How is Diagnosis Made in Meniscal Tears?
A good listening and physical examination reveals the diagnosis of meniscus tear to a large extent. X-ray radiographs are requested to evaluate the amount of tear on the knee and to see if there is another problem in the bone structures or if there are other accompanying problems. MR is withdrawn to confirm the diagnosis of meniscus tears, detect the nature of the tear, other concomitant problems, and make a treatment plan. The accuracy rate of MR in detecting meniscus tears depends on its duly drawn and evaluated in experienced hands. However, MR is not the only determinant in deciding on diagnosis and treatment. In some cases, the image can be obtained as if there is no tear (false positive result) or, on the contrary, it may not be detected in MR (false negative result). Therefore, it is extremely important to shoot properly. Especially if surgical treatment has been made for Meniscus previously, the margin of error increases and further diagnostic methods may be required. In deciding on diagnosis and treatment; the patient’s complaint, examination findings and MR image should be compatible with each other. In some cases, all of these diagnostic methods may be insufficient. In this case, the diagnosis is confirmed by Arthroscopy (looking inside the joint).
What is Menisectomy?
A fragment of the torn Meniscus that is not suitable for repair is removed. This process is called Menisectomy. During this process, only the torn part is removed and the remaining intact part of the meniscus is tried to be protected. This is called Partial Menisectomy. The more Meniscus tissue can be preserved, the better the knee will be for long-term health. Because the preserved Meniscus tissue continues to carry a load, albeit partially. The early results of partial menisectomy are very good. There is no need for a serious rehabilitation program after surgery. It is possible to return to normal life and sports within a few days or weeks after frequent home exercises.
Ali YILMAZ, M.D.
Orthopedics and Traumatology Specialist