- How is it diagnosed?
- While making the diagnosis of meniscus tear, first of all, in order to learn the form of the disease, an interview should be performed by the physician. Then, the knee joint is examined and special tests are performed. After a good interview and physical examination, the diagnosis of meniscal tear occurs to a great extent. The physician may also order an x-ray to evaluate the amount of wear and tear in the knee and to check if there is any other problem with the bones. The most reliable method in recent years to confirm the diagnosis of meniscal tears on the knee joint is magnetic resonance imaging (MRI).
- How is it treated?
- Meniscus tears cause cartilage wear and calcification in the future. Therefore, it must be treated. Elderly patients with complaints such as recurrent locking and idling are treated with arthroscopic method if their complaints do not regress with protective methods. In young people, the treatment of meniscal tears is mostly surgical. It is not possible for the menisci to heal on their own, except for some small tears that are very rare and not fully folded. In patients with obvious complaints, the meniscus tear is tried to be repaired by surgical intervention. If the tear is not suitable for repair, the torn part is removed.
- In elderly patients, meniscus tears are usually accompanied by arthrosis (wear, tear, calcification) in the knee. When this happens, only intervening in the meniscus tear may not completely solve the problem. In this case, the physician may choose to suppress the symptoms with drug therapy, intra-articular injections, arthroscopic surgery or bone correction surgeries with arthroscopy.
- What is the arthroscopy method?
- Previously meniscus tears treatment was performed with open surgeries. Recently arthroscopy, which is a closed method, is taking place. During arthroscopy surgery performed by opening a small hole in the knee, a camera device is inserted through this hole. Because of the camera, the damaged area can be visualized and the torn part is removed. Arthroscopy surgery usually performed under local anesthesia between 30 minutes and two hours. Since a large incision is not made, the patient can be quickly healed and return back to his daily life shortly.
Assoc. Prof. Dr. Mesut TAHTA
Orthopedics and Traumatology