What Physical Therapists Need to Know About MENISCUS Injuries

By dpope2020

October 25, 2024

dan pope, dr. david middaugh, evidence-based medicine, fitness pain free, fitnesspainfree, Knee, knee pain, meniscus, meniscus exercises, meniscus injury, meniscus rehab exercises, meniscus surgery, meniscus tear, meniscus tear exercises, meniscus tear recovery, meniscus tear rehab, meniscus tear rehab exercises, meniscus tear symptoms, meniscus tear treatment, physical therapist, physical therapy, physiotherapy, torn meniscus, torn meniscus exercises

What Physical Therapists Need to Know About MENISCUS Injuries

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In today's video we go over What Physical Therapists Need to Know About MENISCUS Injuries: FPF Show Episode 149

  • 0:00 Introduction
  • 1:09 Relevant anatomy of the meniscus
  • 4:44 "Hoop strain" and it's relevance for speed of physical therapy progress and surgery
  • 5:14 Does the meniscus heal after injury?
  • 6:40 Which parts of the meniscus heal best and are therefore better surgical candidates and potential areas that spontaneously heal?
  • 8:15 What is the function of the meniscus?
  • 8:42 What happens when patients loses a part of their meniscus? 
  • 10:15 How common are meniscus injuries and who typically gets them? (Prevalence)
  • 17:26 Are meniscus tears more common with sports participation?
  • 18:04 How does ACL deficiency (a lack of an ACL) influence future risk of meniscus injuries?
  • 21:00 What is the mechanism of injury for meniscus tears? (How do meniscus tears occur?)
  • 22:38 What are the different types of meniscus tears?
  • 32:04 What are the rates of meniscus tears (degenerative) as we age?

Supercharged menisci,

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Raj, M. A. (2023, July 17). Knee Meniscal tears. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK431067/ 

  2. Chirichella, P. S., Jow, S., Iacono, S., Wey, H. E., & Malanga, G. A. (2018). Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics. PM&R. doi:10.1016/j.pmrj.2018.08.384

  3. Logerstedt DS, Scalzitti DA, Bennell KL, et al. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Revision 2018. J Orthop Sports Phys Ther. 2018;48(2):A1‐A50. doi:10.2519/jospt.2018.0301

  4. Beaufils P, Becker R, Kopf S, Matthieu O, Pujol N. The knee meniscus: management of traumatic tears and degenerative lesions. EFORT Open Rev. 2017;2(5):195‐203. Published 2017 May 11. doi:10.1302/2058-5241.2.160056

  5. Zhang Y, Hunter DJ, Nevitt MC, et al. Association of squatting with increased prevalence of radiographic tibiofemoral knee osteoarthritis: the Beijing Osteoarthritis Study. Arthritis Rheum. 2004;50(4):1187‐1192. doi:10.1002/art.20127

  6. BMJ Blog. (2024). The MSK playbook: Meniscal knee injuries. British Journal of Sports Medicine. Retrieved October 20, 2024, from https://blogs.bmj.com/bjsm/2024/04/01/the-msk-playbook-meniscal-knee-injuries/

  7. Meniscus Image: file source: https://upload.wikimedia.org/wikipedia/commons/a/a8/Gray349.png attribution: Henry Vandyke Carter, Public domain, via Wikimedia Commons Edited by Fitness Pain Free LLC

  8. Lateral Meniscus - Source: https://commons.wikimedia.org/wiki/File:Lateral_Meniscus_Counterstrain.png Attribution: Powellle / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0)

  9. Meniscus and Knee - SOURCE: https://commons.wikimedia.org/wiki/File:Depiction_of_a_person_suffering_from_Knee_Pain.pngAttribution: https://www.myupchar.com/en / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0)Edited by fitness pain free LLC

  10. Medial Meniscus Source: https://commons.wikimedia.org/wiki/File:Medial_Meniscus_Injury.png Attribution: BruceBlaus / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0) Edited by fitness pain free LLC

  11. Knee Joint Source: https://commons.wikimedia.org/wiki/File:917_Knee_Joint.jpg Attribution: OpenStax College / CC BY (https://creativecommons.org/licenses/by/3.0) Edited by fitness pain free LLC

  12. Gray Meniscus Source: https://commons.wikimedia.org/wiki/File:Gray349.png Attribution: Henry Vandyke Carter / Public domain Edited by fitness pain free LLC

  13. Types of Meniscus Tears Source: https://commons.wikimedia.org/wiki/File:Meniscus_tear_types.svg Attribution: Mikael Häggström / CC0 Edited by fitness pain free LLC