Causes of Meniscal Injuries
Meniscal tears often occur during sports. These tears are usually caused by twisting motion or over-flexing of the knee joint. Sports such as football, tennis, and basketball involve a high risk of developing meniscal tears. They often occur along with injuries to the anterior cruciate ligament, a ligament that crosses from the femur (thighbone) to the tibia (shinbone).
Diagnosis of Meniscal Injuries
A thorough medical history and a physical examination can help diagnose meniscal injuries.
The McMurray test is an important test for diagnosing meniscal tears. During this test, your doctor will bend the knee, then straighten and rotate it in and out. This creates pressure on the torn meniscus. Pain or a click during this test may suggest a meniscal tear.
In addition, your doctor may order imaging tests such as X-ray and MRI to help confirm the diagnosis.
Treatment of Meniscal Injuries
The treatment depends on the pattern and location of the tear. If the meniscal tear is not severe, your child's doctor may begin with non-surgical treatments that may include:
- Rest: Avoid activities that may cause injury. You may need to temporarily use crutches to limit weight-bearing.
- Ice: Ice application to reduce swelling
- Pain medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to help reduce swelling and pain
- Physical therapy: Physical therapy for muscle and joint strengthening
If the symptoms persist and conservative treatment fails, you may need surgery to repair the torn meniscus.