in the avascular, white zone of the meniscus. Meniscal tears may be categorized into five common configurations, including horizontal, longitudinal, radial, oblique (parrot-beak), and complex.5 Horizontal tears, the most common meniscal tear pattern, lie parallel to the tibial plateau and separate the meniscus into upper and lower parts (4a,4b). MR imaging: effectiveness and costs at triage of patients with nonacute knee symptoms. Both of them have 2 causes. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix. The posterior horn it the back portion of the menisci at the end of the curve, where it tapers . The goal of meniscal root repair is to restore the joint to a near native function of the meniscus and prevent cartilage degradation associated with nonsurgical treatment or meniscectomy. In comparison , however, meniscal root tears (MRTs) often go unnoticed and represent a unique injury pattern with unique biomechanical consequences. Develop pain gradually along the meniscus and joint line when you put stress on your knees (usually during a repeated activity). The identification of the meniscus comma sign . Matthew H. Blake, MD, can be reached at the Kentucky Clinic, 740 Limestone, Suite K415, Lexington, KY 40536; email: Darren L. Johnson, MD, can be reached at the Kentucky Clinic, 740 S Limestone, Suite K415, Lexington, KY 40536; email: Jorge Chahla, MD; Andrew G. Geeslin, MD; and Robert F. LaPrade, MD, PhD, can be reached at Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Dr., Suite 400, Vail, CO 81657; Chahlas email. If an ACL tear is also present, meniscal repairs are more successful if the ACL is also repaired, likely due to the protection afforded by knee stability. This opening pushes the inside edge of your meniscus toward the middle of your knee. The double posterior cruciate ligament (PCL) sign appears on sagittal MRI images of the knee when a bucket-handle meniscal tear (medial meniscus in 80% of cases) flips towards the center of the joint so that it comes to lie anteroinferior to the posterior cruciate ligament (PCL) mimicking a second smaller ligament.. A double posterior cruciate ligament sign from a torn medial meniscus can . Horizontal tears can be sewn together rather than removing the damaged portion. Horizontal tear posterior horn medial meniscus, Tear of posterior horn of medial meniscus treatment, Horizontal tear posterior horn and body medial meniscus, Body and posterior horn of the medial meniscus, Homeopathy treatment posterior horn medial meniscus. Repair is sometimes attempted even with these tear types, particularly when the patient is young and substantial loss of meniscal tissue would lead to an unacceptable risk of future arthritis.11 Repair of these challenging tear types should only be attempted when the meniscal tissue is of good quality and a stable result is achievable. The outer one-third of the meniscus has a rich blood supply. It absorbs about 50% of the shock of the medial compartment. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 3rd Edition. Tears that lie within or contact the red zone are also more likely to be amenable to meniscal repair. Can a torn meniscus heal by itself? AJR 2000; 174:161-164. summary. Meniscus tears are either degenerative or acute. M23.322 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This leads to decreased contact area and increased contact pressure and ultimately results in joint overloading and degenerative changes in the knee similar to a total meniscectomy state. Case Discussion Longitudinal tears, also known as vertical tears, occur perpendicular to the tibial plateau and parallel to the long axis of the meniscus splitting the meniscus into inner and outer parts. You can tear a meniscus during any activity which involves forcefully twisting or rotating the knee. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Am J Sports Med 2006;34:91927. Know how you can contact your provider if you have questions. what is the treatment? These can occur through either a contact or non-contact injury for example, a pivoting or cutting injury. This website also contains material copyrighted by third parties. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Includes interactive tool to help you decide. Depending on the severity of the injury, surgical repair may or may not be needed. I have an oblique tear of the posterior horn of my medial meniscus that extends to the undersurface of the cartilage. Progressive weight-bearing begins at 6 weeks, with full weight-bearing at 8 weeks. The meniscus can tear from acute trauma or as the result of degenerative changes that happen over time. Performing activities that involve aggressive pivoting and twisting of the knee puts you at a significantly higher risk of tearing your meniscus. A 501(c)(3) non-profit organization. AJR 1998;170:63-67. Rehabilitation time for a meniscus repair is about 3 to 6 months. Makris EA, Hadidi P, Athanasiou KA. With advances in surgical techniques and instrumentation, meniscal root repair is a viable option that can restore the biomechanics and kinematics of the knee (Figure 4). Also know what the side effects are. swelling - this usually happens several hours after you injure your meniscus. In many cases, rehabilitation can be carried out at home, although your doctor may recommend working with a physical therapist. This often causes the knee to become stuck due to a portion of the meniscus blocking the knees normal motion. All rights reserved. Orthopaedic Basic Science: Foundation of Clinical Practice. This type of tear has an unusual pattern. RICE. A longitudinal tear is an example of this kind of tear. J Bone J Surg Am 2006;88:6607. A meniscal tear can heal on its own, but location is important. As people age, they are more likely to have degenerative meniscus tears. Grade 3 is a true meniscus tear and an arthroscope is close to 100 percent accurate in diagnosing this tear. We describe the technique of diagnosis and treatment of a large displaced lateral meniscus flap tear, presenting as a meniscus comma sign. The one towards the back of leg is the posterior horn. It has been shown the peak tibiofemoral contact pressure after a total meniscectomy is equal to a posterior medial meniscal root tear. Sometimes these tears require surgical repair. The degenerative aetiology and reduced vascularisation secondary to ageing also means that meniscal tears in the elderly population are less likely to be amenable to surgical management;7 only about 6% of patients over 40 years of age have operable lesions.24 To prevent re-injury of the meniscus, activity modification is important for example, ceasing sports such as soccer or netball. https://www.verywellhealth.com/types-of-meniscus-tears-3862073 In the early days of MR, it was often felt that the role of MR was simply to identify whether a tear was present or not, and treatment of meniscal tears was largely composed of operative resection. growth factors) on meniscus tissue is being investigated.2 These are currently only being trialled in younger patients7 and the routine use of most of these technologies is some time away. 1993;9(1):33-51. However, whether they will respond well to surgery depends on the type of tear, the location, and blood flow in the area where the tear occurred. Because there is no supply, there is little capacity for these tears to heal on their own. Meniscal pain occurs during torsional, weight bearing knee movements (classically pivoting on the knee while walking) as a sharp stab lasting several seconds, often followed by a dull ache for several hours. By the time people reach their twenties or thirties, intrasubstance changes of the meniscus tissue are common. tears of the medial meniscus were the most common type oftear,comprising40%ofmedialmeniscustears.Further-more, more than 75% of medial meniscal tears in the ACL- . Meniscal injury and repair: clinical status. History, clinical findings, magnetic resonance imaging, and arthroscopic correlation in meniscal lesions. The body usually absorbs these over time. A meniscus tear is an injury to one of the bands of rubbery cartilage that act as shock absorbers for the knee. An MMPH repair in an ACL-deficient knee showed a significant decrease in anterior-posterior tibial translation at all flexion angles except 60 compared with the ACL-deficient/MMPH tear state . Seldom are they the sign of a problem. Pain may wake the patient from sleep as the tender medial aspect of the knee strikes the other side as the patient rolls over in bed. All material on this website is protected by copyright. (9a) This irregular tibial surface tear (arrow) clearly lies within the peripheral, red zone, of the meniscus. Both of these factors increase contact forces across the joint, leading to accelerated osteoarthritis and predisposing the patient to the development of subchondral insufficiency fractures.7. It is therefore quite important in treatment planning for the pre-operative MR to provide information that can be used to determine whether meniscal repair rather than partial meniscectomy is to be performed. Knee pain: Depending on your duration of symptoms you can at least start off with physical therapy, a knee sleeve, and if there is arthritis present consider a c Read More oblique tear of the posterior horn and body of the medial meniscus involving inferior articular surface and peripheral meniscal margin. This means that athletes, especially those who participate in contact sports like football, are at a higher risk of sustaining this injury. Most commonly it is impossible to fully extend the knee; more accurately described as stiffness (termed 'pseudo locking') due either to a small effusion (requiring increased force to bend the tense joint capsule) or to pain inhibition as the femoral condyle compresses the torn meniscus. These are the menisci. If you have a follow-up appointment, write down the date, time, and purpose for that visit. Symptomatic treatment with rest, ice, NSAIDs and/or an unloader brace may help alleviate symptoms in some cases. So the injury as seen in MRI scan means there is an tear in the medial meniscus towards the posterior side, that is towards the back of joint. Proton weighted sagittal image demonstrates an example of a posterior horn medial meniscal horizontal tear (white arrow). Patients with ACL tears are also thought to be better candidates for meniscal repair because of the presence of serum-derived growth factors within the hemarthrosis that accompanies ACL tears.15. Clinical outcomes following isolated lateral meniscal allograft transplantation. Magnetic resonance imaging can also be effectively used to estimate the vascular zone classification (see Treatment) of tears.18 This is useful for the orthopaedic surgeon to predict meniscal repairability, assisting informed discussion with patients and scheduling appropriate operating theatre time.18 It is essential to remember that just because a tear can be seen on MRI, this does not mandate surgery. Bring someone with you to help you ask questions and remember what your provider tells you. In sports, a meniscus tear usually happens suddenly. Studies have also reported that patients who underwent a repair of the posterior root in the medial meniscus slowed the progression of arthritic changes compared with those who had a meniscectomy; although, this did not completely prevent the arthritic changes. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. An MRI is 70 to 90 percent accurate in identifying whether the meniscus has been torn and how badly. Meniscal tears are common sports-related injuries in young athletes and can also present as a degenerative condition in older patients.

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