March 1999
Knee Injuries --
Cartilage Tears |
| Cartilage
injuries in the knees, also known as meniscal tears, are common both in sports and in
daily activities. |
Cartilage injuries in the knees,
also known as meniscal tears, are common both in sports and in daily activities. The
meniscus are two wedge-shaped pieces of cartilage located in the knee between the two
large bones of the leg, the femur and tibia. They function as a shock absorber for the
joint and allow the two bones to move pain free within the knee. However, if the joint is
twisted, as is common in pivot sports, the cartilage can tear and even get caught in the
joint, restricting mobility and resulting in a "locked joint."When to seek medical treatment
Dr. Edward Lim, orthopedic trauma surgeon at The University Hospital, explains that
"some patients will hear a loud pop or crack when cartilage tears or ligaments
rupture. Seek medical treatment for any injury that causes a ripping or tearing sensation
in the joint."
Other signs to watch for include immediate swelling, which suggests
bleeding into the joint, restricted motion and an inability to bear weight on the leg. If
these signs are present, Dr. Lim recommends the injury be assessed by a doctor.
Treatment
In many situations, cartilage tears may heal slowly because of the poor blood supply to
the injured area.
In injuries where pain or locking joints persist, arthroscopic surgery is often needed to
solve the problem. The arthroscope is an instrument the size of a pen with a telescope at
one end and a fiber optic light at the other. It allows physicians to examine and often
repair injured joints through two small incisions. The procedure is done on an outpatient
basis and offers many benefits over traditional surgery. The recovery time is shortened to
about three weeks, infection is minimal and because the incisions are small, there is less
scarring. The benefits of arthroscopic surgery are maximized by aggressive physical
therapy to return the joint to normal activity. |
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