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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Oblique Tear Through The Medial Meniscus Posterior Horn. Should I Undergo Surgery?

hello doctor last friday i underwent this problem.my MRI scan report says that oblique tear through the medial meniscus posterior horn/body. acl is torn.grade | mcl strain. joint effusion .bone marrow edema at lateral tribal condyle.muscle/tissue plane edema and hemorrhage at the popliteal region.in this position should i undergo surgery or any other treatment? some recommend to undergo surgery.... some recommend not to undergo.... what should i do now?
Fri, 15 Mar 2013
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General & Family Physician,  's  Response
RICE: Rest, Ice, Compression, Elevation
• Meniscal preservation should be the goal of treatment in order to decrease any future complication of OA.
• The treatment depends on the type, location, and extent of the tear as well as the age and activity of the patient.
• Small, nondisplaced peripheral tears (because this region is vascular), especially in the lateral meniscus, may heal on their own or become asymptomatic and, therefore, do not require surgery.
• Aggressive physical therapy/rehabilitation should be provided as the initial form of treatment in most patients, as a majority of them will become symptom-free from strengthening alone: › Patients >30 years who do not have a "locked" knee should undergo 6–12 weeks of rehabilitation. If they are symptomatic after rehabilitation, surgery should be considered.


• A "locked" knee requires immediate surgery.
• In patients >40 years with OA and meniscal injury, surgery should be offered after a failure of 3–6 months of rehabilitation.
• If the patient is
• Activity should be restricted to weight-bearing as tolerated. Crutches may be needed the patient is unable to bear weight.
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MRI Shows Oblique Tear Through The Medial Meniscus Posterior Horn. Should I Undergo Surgery?

RICE: Rest, Ice, Compression, Elevation • Meniscal preservation should be the goal of treatment in order to decrease any future complication of OA. • The treatment depends on the type, location, and extent of the tear as well as the age and activity of the patient. • Small, nondisplaced peripheral tears (because this region is vascular), especially in the lateral meniscus, may heal on their own or become asymptomatic and, therefore, do not require surgery. • Aggressive physical therapy/rehabilitation should be provided as the initial form of treatment in most patients, as a majority of them will become symptom-free from strengthening alone: › Patients 30 years who do not have a locked knee should undergo 6–12 weeks of rehabilitation. If they are symptomatic after rehabilitation, surgery should be considered. • A locked knee requires immediate surgery. • In patients 40 years with OA and meniscal injury, surgery should be offered after a failure of 3–6 months of rehabilitation. • If the patient is • Activity should be restricted to weight-bearing as tolerated. Crutches may be needed the patient is unable to bear weight.