Rozdarciu menisku (uszkodzenie chrząstki kolanowej)
Epidemiologia
Rozdarcia menisku stanowią jedną z najczęstszych patologii ortopedycznych kolana, z częstością występowania około 12-14% w populacji ogólnej oraz roczną liczbą przypadków szacowaną na około 850 000. W populacji sportowców i wojskowej częstość ta jest znacznie wyższa, sięgając nawet 8,7 na 1000 osób wśród żołnierzy oraz 23% wszystkich urazów kolana wśród uczniów szkół średnich uprawiających sporty kontaktowe. Uszkodzenia menisku częściej dotyczą mężczyzn (stosunek 2,5:1) i wykazują dwa szczyty wiekowe: u mężczyzn 21-30 lat (urazowe) i 41-50 lat (degeneracyjne), a u kobiet 11-20 lat i 61-70 lat. Czynniki ryzyka obejmują zarówno niemodyfikowalne (płeć męska, wiek >40 lat, warianty anatomiczne jak menisk dyskoidalny, wiotkość więzadłową), jak i modyfikowalne (BMI >30, aktywność zawodowa i sportowa, niska aktywność fizyczna u kobiet >40 lat). Uszkodzenia menisku często współistnieją z uszkodzeniami więzadeł, zwłaszcza ACL, gdzie ich częstość wynosi od 22% do 86%, a opóźnienie rekonstrukcji ACL powyżej roku zwiększa ryzyko uszkodzenia menisku przyśrodkowego.
Epidemiologia rozdarć menisku (uszkodzenia chrząstki kolanowej)
Rozdarcia menisku należą do najczęstszych patologii ortopedycznych, stanowiąc jedną z najczęstszych przyczyn interwencji chirurgicznych w obrębie kolana. Częstość występowania uszkodzeń menisku szacuje się na około 60 przypadków na 100 000 osób w populacji ogólnej, chociaż rzeczywista częstość jest prawdopodobnie znacznie zaniżona ze względu na przypadki niezdiagnozowane.12 W Stanach Zjednoczonych częstość przeprowadzania zabiegów chirurgicznych z powodu uszkodzeń menisku wynosi około 17 procedur na 100 000 mieszkańców, co czyni operacje menisku jednymi z najczęściej wykonywanych zabiegów ortopedycznych.34 Roczna liczba przypadków uszkodzeń menisku szacowana jest na około 850 000.5
Występowanie w różnych populacjach
Częstość występowania rozdarć menisku w populacji ogólnej wynosi około 12-14%.67 Warto zauważyć, że badania obrazowe (MRI) kolan u osób bez objawów wykazują uszkodzenia menisku u aż 61% badanych, którzy nie zgłaszali żadnych dolegliwości kolanowych w miesiącu poprzedzającym badanie, co wskazuje na dużą częstość występowania bezobjawowych uszkodzeń, szczególnie u osób starszych.8
W populacji wojskowej (aktywni żołnierze) częstość występowania uszkodzeń menisku jest znacznie wyższa i wynosi nawet 8,7 przypadków na 1000 osób.9 W przypadku sportowców, zwłaszcza uczestniczących w sportach kontaktowych i wymagających gwałtownych zmian kierunku, uszkodzenia menisku stanowią aż 23% wszystkich urazów kolana wśród uczniów szkół średnich, przy czym dziewczęta doświadczają wyższego wskaźnika urazów w porównaniu do chłopców.10
Rozkład wiekowy i płciowy
Rozdarcia menisku występują częściej u mężczyzn niż u kobiet, w stosunku około 2,5:1.111213 Szczyt występowania urazowych uszkodzeń menisku u mężczyzn przypada na wiek 21-30 lat, natomiast uszkodzenia degeneracyjne najczęściej pojawiają się w wieku 41-50 lat.1415
U kobiet obserwuje się dwa szczyty występowania uszkodzeń menisku: pierwszy w wieku 11-20 lat (głównie uszkodzenia urazowe), a drugi w wieku 61-70 lat (przeważnie uszkodzenia degeneracyjne).1617 Ponad 40% osób w wieku 70 lat lub starszych doświadczyło rozdarcia menisku.18
Uszkodzenia menisku są rzadkie u dzieci poniżej 10 roku życia z prawidłowo wykształconymi meniskami.1920 Jednakże obecność menisku dyskoidalnego (wariantu anatomicznego, najczęściej występującego w menisku bocznym) może predysponować do uszkodzeń w młodszym wieku.21
Czynniki ryzyka uszkodzenia menisku
Czynniki ryzyka niemodyfikowalne
Do niemodyfikowalnych czynników ryzyka uszkodzenia menisku należą:2223
- Płeć męska – mężczyźni mają 2,5-krotnie wyższe ryzyko uszkodzenia menisku niż kobiety2425
- Wiek powyżej 40 lat – tkanka starzejącego się menisku jest bardziej podatna na uszkodzenia2627
- Nieprawidłowa budowa płaskowyżu piszczelowego (dwuwklęsły płaskowyż piszczelowy)28
- Menisk dyskoidalny – wariant anatomiczny powodujący większą podatność na uszkodzenia2930
- Wiotkość więzadłowa – zwiększa ryzyko uszkodzeń menisku31
- Nieprawidłowe ustawienie kończyn dolnych – wpływa na biomechanikę stawu kolanowego32
Czynniki ryzyka modyfikowalne
Modyfikowalne czynniki ryzyka uszkodzenia menisku obejmują:3334
- Wysoki wskaźnik masy ciała (BMI) – BMI powyżej 30 znacząco zwiększa ryzyko uszkodzeń menisku, szczególnie u kobiet powyżej 40 roku życia35
- Aktywność zawodowa wymagająca kucania, podnoszenia i przenoszenia ciężarów, wchodzenia po schodach3637
- Aktywność sportowa, szczególnie sporty kontaktowe lub wymagające gwałtownych zmian kierunku (piłka nożna, rugby, futbol amerykański, koszykówka, baseball, narciarstwo, zapasy)383940
- Niski poziom aktywności fizycznej – paradoksalnie, u kobiet powyżej 40 roku życia niższy poziom aktywności fizycznej jest związany z większym ryzykiem uszkodzeń menisku41
Stany chorobowe związane z uszkodzeniami menisku
Uszkodzenia więzadeł
Uszkodzenia menisku często współwystępują z innymi urazami stawu kolanowego, w szczególności z uszkodzeniami więzadeł. U pacjentów z uszkodzeniem więzadła krzyżowego przedniego (ACL) częstość występowania uszkodzeń menisku wynosi od 22% do nawet 86%.4243 Ostre uszkodzenie ACL wiąże się głównie z uszkodzeniami menisku bocznego, podczas gdy przewlekłe uszkodzenie ACL częściej prowadzi do uszkodzeń menisku przyśrodkowego.4445
Również u osób z uszkodzeniem więzadła krzyżowego tylnego (PCL) obserwuje się uszkodzenia menisku, choć z mniejszą częstotliwością – około 8% pacjentów z uszkodzeniem PCL rozwija uszkodzenia menisku.46 Opóźnienie rekonstrukcji ACL o ponad rok od pierwotnego urazu znacząco zwiększa ryzyko uszkodzenia menisku przyśrodkowego.47
Choroba zwyrodnieniowa stawu kolanowego
Istnieje silny związek między uszkodzeniami menisku a rozwojem choroby zwyrodnieniowej stawu kolanowego. Badania wykazały, że kolana z uszkodzeniem menisku doświadczają przyspieszonego zużycia chrząstki, co prowadzi do wczesnych zmian zwyrodnieniowych i gorszej długoterminowej funkcji stawu.48 Ponad 75% pacjentów z objawową chorobą zwyrodnieniową stawów ma rozpoznane uszkodzenia menisku.4950
U młodych dorosłych uraz kolana zwiększa ryzyko rozwoju choroby zwyrodnieniowej stawów w przyszłości około sześciokrotnie, przy czym najwyższe ryzyko występuje po urazie więzadła krzyżowego, rozdarciu menisku i złamaniu wewnątrzstawowym.51 Pacjenci po usunięciu całości lub części menisku (meniscektomii) są szczególnie narażeni na rozwój choroby zwyrodnieniowej stawów w późniejszym okresie.52
Typy i lokalizacja uszkodzeń menisku
Rozdarcia menisku przyśrodkowego występują częściej niż rozdarcia menisku bocznego, co może wynikać z mniejszej ruchomości menisku przyśrodkowego spowodowanej jego połączeniem z więzadłem pobocznym przyśrodkowym (MCL).5354 Jednak w populacji pediatrycznej uszkodzenia menisku bocznego są częstsze niż menisku przyśrodkowego.55
Badanie z 2013 roku wykazało następujący rozkład typów uszkodzeń menisku:56
- Złożone (complex) – 28%
- Pionowe (vertical) – 16%
- Dyskoidalne (discoid) – 14%
- Rączka od wiadra (bucket-handle) – 14%
- Promieniste (radial) – 10%
- Poziome (horizontal) – 8%
- Skośne (oblique) – 5%
- Postrzępione (fray) – 3%
- Oderwanie korzenia (root detachment) – 2%
Około 28% wszystkich uszkodzeń menisku przyśrodkowego stanowią uszkodzenia typu „rączka od wiadra”.57 W przypadku uszkodzeń chrząstki stawowej, 70% zmian zlokalizowanych jest w tylno-bocznej części przyśrodkowego kłykcia kości udowej.58
Metody nadzoru i diagnostyki uszkodzeń menisku
Wzrost częstości występowania uszkodzeń menisku może być częściowo przypisany zwiększonemu udziałowi w zajęciach sportowych, a także postępom i łatwej dostępności technologii obrazowania, takiej jak rezonans magnetyczny (MRI).59 Dokładne dane epidemiologiczne są jednak trudne do uzyskania ze względu na dużą liczbę bezobjawowych uszkodzeń oraz różnice w dostępie do opieki zdrowotnej i diagnostyki.
Do diagnostyki uszkodzeń menisku stosuje się:60
- Badanie fizykalne – przeprowadzane przez ortopedę, fizjoterapeutę lub trenera sportowego
- Obrazowanie MRI – złoty standard w diagnostyce uszkodzeń menisku
- Zdjęcia rentgenowskie – pomocne w wykluczeniu innych przyczyn bólu kolana
- Artroskopia – metoda zarówno diagnostyczna, jak i terapeutyczna
W przyszłości ulepszona technologia MRI oraz krajowe lub międzynarodowe rejestry uszkodzeń chrząstki mogą okazać się użyteczne w badaniu epidemiologii urazów chrząstki i menisku.61
Obciążenie ekonomiczne związane z uszkodzeniami menisku
Uszkodzenia menisku stanowią znaczące obciążenie ekonomiczne dla systemów opieki zdrowotnej. W 2008 roku Departament Zdrowia i Opieki Społecznej USA zgłosił łącznie 2295 hospitalizacji z rozpoznaniem głównym rozdarcia chrząstki/menisku bocznego (836.0), rozdarcia chrząstki/menisku przyśrodkowego (836.1) i rozdarcia chrząstki/menisku (836.2).62
Średni czas pobytu w szpitalu dla pacjenta z rozpoznaniem uszkodzenia menisku wynosił 2,7 dnia dla mężczyzn i 3,7 dnia dla kobiet.63 W tym samym roku odnotowano 6941 wypisów ze szpitala po operacjach naprawczych kolana, przy czym osoby w wieku 18-44 lat stanowiły największą grupę (37,37% wszystkich wypisów), a następnie grupa wiekowa 45-64 lat (36,34%).64
Leczenie chirurgiczne uszkodzeń menisku jest zazwyczaj efektywne kosztowo pod względem lat życia skorygowanych o jakość (QALY). Wyniki krótkoterminowe są dobre lub doskonałe dla 85-90% osób poddawanych operacji z powodu uszkodzenia menisku.65 Badania wykazały, że leczenie operacyjne uszkodzeń menisku u pacjentów pediatrycznych zazwyczaj daje dobre wyniki (80-87%).66
Warto zauważyć, że leczenie zachowawcze może być odpowiednią alternatywą dla leczenia chirurgicznego w przypadku niektórych uszkodzeń menisku. Badania pokazują, że u pacjentów z nieobstrukcyjnymi uszkodzeniami menisku (np. bez mechanicznego zablokowania) fizjoterapia może być równie skuteczna jak częściowa meniscektomia artroskopowa w poprawie funkcji kolana zgłaszanej przez pacjenta w 24-miesięcznym okresie obserwacji.67
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Meniscus tears are a common orthopedic pathology and planning a single, effective treatment is challenging. […] The incidence of meniscal tears is estimated to be 60 per 100,000 population approximately and the incidence of meniscal-related injuries is rising significantly due to increased sports participation and advanced diagnostic tools. […] This made meniscus surgery one of the most common orthopedic operations with an incidence of 17 procedures per 100,000 in the United States. […] Studies found that patients with meniscal injuries have hastened cartilage wear, which predisposes them to early degenerative changes and poor long-term function. […] In fact, more than 75% of patients with symptomatic osteoarthritis have known meniscal injuries. […] The prevalence of meniscal tears is approximately 12% to 14%, with an approximate incidence of 61 cases in every 100000 people.
- #2 Meniscal Tears and Other Knee Cartilage Injuries | Doctorhttps://patient.info/doctor/meniscal-tears-and-other-knee-cartilage-injuries-pro
The incidence of meniscal injuries is increasing and this can be partly attributed to increased participation in sports as well as the recent advances and easy availability of imaging technology such as MRI. […] A conservative estimate of the incidence of meniscal tears is 60 per 100,000, although the true incidence is likely to be grossly underestimated. […] Incidental meniscal findings on MRI scan of the knee are common in the general population and increase with increasing age: in one study of almost 1,000 people, 61% had meniscal tears on MRI but had no knee symptoms in the previous month. […] In young adults, knee injury increases the risk of future diagnosed knee osteoarthritis about six-fold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture. […] Knees with known meniscal injury have accelerated cartilage wear, leading to early onset osteoarthritis. One study found that more than 75% of patients with symptomatic osteoarthritis have a meniscal injury.
- #3 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Meniscus tears are a common orthopedic pathology and planning a single, effective treatment is challenging. […] The incidence of meniscal tears is estimated to be 60 per 100,000 population approximately and the incidence of meniscal-related injuries is rising significantly due to increased sports participation and advanced diagnostic tools. […] This made meniscus surgery one of the most common orthopedic operations with an incidence of 17 procedures per 100,000 in the United States. […] Studies found that patients with meniscal injuries have hastened cartilage wear, which predisposes them to early degenerative changes and poor long-term function. […] In fact, more than 75% of patients with symptomatic osteoarthritis have known meniscal injuries. […] The prevalence of meniscal tears is approximately 12% to 14%, with an approximate incidence of 61 cases in every 100000 people.
- #4https://www.orthobullets.com/knee-and-sports/3005/meniscal-tears
Meniscal tears are common sports-related injuries in young athletes and can also present as a degenerative condition in older patients. […] Incidence: very common, most common indication for knee surgery. […] Risk factor: higher risk in ACL deficient knees.
- #5 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #6 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Meniscus tears are a common orthopedic pathology and planning a single, effective treatment is challenging. […] The incidence of meniscal tears is estimated to be 60 per 100,000 population approximately and the incidence of meniscal-related injuries is rising significantly due to increased sports participation and advanced diagnostic tools. […] This made meniscus surgery one of the most common orthopedic operations with an incidence of 17 procedures per 100,000 in the United States. […] Studies found that patients with meniscal injuries have hastened cartilage wear, which predisposes them to early degenerative changes and poor long-term function. […] In fact, more than 75% of patients with symptomatic osteoarthritis have known meniscal injuries. […] The prevalence of meniscal tears is approximately 12% to 14%, with an approximate incidence of 61 cases in every 100000 people.
- #7 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Meniscal injuries are the second most common injury to the knee with a prevalence of 12-14% and an incidence of 61/100,000 persons. […] In high school athletes, the meniscus is involved in 23% of all knee injuries with girls experiencing a higher injury rate compared to boys. […] As men age, their incidence increases and is most commonly seen between the ages of 21-30. […] Imaging evidence of a meniscal tear is observed in 35% of persons older than 50 years of age, with two thirds of these tears being asymptomatic. […] The prevalence increases in individuals who have an anterior cruciate ligament (ACL) deficient knee and if they are undergoing an ACL reconstruction or revision. […] Ultimately, meniscal injuries can be observed throughout multiple age groups, all genders, and are more prevalent in girls ages 11-20, males ages 21-30, and in adults 50 years old who have been previously diagnosed with knee osteoarthritis.
- #8 Meniscal Tears and Other Knee Cartilage Injuries | Doctorhttps://patient.info/doctor/meniscal-tears-and-other-knee-cartilage-injuries-pro
The incidence of meniscal injuries is increasing and this can be partly attributed to increased participation in sports as well as the recent advances and easy availability of imaging technology such as MRI. […] A conservative estimate of the incidence of meniscal tears is 60 per 100,000, although the true incidence is likely to be grossly underestimated. […] Incidental meniscal findings on MRI scan of the knee are common in the general population and increase with increasing age: in one study of almost 1,000 people, 61% had meniscal tears on MRI but had no knee symptoms in the previous month. […] In young adults, knee injury increases the risk of future diagnosed knee osteoarthritis about six-fold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture. […] Knees with known meniscal injury have accelerated cartilage wear, leading to early onset osteoarthritis. One study found that more than 75% of patients with symptomatic osteoarthritis have a meniscal injury.
- #9 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #10 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Meniscal injuries are the second most common injury to the knee with a prevalence of 12-14% and an incidence of 61/100,000 persons. […] In high school athletes, the meniscus is involved in 23% of all knee injuries with girls experiencing a higher injury rate compared to boys. […] As men age, their incidence increases and is most commonly seen between the ages of 21-30. […] Imaging evidence of a meniscal tear is observed in 35% of persons older than 50 years of age, with two thirds of these tears being asymptomatic. […] The prevalence increases in individuals who have an anterior cruciate ligament (ACL) deficient knee and if they are undergoing an ACL reconstruction or revision. […] Ultimately, meniscal injuries can be observed throughout multiple age groups, all genders, and are more prevalent in girls ages 11-20, males ages 21-30, and in adults 50 years old who have been previously diagnosed with knee osteoarthritis.
- #11 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #12 Meniscal tear Presentation, diagnosis and managementhttps://www.racgp.org.au/afp/2012/april/meniscal-tear
Meniscal tears occur due to a shear force between the femur and tibia. Meniscal tear incidence may be as high as six per 1000 population with a 2.5 to 4 times male predominance. Age of injury peaks at 20-29 years. […] The medial meniscus is more frequently torn, partly because of this different shape but also because of its attachment to the medial collateral ligament, whereas the lateral is pulled out of the way of compression between femur and tibia by politeus. […] Partial meniscectomy (removal of the torn section) is one of the most commonly performed orthopaedic surgical procedures. […] As the risk of osteoarthritis is increased if meniscal structures are not optimally functional, it may also be appropriate to refer all young patients for opinion if symptoms do not rapidly improve.
- #13 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
The meniscal tear is the most common knee injury. It tends to be more frequent in sports that have rough contact or pivoting sports such as soccer. It is more common in males than females, with a ratio of about two and a half males to one female. Males between the ages of 31 and 40 tend to tear their meniscus more frequently than younger men. Females seem to be more likely to tear their meniscus between the ages of 11 and 20. […] People who work in physically demanding jobs such as construction or professional sports are more at risk of a meniscal tear because of the different stresses to which their knees are subjected. […] According to the United States National Library of Medicine, the isolated medial meniscal tear occurs more frequently than any other tear associated with the meniscus. The prevalence of meniscus tears is the same for both knees.
- #14 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #15 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Meniscal injuries are the second most common injury to the knee with a prevalence of 12-14% and an incidence of 61/100,000 persons. […] In high school athletes, the meniscus is involved in 23% of all knee injuries with girls experiencing a higher injury rate compared to boys. […] As men age, their incidence increases and is most commonly seen between the ages of 21-30. […] Imaging evidence of a meniscal tear is observed in 35% of persons older than 50 years of age, with two thirds of these tears being asymptomatic. […] The prevalence increases in individuals who have an anterior cruciate ligament (ACL) deficient knee and if they are undergoing an ACL reconstruction or revision. […] Ultimately, meniscal injuries can be observed throughout multiple age groups, all genders, and are more prevalent in girls ages 11-20, males ages 21-30, and in adults 50 years old who have been previously diagnosed with knee osteoarthritis.
- #16 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #17 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
The meniscal tear is the most common knee injury. It tends to be more frequent in sports that have rough contact or pivoting sports such as soccer. It is more common in males than females, with a ratio of about two and a half males to one female. Males between the ages of 31 and 40 tend to tear their meniscus more frequently than younger men. Females seem to be more likely to tear their meniscus between the ages of 11 and 20. […] People who work in physically demanding jobs such as construction or professional sports are more at risk of a meniscal tear because of the different stresses to which their knees are subjected. […] According to the United States National Library of Medicine, the isolated medial meniscal tear occurs more frequently than any other tear associated with the meniscus. The prevalence of meniscus tears is the same for both knees.
- #18 Meniscus Tear in Knee: Symptoms, Causes, and Treatmentshttps://www.webmd.com/pain-management/knee-pain/meniscus-tear-injury
Like a lot of knee injuries, a meniscus tear can be painful and debilitating. Unfortunately, it’s quite common. In fact, a meniscal tear is one of the most frequently occurring cartilage injuries of the knee. […] More than 40% of people 70 or older have had a torn meniscus. […] Tears are more common in the medial rather than in the lateral meniscus, perhaps because of this lack of mobility. […] About 28% of all medial meniscus tears fall into this category. […] For 85% to 90% of people who get the surgery for a meniscus tear, the short-term results are good to excellent. But in the long term, people who have a large meniscal injury that is unrepairable may be at a higher risk of getting knee arthritis. […] Meniscus tears are very common knee injuries, particularly for athletes.
- #19 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Meniscal tears in children under the age of 10y/o are uncommon. […] However, the presence of a discoid meniscus, an anatomic variant most often occurring in the lateral meniscus that involves the additional central extension of the meniscus over the tibial articular surface, may predispose someone to tears at a younger age.
- #20 Meniscal Injury: Practice Essentials, Background, Pathophysiologyhttps://emedicine.medscape.com/article/308054-overview
Meniscal injuries may be the most common knee injury. […] Although the exact incidence and prevalence of meniscal injury are unknown, it is a fairly common sports-related injury among adults. […] Meniscal injuries are rare in children younger than 10 years with morphologically normal menisci. […] Meniscal injuries usually are associated with pain that results in gait deviation and loss of time from work and/or sport. […] A study by Yasuda et al suggested that medial meniscus tears cause spontaneous osteonecrosis of the knee (SONK). […] Meniscal injuries are more common in males, which may be a reflection of greater involvement by males in aggressive sporting and manual activities that predispose to rotational injuries of the knee. […] Meniscal injuries are common in young males who are involved in sporting or manual activities. A second peak of incidence is observed in persons older than 55 years; this is secondary to a degenerate meniscus being susceptible to injuries with minor trauma.
- #21 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Meniscal tears in children under the age of 10y/o are uncommon. […] However, the presence of a discoid meniscus, an anatomic variant most often occurring in the lateral meniscus that involves the additional central extension of the meniscus over the tibial articular surface, may predispose someone to tears at a younger age.
- #22 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #23 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #24 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #25 Meniscal Injury: Practice Essentials, Background, Pathophysiologyhttps://emedicine.medscape.com/article/308054-overview
Meniscal injuries may be the most common knee injury. […] Although the exact incidence and prevalence of meniscal injury are unknown, it is a fairly common sports-related injury among adults. […] Meniscal injuries are rare in children younger than 10 years with morphologically normal menisci. […] Meniscal injuries usually are associated with pain that results in gait deviation and loss of time from work and/or sport. […] A study by Yasuda et al suggested that medial meniscus tears cause spontaneous osteonecrosis of the knee (SONK). […] Meniscal injuries are more common in males, which may be a reflection of greater involvement by males in aggressive sporting and manual activities that predispose to rotational injuries of the knee. […] Meniscal injuries are common in young males who are involved in sporting or manual activities. A second peak of incidence is observed in persons older than 55 years; this is secondary to a degenerate meniscus being susceptible to injuries with minor trauma.
- #26 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #27 Meniscus Tears – OrthoInfo – AAOShttps://orthoinfo.aaos.org/en/diseases–conditions/meniscus-tears/
Meniscus tears are among the most common knee injuries. Athletes, particularly those who play contact sports, are at risk for meniscus tears. However, anyone at any age can tear the meniscus. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus. […] Sports-related meniscus injuries often occur along with other knee injuries, such as anterior cruciate ligament (ACL) tears. […] As people age, they are more likely to have degenerative meniscus tears. Aged, worn tissue is more prone to tears. An awkward twist when getting up from a chair may be enough to cause a tear in an aging meniscus. […] Meniscus tears are extremely common knee injuries. With proper diagnosis, treatment, and rehabilitation, patients often return to their pre-injury abilities. […] To assist doctors in the management of meniscus injuries, the American Academy of Orthopaedic Surgeons has conducted research to provide some useful guidelines.
- #28 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #29 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #30 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Meniscal tears in children under the age of 10y/o are uncommon. […] However, the presence of a discoid meniscus, an anatomic variant most often occurring in the lateral meniscus that involves the additional central extension of the meniscus over the tibial articular surface, may predispose someone to tears at a younger age.
- #31 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #32 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #33 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #34 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Risk factors for tears in women include being greater than 40 years old with a body mass index (BMI) greater than 30, and with a lower physical activity level. […] A Physical Therapist, Athletic Trainer or Orthopedist can perform a specific examination in order to determine presence of a meniscal tear. […] Studies show that among patients with non-obstructive meniscal tears (e.g. no mechanical locking), physical therapy can be equal to APM for improving patient-reported knee function over a 24-month follow-up period. […] Ultimately, non-operative treatment can be an appropriate alternative option for treating a meniscus tear.
- #35 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Risk factors for tears in women include being greater than 40 years old with a body mass index (BMI) greater than 30, and with a lower physical activity level. […] A Physical Therapist, Athletic Trainer or Orthopedist can perform a specific examination in order to determine presence of a meniscal tear. […] Studies show that among patients with non-obstructive meniscal tears (e.g. no mechanical locking), physical therapy can be equal to APM for improving patient-reported knee function over a 24-month follow-up period. […] Ultimately, non-operative treatment can be an appropriate alternative option for treating a meniscus tear.
- #36 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #37 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #38 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Acute trauma-related tears are more prevalent in active young populations and those engaging in sports activities. […] On the other hand, degenerative meniscus tears affect the elderly population, with the peak onset age in men being 41 to 50 years, while in females, it is 61 to 70. […] The approximate number of cases per year is 850000. […] The associated orthopedic surgeries to correct the meniscus tears are between 10% and 20%. […] The non-modifiable risk factors for meniscal tears include sex, where the incidence in men is 2.5 times more than in women. […] Meniscal tears are more in individuals with a biconcave tibial plateau, a discoid meniscus, those with lower extremity alignment, and those with ligamentous laxity. […] The modifiable risk factors that increase the risks of developing meniscal tears are a high body mass index, certain occupations, such as squatting, lifting and carrying weights, stairs climbing, and athletes, and those engaging in sports-related activities, including footballers, and those playing rugby.
- #39 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #40 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
The meniscal tear is the most common knee injury. It tends to be more frequent in sports that have rough contact or pivoting sports such as soccer. It is more common in males than females, with a ratio of about two and a half males to one female. Males between the ages of 31 and 40 tend to tear their meniscus more frequently than younger men. Females seem to be more likely to tear their meniscus between the ages of 11 and 20. […] People who work in physically demanding jobs such as construction or professional sports are more at risk of a meniscal tear because of the different stresses to which their knees are subjected. […] According to the United States National Library of Medicine, the isolated medial meniscal tear occurs more frequently than any other tear associated with the meniscus. The prevalence of meniscus tears is the same for both knees.
- #41 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Risk factors for tears in women include being greater than 40 years old with a body mass index (BMI) greater than 30, and with a lower physical activity level. […] A Physical Therapist, Athletic Trainer or Orthopedist can perform a specific examination in order to determine presence of a meniscal tear. […] Studies show that among patients with non-obstructive meniscal tears (e.g. no mechanical locking), physical therapy can be equal to APM for improving patient-reported knee function over a 24-month follow-up period. […] Ultimately, non-operative treatment can be an appropriate alternative option for treating a meniscus tear.
- #42 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Patients with anterior cruciate ligament (ACL) injuries have increased incidences of having meniscal tears with an approximation of 22% to 86%. […] Acute ACL injury was mainly associated with lateral meniscal tears while chronic ACL injury was associated with medial meniscal tears. […] According to Valdez et al., although posterior cruciate ligament (PCL) incidence is lower than ACL, approximately 8% of PCL patients develop meniscal tears.
- #43 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Meniscal injuries are the second most common injury to the knee with a prevalence of 12-14% and an incidence of 61/100,000 persons. […] In high school athletes, the meniscus is involved in 23% of all knee injuries with girls experiencing a higher injury rate compared to boys. […] As men age, their incidence increases and is most commonly seen between the ages of 21-30. […] Imaging evidence of a meniscal tear is observed in 35% of persons older than 50 years of age, with two thirds of these tears being asymptomatic. […] The prevalence increases in individuals who have an anterior cruciate ligament (ACL) deficient knee and if they are undergoing an ACL reconstruction or revision. […] Ultimately, meniscal injuries can be observed throughout multiple age groups, all genders, and are more prevalent in girls ages 11-20, males ages 21-30, and in adults 50 years old who have been previously diagnosed with knee osteoarthritis.
- #44 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Patients with anterior cruciate ligament (ACL) injuries have increased incidences of having meniscal tears with an approximation of 22% to 86%. […] Acute ACL injury was mainly associated with lateral meniscal tears while chronic ACL injury was associated with medial meniscal tears. […] According to Valdez et al., although posterior cruciate ligament (PCL) incidence is lower than ACL, approximately 8% of PCL patients develop meniscal tears.
- #45 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #46 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Patients with anterior cruciate ligament (ACL) injuries have increased incidences of having meniscal tears with an approximation of 22% to 86%. […] Acute ACL injury was mainly associated with lateral meniscal tears while chronic ACL injury was associated with medial meniscal tears. […] According to Valdez et al., although posterior cruciate ligament (PCL) incidence is lower than ACL, approximately 8% of PCL patients develop meniscal tears.
- #47 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #48 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Meniscus tears are a common orthopedic pathology and planning a single, effective treatment is challenging. […] The incidence of meniscal tears is estimated to be 60 per 100,000 population approximately and the incidence of meniscal-related injuries is rising significantly due to increased sports participation and advanced diagnostic tools. […] This made meniscus surgery one of the most common orthopedic operations with an incidence of 17 procedures per 100,000 in the United States. […] Studies found that patients with meniscal injuries have hastened cartilage wear, which predisposes them to early degenerative changes and poor long-term function. […] In fact, more than 75% of patients with symptomatic osteoarthritis have known meniscal injuries. […] The prevalence of meniscal tears is approximately 12% to 14%, with an approximate incidence of 61 cases in every 100000 people.
- #49 Meniscus Tear: Pathology, Incidence, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9205760/
Meniscus tears are a common orthopedic pathology and planning a single, effective treatment is challenging. […] The incidence of meniscal tears is estimated to be 60 per 100,000 population approximately and the incidence of meniscal-related injuries is rising significantly due to increased sports participation and advanced diagnostic tools. […] This made meniscus surgery one of the most common orthopedic operations with an incidence of 17 procedures per 100,000 in the United States. […] Studies found that patients with meniscal injuries have hastened cartilage wear, which predisposes them to early degenerative changes and poor long-term function. […] In fact, more than 75% of patients with symptomatic osteoarthritis have known meniscal injuries. […] The prevalence of meniscal tears is approximately 12% to 14%, with an approximate incidence of 61 cases in every 100000 people.
- #50 Meniscal Tears and Other Knee Cartilage Injuries | Doctorhttps://patient.info/doctor/meniscal-tears-and-other-knee-cartilage-injuries-pro
The incidence of meniscal injuries is increasing and this can be partly attributed to increased participation in sports as well as the recent advances and easy availability of imaging technology such as MRI. […] A conservative estimate of the incidence of meniscal tears is 60 per 100,000, although the true incidence is likely to be grossly underestimated. […] Incidental meniscal findings on MRI scan of the knee are common in the general population and increase with increasing age: in one study of almost 1,000 people, 61% had meniscal tears on MRI but had no knee symptoms in the previous month. […] In young adults, knee injury increases the risk of future diagnosed knee osteoarthritis about six-fold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture. […] Knees with known meniscal injury have accelerated cartilage wear, leading to early onset osteoarthritis. One study found that more than 75% of patients with symptomatic osteoarthritis have a meniscal injury.
- #51 Meniscal Tears and Other Knee Cartilage Injuries | Doctorhttps://patient.info/doctor/meniscal-tears-and-other-knee-cartilage-injuries-pro
The incidence of meniscal injuries is increasing and this can be partly attributed to increased participation in sports as well as the recent advances and easy availability of imaging technology such as MRI. […] A conservative estimate of the incidence of meniscal tears is 60 per 100,000, although the true incidence is likely to be grossly underestimated. […] Incidental meniscal findings on MRI scan of the knee are common in the general population and increase with increasing age: in one study of almost 1,000 people, 61% had meniscal tears on MRI but had no knee symptoms in the previous month. […] In young adults, knee injury increases the risk of future diagnosed knee osteoarthritis about six-fold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture. […] Knees with known meniscal injury have accelerated cartilage wear, leading to early onset osteoarthritis. One study found that more than 75% of patients with symptomatic osteoarthritis have a meniscal injury.
- #52 Prolotherapy for Meniscus Tears –https://caringmedical.com/prolotherapy-news/prolotherapy-meniscus-tears/
The greatest risk of partial and total meniscectomy is in the development of long term degenerative osteoarthritis. […] The traditional management of a torn meniscus most often involves some measure of surgical treatment, such as partial or total meniscectomy, meniscal repair, or meniscal transplant. […] Current surgical techniques for meniscal injuries accelerate menisci and joint degeneration. […] The poor healing potential of meniscal tears has led to the investigation of methods to provide blood supply to the injured area.
- #53 Knee Meniscal Tears – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK431067/
Studies in the United States have indicated a 61 per 100,000 incidence rate of meniscal tears in the general population and up to an 8.7 per 1,000 incidence rate in the active-duty military population. […] Given the etiology of tears, it is not surprising that infantry-related duties, occupations that require frequent squatting/kneeling, and sports such as soccer, rugby, football, basketball, baseball, skiing, and wrestling all increase the risk of meniscal tears. […] Male gender and age over 40y/o are also associated with increased risk of meniscal tears. […] Medial meniscal tears are more common than lateral meniscal tears, possibly due to the relatively decreased mobility of the medial meniscus secondary to its connection to the MCL. […] In addition, people with ACL-deficient knees are more at risk for the development of medial meniscal tears, especially if ACL reconstruction is delayed for longer than one year from the time of initial injury.
- #54 Meniscus Tear in Knee: Symptoms, Causes, and Treatmentshttps://www.webmd.com/pain-management/knee-pain/meniscus-tear-injury
Like a lot of knee injuries, a meniscus tear can be painful and debilitating. Unfortunately, it’s quite common. In fact, a meniscal tear is one of the most frequently occurring cartilage injuries of the knee. […] More than 40% of people 70 or older have had a torn meniscus. […] Tears are more common in the medial rather than in the lateral meniscus, perhaps because of this lack of mobility. […] About 28% of all medial meniscus tears fall into this category. […] For 85% to 90% of people who get the surgery for a meniscus tear, the short-term results are good to excellent. But in the long term, people who have a large meniscal injury that is unrepairable may be at a higher risk of getting knee arthritis. […] Meniscus tears are very common knee injuries, particularly for athletes.
- #55 Meniscus Tears | Pediatric Orthopaedic Society of North America (POSNA)https://posna.org/physician-education/study-guide/meniscus-tears
Lateral meniscal tears are more common than medial meniscal tears. Adolescents are more likely to have associated ligamentous injuries. Children are more likely to have tears associated with discoid menisci. In addition, children with an isolated meniscal tear more commonly have a low BMI. A 2013 study found the distribution of meniscal tear type to be: complex (28%), vertical (16%), discoid (14%), bucket-handle (14%), radial (10%), horizontal (8%), oblique (5%), fray (3%), and root detachment (2%) (Shieh, 2013). […] Studies have shown that operative treatment of meniscus tears in pediatric patients typically produces good results (80-87%) (Shieh, 2016; Kraus, 2012).
- #56 Meniscus Tears | Pediatric Orthopaedic Society of North America (POSNA)https://posna.org/physician-education/study-guide/meniscus-tears
Lateral meniscal tears are more common than medial meniscal tears. Adolescents are more likely to have associated ligamentous injuries. Children are more likely to have tears associated with discoid menisci. In addition, children with an isolated meniscal tear more commonly have a low BMI. A 2013 study found the distribution of meniscal tear type to be: complex (28%), vertical (16%), discoid (14%), bucket-handle (14%), radial (10%), horizontal (8%), oblique (5%), fray (3%), and root detachment (2%) (Shieh, 2013). […] Studies have shown that operative treatment of meniscus tears in pediatric patients typically produces good results (80-87%) (Shieh, 2016; Kraus, 2012).
- #57 Meniscus Tear in Knee: Symptoms, Causes, and Treatmentshttps://www.webmd.com/pain-management/knee-pain/meniscus-tear-injury
Like a lot of knee injuries, a meniscus tear can be painful and debilitating. Unfortunately, it’s quite common. In fact, a meniscal tear is one of the most frequently occurring cartilage injuries of the knee. […] More than 40% of people 70 or older have had a torn meniscus. […] Tears are more common in the medial rather than in the lateral meniscus, perhaps because of this lack of mobility. […] About 28% of all medial meniscus tears fall into this category. […] For 85% to 90% of people who get the surgery for a meniscus tear, the short-term results are good to excellent. But in the long term, people who have a large meniscal injury that is unrepairable may be at a higher risk of getting knee arthritis. […] Meniscus tears are very common knee injuries, particularly for athletes.
- #58https://www.orthobullets.com/knee-and-sports/3133/articular-cartilage-defects-of-knee
Articular cartilage defects of the knee comprise of a spectrum of disease entities from single, focal defects to advanced degenerative disease of articular (hyaline) cartilage. […] 5-10% of people 40 years old have high grade chondral lesions. […] 70% of lesions found in posterolateral aspect of medial femoral condyle. […] cartilage injuries have limited spontaneous healing and propensity to worsen over time.
- #59 Meniscal Tears and Other Knee Cartilage Injuries | Doctorhttps://patient.info/doctor/meniscal-tears-and-other-knee-cartilage-injuries-pro
The incidence of meniscal injuries is increasing and this can be partly attributed to increased participation in sports as well as the recent advances and easy availability of imaging technology such as MRI. […] A conservative estimate of the incidence of meniscal tears is 60 per 100,000, although the true incidence is likely to be grossly underestimated. […] Incidental meniscal findings on MRI scan of the knee are common in the general population and increase with increasing age: in one study of almost 1,000 people, 61% had meniscal tears on MRI but had no knee symptoms in the previous month. […] In young adults, knee injury increases the risk of future diagnosed knee osteoarthritis about six-fold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture. […] Knees with known meniscal injury have accelerated cartilage wear, leading to early onset osteoarthritis. One study found that more than 75% of patients with symptomatic osteoarthritis have a meniscal injury.
- #60https://www.advocatehealth.com/health-services/orthopedic-center/specialties/knee/meniscus-tear
To diagnose a meniscus tear, your doctor will perform a physical exam and may recommend imaging tests. Common imaging tests for a meniscus tear in the knee include an MRI or X-rays. […] Treatment for a meniscus tear depends on the type, location and severity of the tear, as well as your age and activity level. Common meniscus tear treatments include: Rest, ice, compression, and elevation (RICE): This initial treatment helps reduce pain and swelling. […] In some cases, especially for large or complex tears, surgery may be necessary to repair or remove the damaged part of the meniscus. […] Recovery time varies depending on the severity of the tear and the treatment you receive.
- #61 Epidemiology of Cartilage Injuries | SpringerLinkhttps://link.springer.com/doi/10.1007/978-3-642-36569-0_149
Articular cartilage injuries often cause symptoms in weight-bearing joints like the knee, hip, and ankle. […] In the knee they can result from an osteochondritis dissecans or from trauma. […] Traumatic lesions are often combined with ligament or meniscal injuries. […] Full-thickness lesions are found in 5-10% in knees undergoing arthroscopy. […] In the future improved MRI technology and national or international cartilage registries may become useful in investigating the epidemiology of cartilage injuries. […] Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. […] Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship? […] Articular cartilage defects: study of 25,124 knee arthroscopies.
- #62 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%. Individuals between the ages of 45 and 68 had an average of 31.73% discharges followed by age group 6584, with 28.82%. The average length of stay for a patient diagnosed with torn menisci was 2.7 days for males and 3.7 days for females. There was a report of 6,941 hospital discharges for knee repair. Individuals between age 18 and 44 were among the highest with 37.37% total of discharges, followed by the age group 4564, with a percentage of 36.34%. Males had a slightly higher number of discharges (50.78%) than females (48.66%). The average length of stay for both male and female patients in a hospital setting was 3.1.[60]
- #63 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%. Individuals between the ages of 45 and 68 had an average of 31.73% discharges followed by age group 6584, with 28.82%. The average length of stay for a patient diagnosed with torn menisci was 2.7 days for males and 3.7 days for females. There was a report of 6,941 hospital discharges for knee repair. Individuals between age 18 and 44 were among the highest with 37.37% total of discharges, followed by the age group 4564, with a percentage of 36.34%. Males had a slightly higher number of discharges (50.78%) than females (48.66%). The average length of stay for both male and female patients in a hospital setting was 3.1.[60]
- #64 Meniscus tear – Wikipediahttps://en.wikipedia.org/wiki/Meniscus_tear
In 2008 the U.S. Department of Health and Human Services reported a combined total of 2,295 discharges for the principal diagnosis of tear of lateral cartilage/meniscus (836.0), tear of medial cartilage/meniscus (836.1), and tear of cartilage/meniscus (836.2). Females had a total of 53.49% discharges, while males had 45.72%. Individuals between the ages of 45 and 68 had an average of 31.73% discharges followed by age group 6584, with 28.82%. The average length of stay for a patient diagnosed with torn menisci was 2.7 days for males and 3.7 days for females. There was a report of 6,941 hospital discharges for knee repair. Individuals between age 18 and 44 were among the highest with 37.37% total of discharges, followed by the age group 4564, with a percentage of 36.34%. Males had a slightly higher number of discharges (50.78%) than females (48.66%). The average length of stay for both male and female patients in a hospital setting was 3.1.[60]
- #65 Meniscus Tear in Knee: Symptoms, Causes, and Treatmentshttps://www.webmd.com/pain-management/knee-pain/meniscus-tear-injury
Like a lot of knee injuries, a meniscus tear can be painful and debilitating. Unfortunately, it’s quite common. In fact, a meniscal tear is one of the most frequently occurring cartilage injuries of the knee. […] More than 40% of people 70 or older have had a torn meniscus. […] Tears are more common in the medial rather than in the lateral meniscus, perhaps because of this lack of mobility. […] About 28% of all medial meniscus tears fall into this category. […] For 85% to 90% of people who get the surgery for a meniscus tear, the short-term results are good to excellent. But in the long term, people who have a large meniscal injury that is unrepairable may be at a higher risk of getting knee arthritis. […] Meniscus tears are very common knee injuries, particularly for athletes.
- #66 Meniscus Tears | Pediatric Orthopaedic Society of North America (POSNA)https://posna.org/physician-education/study-guide/meniscus-tears
Lateral meniscal tears are more common than medial meniscal tears. Adolescents are more likely to have associated ligamentous injuries. Children are more likely to have tears associated with discoid menisci. In addition, children with an isolated meniscal tear more commonly have a low BMI. A 2013 study found the distribution of meniscal tear type to be: complex (28%), vertical (16%), discoid (14%), bucket-handle (14%), radial (10%), horizontal (8%), oblique (5%), fray (3%), and root detachment (2%) (Shieh, 2013). […] Studies have shown that operative treatment of meniscus tears in pediatric patients typically produces good results (80-87%) (Shieh, 2016; Kraus, 2012).
- #67 Meniscus Injuries – Vasta Performance Training and Physical Therapyhttps://vastasports.com/meniscus-injuries/
Risk factors for tears in women include being greater than 40 years old with a body mass index (BMI) greater than 30, and with a lower physical activity level. […] A Physical Therapist, Athletic Trainer or Orthopedist can perform a specific examination in order to determine presence of a meniscal tear. […] Studies show that among patients with non-obstructive meniscal tears (e.g. no mechanical locking), physical therapy can be equal to APM for improving patient-reported knee function over a 24-month follow-up period. […] Ultimately, non-operative treatment can be an appropriate alternative option for treating a meniscus tear.