The many types of meniscus tears

The many types of meniscus tears

In this article, Ross Hauser, MD and Katherine L. Worsnick, MPAS, PA-C present background information on the many types of meniscus tears and how they can be treated with a non-surgical Comprehensive Prolotherapy approach.

The many types of meniscus tears

If you are reading this page you have likely been diagnosed with a meniscus tear and have just had, or are waiting to get, an MRI to determine the damage. So let’s look at the different types of meniscus tears and what you can do non-surgically to treat them.

Red zone tear, white zone tear. Can either be repaired?

picture what does a torn meniscus look like

Menisci have two zones. The red zone is outside and the white zone is inside. Meniscus tears are characterized by their placement within these two zones.

A red zone tear lies within the blood-rich portion of the meniscus. Where there is a blood supply there is healing as blood brings the healing and growth factors needed for wound repair.

If you have a red zone tear, there is a chance arthroscopic surgery can go in and sew it up. If you have a white zone tear, it is most likely that your meniscus will be removed. All or some of it. The great majority of meniscus arthroscopic surgeries are to REMOVE meniscus tissue.

We have a lot of information on our site with the options for meniscus surgery. These are our regenerative medicine injection techniques.

No matter the tear, partial meniscectomy and physical therapy may not work or may work. It is hard to tell.

This is a study from orthopedic surgeons writing in the medical journal Arthroscopy. (1) If ever there were to be a favorable study on surgery you would think this was it. Not so. In this study, doctors suggest that there is currently no compelling evidence to support arthroscopic partial meniscectomy versus physical therapy. The studies evaluated in this research is not robust enough at this time to support claims of superiority for either alternative, and both arthroscopic partial meniscectomy or physical therapy could be considered reasonable treatment options for this condition.

They may work, one may or may not work better than the other. The research is not sure.

Partial thickness tears or full thickness tears: The other classification of the meniscus tear is related to the depth of the tear.

The many types of meniscus tears

The many types of meniscus tears

Meniscus bucket handle tear

Other Meniscus Tears

Treating the meniscus

The meniscus can be treated and repaired non-surgically with our regenerative injection techniques: Learn more about them at these links:

Prolotherapy Specialists Bucket handle meniscus tear repair and treatment options

If you have questions about bucket handle meniscus tear repair and treatment options, get help and information from Caring Medical

1 Hohmann E, Glatt V, Tetsworth K, Cote M. Arthroscopic partial meniscectomy versus physical therapy for degenerative meniscus lesions: How robust is the current evidence? A critical systematic review and qualitative synthesis. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2018 Jul 20. [Google Scholar]
2. Urzen JM, Fullerton BD. Nonsurgical Resolution of a Bucket Handle Meniscal Tear: A Case Report. PM R2016 Jun 6. pii: S1934-1482(16)30158-7. [Google Scholar]
3 Stender ZC, Cracchiolo AM, Walsh MP, Patterson DP, Wilusz MJ, Lemos SE. Radial Tears of the Lateral Meniscus—Two Novel Repair Techniques: A Biomechanical Study. Orthopaedic journal of sports medicine. 2018 Apr 27;6(4):2325967118768086. [Google Scholar]
4 Atik OŞ. Should degenerative horizontal tear of the medial meniscus be treated with surgery?. Eklem hastaliklari ve cerrahisi= Joint diseases & related surgery. 2018 Aug;29(2):63-4. [Google Scholar]

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