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The Meniscus Anatomy • Lies between the femur and the tibia • Two menisci: lateral and medial • Avascular- doesn’t have blood vessels inside (prevents it from healing itself.) Symptoms • Pain, especially when holding the knee straight • Swelling • Knee may click or lock • Knee may feel weak • Squatting or pivoting will pinch the meniscus tear and cause pain Mechanism of Injury • Meniscus tears can occur during a rotating movement while bearing weight, such as when twisting the upper leg while the foot stays in one place during sports and other activities. • Or when getting hit from the side. Sideline Management/Acute Care • ICE • Immobilize the knee • Find out the history of the patient Diagnosis • x-ray • magnetic resonance imaging (MRI) • computed tomography scan (Also called a CT or CAT scan.) • Arthroscopy • radionuclide bone scan Treatment • Arthroscopic surgery is the only way to treat the tear since there are currently no medications, braces, or physical therapy treatments to heal it. • Several techniques to perform the surgery. Rehabilitation • focused on both your quadriceps (thigh muscle) and hamstrings (muscles behind your knee) • doctor may prescribe formalized physical therapy, with a therapist or trainer. • stretching, flexion and extension strengthening, and stamina building HEEL SLIDE Precautions and Suggestions • • • • DON'T DO these: Squat Twist your knee Walk on uneven terrain. DO these: Try to sleep with your legs out straight at night instead of curling up into a ball. Post Operative Treatment • No weight bearing on the joint for at least 3 weeks after surgery. • Maximal weight training is not allowed for 2-3 months. • Return to running and agility sports is permitted after 3-4 months if strength and motion have returned and there is no pain in the joint.