KNEE SURGERY GLASGOW
Meniscus Tears
What are meniscal tears?
The menisci are two C-shaped pieces of cartilage that act as shock absorbers between your thighbone (femur) and shinbone (tibia). A meniscal tear happens when this cartilage is damaged, usually due to twisting the knee while bearing weight. Tears can vary from small frays to large splits, and are one of the most common knee injuries.
General Overview
Meniscal tears can occur suddenly during sports or everyday activities, or gradually with age as the cartilage weakens. They often cause pain, swelling, and difficulty moving the knee. In some cases, a torn flap of cartilage can get caught in the joint, leading to locking or restricted movement.
Treatment depends on the type and severity of the tear. Some heal with rest and physiotherapy, while others may need surgery (often a keyhole procedure called arthroscopy).
What are the symptoms of meniscal tears?
Sudden pain at the time of injury (often during twisting or squatting)
Swelling that develops over hours or days
Stiffness and reduced movement
A clicking, catching, or popping sensation in the knee
Locking of the knee or inability to fully straighten it
Feeling that the knee may give way when walking
How do you treat meniscal tears?
Conservative (non-surgical) treatment:
PRICE principles: Protection, Rest, Ice, Compression, Elevation in the early phase
Anti-inflammatory medication for pain and swelling
Physiotherapy to improve movement, strength, and stability
Gradual return to activity once symptoms improve.
Surgical treatment:
If the tear is large, causing locking, or not improving with conservative care, surgery may be considered.
Arthroscopy (keyhole surgery) is commonly used to either trim the damaged cartilage (meniscectomy) or repair the tear.
Recovery varies: return to light activity can be within weeks, while full recovery (especially after repair) may take several months.
Any additional information for this condition:
A link to local NHS guidance for meniscal tear management
https://live.nhsggc.scot/downloads/nhs-ggc-knee-meniscal-cartilage-tears-information-leaflet/