Special thanks to star physical therapist Antara Quiñones for providing this write up on a recent article from the American Journal of Sports Medicine.
Physicians are changing how they manage meniscal tears, according to a recent study that reviewed treatment methods over a 7 year period. Often when new evidence shows a better way to treat a problem it takes years for surgeons to alter their practice methods. This study concluded that surgeons have changed their treatment to reflect the most up to date practice. The authors attribute the change in treatment to new evidence and changes in physician education regarding effective treatment. This is good news for the prevention of knee arthritis.
The meniscus is a c-shaped piece of cartilage that is found on both sides of the knee joint sandwiched between the ends of your bones. It serves as a barrier between the leg bones, helps to redistribute twisting forces and decreases the wear and tear on the underlying cartilage covering the end of the bones.
The meniscus may be torn either by degeneration or by acute trauma. Sometimes from a blow to the knee both the meniscus and the anterior cruciate ligament (ACL) tear. A tear typically causes knee locking and catching, swelling, and pain. In the past, the standard treatment for a torn meniscus was removal, or meniscectomy. However, because recent studies have shown 60% of menisectomies result in osteoarthritis (or the wearing away of the cartilage covering the end of the bones), physician education has changed to emphasize preserving the meniscus. The attempt to preserve the meniscus is called a meniscus repair and involves suturing the structure back together as best possible.
Review of over 2 billion patient records from 2005-2011 showed an increase of 11.4% in the number of meniscal repairs, with young males and patients under 25 years old having the greatest increase in meniscal repair surgeries. Additionally, there was a 48.3% increase in ACL reconstruction in conjunction with meniscus repairs. This data suggests that physicians are changing their method of treatment of meniscus tears to reflect their training and are repairing meniscus when able instead of simply removing the tissue.
Geoffrey D. Abrams, MD, et al. Trends in Meniscus Repair and Meniscectomy in the United States, 2005-2011. In American Journal of Sports Medicine. July 17, 2013. Vol. 41, No. 10. Pp.2333-2339.
For more information, visit our patient education topic module by clicking here.
Brent Dodge is the founding owner of Alpine Physical Therapy and is a board certified orthopedic specialist. He holds additional certifications in Functional Dry Needling, Manual Physical Therapy, and Strength and Conditioning.
All Alpine Physical Therapy Alpine Soccer Team Alpine Softball Alzheimer's Disease American Cancer Society Ana Soulia Angela Listug Vap Angela Listug-Vap Ankle Sprains Antara Quinones Aquatics Audrey Elias Back Pain Balance Biking Boston Marathon Brace Hayden Brent Dodge Cancer CDC Certified Chiropractic Climbing Concussion CoreAlign Core Studio Crossfit Dance Medicine Dennis McCrea Diabetes Diane Cummins Diva Day Dr. Liz Walker Eating Emily Jones Ergonomics Events Excercises Fall Prevention Fall Prevention Awareness Day Fishing Fitness Fit To Fight Foot Pain Functional Dry Needling Gary Gales Golf Good Food Store Headaches Health Her Health Hiking Hip Pain Jamie Terry Jeannette Kittredge Jessica Kehoe Jonathan Hoffman's Foundation Training Josie Sweeney Kayla Johnson Kerri Houck Knee Pain Kristi Moore Leah Versteegen Lindsy Campbell Linsey Olson Low Back Pain LYMPHEDEMA Mary Mischke Matt Schweitzer MISA Missoula Marathon Missoula's Choice Moms Montana Geriatric Society Morgan York Singer Morgan York-Singer MT Alpha Cycling National Cancer Institute National Falls Awareness Neck Pain Oncology Rehab Program Pain Pamela Pack Peak Health & Wellness Center Peak Triathlon Pelvic Pain Physical Therapy Physical Therapy (Journal) Pilates Primal Practice Relay For Life Resources Roger Sperry Ron Clijsen Ron Veilleux Runner's Edge Running Samantha Glaes Sam Schmidt Sarah McMillan Shoulder Pain Sitting Skiing Skye Folsom Soccer Spine Magazine Spine Rehab Sports STEADI (Stopping Elderly Accidents Tai Chi Tamarack Brewing Company Tara Mund The Runner's Clinic Tips Travis Dye Ultrasound Imaging University Of Montana Urinary Incontinence Walking Wellness Wellness Program Westside Dance Physical Therapy Who Is Perfect? Women's Health
Connect with us
Get to know us better. Our social media platforms are a great way to learn about our staff, upcoming events, newest technology, patient stories, and more.
who we are
Leading innovation in health and wellness for our community, delivering compassionate care, and inspiring through education.
Know what’s new. Plus, get a free consultation!
Copyright © 2017 Alpine Physical Therapy • All Rights Reserved
Site by Aesir Consulting
Site by Aesir Consulting