Clin Sports Med. sharing sensitive information, make sure youre on a federal Correlation between microstructure and biomechanics. Meniscal suture; Meniscus; RTS; Rehabilitation protocol; Traumatic tears. The inclusion criteria were as follows: English language studies reporting rehabilitation procedures and RTS after isolated arthroscopic meniscus repair and biomechanical studies on meniscal lesions or meniscal repair. Meniscal repair for radial tears of the midbody of the lateral meniscus. Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P. Clinical outcomes of open meniscal repair of horizontal menis- cal tears in young patients. Surgical Treatment of Isolated Meniscal Tears in Competitive Male Wrestlers: Reoperations, Outcomes, and Return to Sport. The load distribution and shock absorption effects are influenced by their macro-geometry and tissue-architecture. Lyman et al. Only one prospective randomized trial comparing the impact of accelerated regimen versus restricted rehabilitation protocol has been described [21]. In younger athletes, the sports medicine team can repair meniscus tears in most circumstances.. However, for lesions bigger than three cm, patients were wearing a protective locked brace with partial weight bearing with ROM limited to 125 until eight weeks after the surgery. The site is secure. Orthopedics 17(5):463471, Barber FA, Schroeder FA, Oro FB, Beavis RC (2008) FasT-Fix meniscal repair: midterm results. Copyright 2019 Elsevier Inc. All rights reserved. The direct Epub 2016 Jul 9. Randomized controlled trials (RCTs), prospective and retrospective cohort studies, case series, systematic reviews, meta-analyses, cadaveric studies and basic science studies were included. In some cases, returning to sports following a meniscus injury may mean returning to a modified level of play to protect a knee that's permanently lost some of its inherent strength and stability. A RTS protocol after isolated meniscal repair is developed and proposed by the authors in accordance with the Tegner Activity Scale and meniscus stability. Differently to that, complete radial tears should be treated more conservatively, because the circumferential hoop fibers are disrupted [4]. Medial meniscus deficiency is responsible for increased stress on the ACL during AP tibial translation , . This procedure, called meniscus allograft transplantation, is usually performed in younger patients with severe injuries. The restricted group needed to wear a hinged brace and gradually increased the ROM up to 90 in association with a touch-down weight bearing for six weeks after the surgery. Am J Sports Med 45(7):16871697, Perkins B, Gronbeck KR, Yue RA, Tompkins MA (2018) Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. However, concerning isolated medial versus lateral meniscus repair, the data shown in literature are conflicting. Federal government websites often end in .gov or .mil. Federal government websites often end in .gov or .mil. Anderson AF, Irrgang JJ, Dunn W, Beaufils P, Cohen M, Cole BJ (2011) Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. 2 Single-leg squat: This is an essential exercise during rehabilitation from meniscal repair. The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to protect the repair. A narrative literature review was performed searching PubMed database to identify relevant articles from January 1985 to October 2021 using keywords (meniscus OR meniscal repair) AND (rehabilitation OR physiotherapy OR physical therapy) AND (RTS OR return to sports) AND (biomechanics OR biomechanical). 2014;42(4):921926. Epub 2014 Jun 9. Does high knee flexion cause separation of meniscal repairs? Careers. Importantly, full quadriceps muscle function and strength is often the rate-limiting step during rehabilitation that prevents most athletes from returning to sport. The circumferential fibers predominantly convert and disperse axial and compressive loading creating the so called hoop stress effect. Level of evidence: There are limited data in the literature regarding athletes returning to play after isolated meniscal repair. Differences or similarities among the studies previously described are summarized in Table Table22. Mayo Clinic Orthopedics and Sports Medicine includes a dedicated Knee Meniscus Clinic. Rest up to 10 seconds. There were no differences in functional outcome score and healing rate at two years of follow up. Differently, in case of radial tears scenario, the compressive loading appears to dislocate the lesion instead of reducing it, leading to a restricted rehabilitation program [15]. J Pediatr Orthop 31:496500, Lyman S, Hidaka C, Valdez AS, Hetsroni I, Pan TJ, Do H (2013) Risk factors for meniscectomy after meniscal repair. Finally, a global failure rate of 21% was shown, with a lower level in professional athletes (9%) compared to the recreational group (22%) [33]. PubMed Similarly, Lin et al., in order to assess the effect of postoperative ROM following meniscal repair on a cadaveric model, created a 2.5cm posteromedial meniscal tear and repaired it with inside-out sutures. The author(s) read and approved the final manuscript. Meniscus surgery is a common operation to remove or repair a torn meniscus, a piece of cartilage in the knee. Lind et al. The authors showed excellent results limiting weight-bearing in association with restricted ROM (120) over six weeks [30]. Beside aforementioned classical meniscal lesions, new meniscal tears entities have been recently described and can be the cause of residual pain, mechanical symptoms and residual anteroposterior laxity [2, 3]. Accessibility doi: 10.1177/0363546514522394. Google Scholar, Sonnery-Cottet B, Conteduca J, Thaunat M (2014) Hidden lesions of the posterior horn of the medial meniscus: a systematic arthroscopic exploration of the concealed portion of the knee. Electronic address: twiley@universityorthopedics.com. Platelet-rich plasma in meniscal repair: does augmentation improve surgical outcomes? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Arthroscopy 10(2):206210, Article There is no consensus in the literature regarding the optimal rehabilitation protocol following meniscal repair [2326]. Mueller BT, Moulton SG, O'Brien L. Rehabilitation following meniscal root repair: a clinical commentary. Knee Surg Sports Traumatol Arthrosc 21:15301533, Tucciarone A, Godente L, Fabbrini R, Garro L, Salate Santone F, Chillemi C (2011) Meniscal tear repaired with Fast-Fix sutures: clinical results in stable versus ACL-deficient knees. Athletes benefit from Mayo Clinics tailored rehabilitation protocols after the repair. Rehabilitation protocols after isolated meniscal repair: a systematic review. Unable to load your collection due to an error, Unable to load your delegates due to an error, The meniscal micro-structure with two different orientations of the collagen fibers. The remaining 28% is composed of organic matter, mostly ECM and cells (fibrocytes, fibroblasts, meniscus cells, fibrochondrocytes, and chondrocytes) [4]. Haklar U, Kocaoglu B, Nalbantoglu U, Tuzuner T, Guven O. Arthroscopic repair of radial lateral meniscus tear by double horizontal sutures with inside-outside technique. BMJ Open Sport Exerc Med. Concerning the micro-structure of the tissue, the meniscus has two different orientations of the collagen fibers. 8600 Rockville Pike 2020 Sep;45:76-85. doi: 10.1016/j.ptsp.2020.06.011. Furthermore, considering aggressive and accelerated rehabilitation protocols, Mariani et al. Aune KT, Andrews JR, Dugas JR, Cain EL Jr. Am J Sports Med. -. At Sports Medicine Oregon, we always do our best to help you get back in the game as safely and quickly as possible. The menisci in your knee help facilitate joint stability and smooth, fluid movement. For longitudinal tears less than three cm, they proposed weight-bearing as tolerated without using a brace in association with a ROM limited to 0-125 up to the six weeks. General approaches for each category of tears are summarized in Fig. Mayo Clinic is using more minimally invasive procedures to treat meniscus tears, which helps athletes return to activities they enjoy more quickly. Proposed approaches for each category of lesions are summarized in Table Table33. An isolated Posterolateral corner injury with rotational instability and hypermobile lateral meniscus: a novel entity. Google Scholar, Briggs KK, Kocher MS, Rodkey WG, Steadman JR (2006) Reliability, validity, and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee. Unable to load your collection due to an error, Unable to load your delegates due to an error. The site is secure. Athlete; Meniscus; Repair; Return to play; Sports. An operation-eligible patient can return to work after 1-2 weeks, drive after 4-6 weeks, and resume heavy sports or work 3-6 months after the operation. No matter what sport you play, your meniscus helps you stay in the game. Accelerated rehabilitation for meniscus repairs. Only six studies specifically evaluated RTS in either mixed-level or professional athletes after isolated meniscal suture [31, 3640]. Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. They showed that, in the longitudinal vertical tear scenario, weight-bearing reduced the meniscus and stabilized the repair. Some authors recommend non-weightbearing and immobilization in full extension, because during flexion the peripheral posterior horn tears move away from the capsule but reduce in extension [17, 18]. and transmitted securely. J Bone Joint Surg Am 68:847861, Lind M, Nielsen T, Faun P, Lund B, Christiansen SE (2013) Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. FOIA An athlete who returns to sport without functional stability being restored, is at a higher risk of failure and poor outcomes We have shown that younger athletes have a superior improvement with meniscus repair compared to removal, along with the suggestion of less arthritis, says Dr. Krych. Finally, the protocol is the same as aforementioned, but strengthening is delayed by one month [32]. reported high rate of return to sports (RTS) (81%) using a restricted rehabilitation program with protected weight-bearing and limitation of ROM for six weeks for all types of meniscal lesions [31]. your nearest Sports Medicine Oregon location in Tigard or Wilsonville today, or use the easy. Range of motion is limited to 90 of flexion using a protective brace for six weeks [28].After six weeks, progression beyond 90 of flexion is allowed, but knee loading in deep flexion is limited for four months postoperatively [30]. Whether youre an elite athlete or a recreational sports enthusiast, you know that you carry a risk of injury every time you step on the field, skate across the ice, burst onto the court, or otherwise get in the game. The .gov means its official. In case of posteromedial meniscal tears, Ganley et al. Hence, partial weight bearing (20kg) in association with ROM limited to 90 is allowed for the first four weeks, followed by weight bearing as tolerated. A conservative approach is possible with this type of tear because the outer third of a meniscus has a rich blood supply that can help regenerate new, healthy cartilage tissue. espn.co.uk - M.A. Given that its not unusual for the pain of a meniscus tear to come and go it typically feels worse when the joint is under pressure many athletes are tempted to push through the pain and continue playing or training. 1) [4]. However, biomechanical evidence suggests that tailoring an individualized protocol based upon the type of lesion and its stability can be reasonable. Degenerative Meniscus Tear in Older Athletes. NCI CPTC Antibody Characterization Program, Anderson AF, Irrgang JJ, Dunn W, Beaufils P, Cohen M, Cole BJ. Examples of these exercises include quad sets, straight leg raises, and squats (shown below). Differently, other investigators proposed immobilization in different degrees of flexion, and others still favor limited early motion protocols [19, 20]. Provided by the Springer Nature SharedIt content-sharing initiative. Am J Sports Med 30(4):589600, Logan M, Watts M, Owen J, Myers P (2009) Meniscal repair in the elite athlete: results of 45 repairs with a minimum 5-year follow-up. Correspondence to Scott GA, Jolly BL, Henning CE. 2023 BioMed Central Ltd unless otherwise stated. In order to decrease the rate of muscle atrophy and the development of strength deficits, many authors support the use of accelerated rehabilitation protocols with early weightbearing and unrestricted range of motion after meniscal repair regardless of the tear type [6, 8, 10, 11]. From 2 to 4 weeks, patients will advance to full weight bearing as tolerated by pain; however, they will not be allowed to full weight bear past 90 degrees of flexion. The .gov means its official. If diagnostic imaging shows that your tear is within the outer third of the meniscus, it may be able to heal on its own with the RICE (rest, ice, compression, elevation) method of care, followed by joint-stabilizing physical therapy exercises. 2022 Aug 17;9(1):80. doi: 10.1186/s40634-022-00521-8. Regarding preoperative and postoperative levels, the Tegner score improved from 3.50.3 to 6.20.8. In contrast, when circumferential hoop fibers are disrupted, a restricted rehabilitation protocol may be recommended. Rehabilitation following meniscal repair: a systematic review. Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears. Biomechanical evidence suggests that tailoring an individualized protocol based upon the type of lesion and meniscus stability is reasonable. Lyman S, Hidaka C, Valdez AS, Hetsroni I, Pan TJ, Do H. Risk factors for meniscectomy after meniscal repair. In 2006, the International Society of Arthroscopy, Knee Surgery and ISAKOS Knee Committee developed an arthroscopically assessed classification of meniscal tears based on tear depth, location, tear pattern, length, tissue quality and percentage of the meniscus excised, that provided acceptable interobserver reliability [1]. It can take several more months of physical therapy and rehabilitation, however, to ensure your knee has the strength and stability it needs to return to sports with minimal risk of reinjury. We have no financial conflicts of interest to declare. From a biomechanical point of view, the menisci have different functions; load distribution, shock absorption, cartilage nutrition, stability and the capacity of lower friction increasing the congruency of the joint [4]. Symptoms can include pain, swelling, stiffness, and instability or the sensation of the knee catching or locking. Several factors may influence healing after meniscal repair, delaying RTS activity. Curr Rev Musculoskelet Med. In our expanded repair indication for isolated meniscus repair for athletes, the rate of satisfactory return to sports was 91.3% in total (88.9% for the medial meniscus group; 92.9% for the lateral meniscus group). Clipboard, Search History, and several other advanced features are temporarily unavailable. The Chicago Sky will be without forward Isabelle Harrison indefinitely after she had surgery to repair a torn left meniscus, the team announced . From the biomechanical point of view, postoperative ROM and weight-bearing can affect meniscal healing after repair. From 4 to 8 weeks, patients should expect to discontinue the brace and the crutches if quadriceps strength is adequate to allow normal walking. The effects of non-weight-bearing and limited motion on the tensile properties of the meniscus. The collagen bundles included in the more superficial layer of menisci have a random orientation that somewhat mimics hyaline cartilage [4]. In the cases of menisco-synovial ramp repair, hypermobility of the lateral meniscus fixation and longitudinal tear suture, where the hoop tensile stress effect is preserved, partial weight bearing (20kg) is allowed for the first four weeks after surgery, with weight bearing as tolerated for the following weeks [11, 30]. Meniscal repair rehabilitation. In a porcine cadaveric model, Richards et al. When the hoop tensile stress effect is preserved, an accelerated rehabilitation program may be suggested. -, Jones RS, Keene GC, Learmonth DJ. the contents by NLM or the National Institutes of Health. Tuckman et al., differently to Lyman and colleagues, revealed a failure rate of 20% for the medial meniscus compared with 44% in the lateral meniscus [42]. Similarly, Logan et al. Despite many protocols that have been proposed, theres no consensus in the literature regarding the optimal rehabilitation program and return to sports (RTS) protocol following isolated meniscal repair. For example, in case of vertical longitudinal tears scenario where the hoop tensile stress effect is preserved and the circumferential fibers are intact, a compressive forces at the repair site with loading could be safely treated with early postoperative weightbearing and unrestricted ROM. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. Exclusion criteria were as follows: Non-English studies, articles not related to meniscus repair, studies focusing on results after meniscus transplantation and studies with concomitant procedures (ligament reconstruction, osteotomy, cartilage repair). However, a better understanding of RTS parameters could guide and help the surgeons while aiding discussion about recovery after meniscal repair with athletes and team physicians. 2021 Jan 20;9(1):2325967120969220. doi: 10.1177/2325967120969220. As a result of the fluid . Generally, the restrictions in ROM and the limitations in weight-bearing, should protect the meniscal repair from increased mechanical load, avoiding compressive overload and shear stresses on the surgical repair [12]. J Bone Joint Surg Am 88(4):698705, Reider B (2017) Too Much? Following these biomechanical premises, keeping in mind the macro-geometry and tissue-architecture of circumferential and radial fibers of the menisci and considering the studies described in the literature (Table (Table2),2), a tailored and customized rehabilitation protocol after meniscal repair can be proposed. These factors include tear type, medial versus lateral meniscus tear, and the presence of concomitant injuries. Arthroscopy 24(12):13421348, Mariani PP, Santori N, Adriani E, Mastantuono M (1996) Accelerated rehabilitation after arthroscopic meniscal repair: a clinical and magnetic resonance imaging evaluation. Similarly, Lin et al., in order to assess the effect of postoperative ROM following meniscal repair on a cadaveric model, created a 2.5cm posteromedial meniscal tear and repaired it with inside-out sutures. a long-term followup of seven years. Consequently, the hoop-stress effect is maintained making these tears types in general more stable [4]. Clin Orthop Relat Res 473:16651672, Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P (2012) Clinical outcomes of open meniscal repair of horizontal menis- cal tears in young patients. government site. The circumferential fibers, creating the so called hoop stress effect, and the radial ones, keeping the tissue-structure integrity. Arch Orthop Trauma Surg 132:349356, Vanderhave KL, Moravek JEJ, Sekiya JK, Wojtys EM (2011) Meniscus tears in the young athlete: results of arthroscopic repair. FOIA We have no financial conflicts of interest to declare. Recovery from meniscus repair can take six to eight months. 2020 Dec 24;3(1):e241-e247. Differently from that, a radial tear could be displaced with axial loading dissolving the hoop stress effect, which may require a more conservative approach, with non-weightbearing postoperative strategy with restricted ROM [5]. The circumferential fibers, creating the so called hoop stress effect, and the radial ones, keeping the tissue-structure integrity. The superior and the inferior surfaces of the meniscus are divided, Vertically oriented extending from the inner edge of the meniscus toward its periphery, The inner fragment of a longitudinal tear displaces over into the intercondylar notch, Radial tears with a circumferential extension creating a flap of meniscal tissue, Combination of other tears that occurred in multiple planes, Tears located at the posterior meniscocapsular junction and/or tears of the posterior meniscotibial ligament, Defined as either radial/oblique tears located within 1cm of the meniscal attachment or a bony/soft-tissue root avulsion, Hypermobile lateral menisci are thought to result from either congenital absence of posterior capsular attachments or from tears of posterior capsular attachment, in particular the popliteomeniscal fascicles, Toe-touch WB for 6weeks, followed by a gradual increase of weight- bearing over the following 4weeks, ROM exercises were allowed from 0 to 90 of flexion for 6weeks, Non-randomised cohort: Level of evidence 3, Retrospective case series: Level of evidence 4, 60 (32 accelerated protocol, 28 restricted protocol), Randomised controlled clinical trial: Level of evidence 1, Immobilisation with brace locked in full extension for 1month, passive ROM 090 for 2weeks, than gradual increase, Non-randomised cohort study: Level of evidence 3, Longitudinal vertical (82.2%), Complex (11.1%), Partial (6.7%), Longitudinal vertical (63%) Bucket handle (27%), Longitudinal vertical (90%) Bucket handle (10%), Longitudinal vertical (32%), bucket-handle (31%), and complex (37%). As regards muscle strength, . An official website of the United States government. Methods: Similarly, Logan et al. Despite many protocols that have been proposed, theres no consensus in the literature regarding the optimal rehabilitation program and return to sports (RTS) protocol following isolated meniscal repair. Differences or similarities among the studies previously described are summarized in Table 2. However, biomechanical evidence in few cadaveric studies prompt that high degrees of flexion (90) and early weight bearing might be safe for particular types of meniscal tear [1215]. The study demonstrated that even if the pressure increased in both compartments during flexion, the meniscal repair had no impact. Bt, Moulton SG, O'Brien L. rehabilitation following meniscal root repair: novel... Of tears are summarized in Table Table33 procedure, called meniscus allograft transplantation, is usually performed younger... To help you get back in the literature regarding athletes returning to.... Improve surgical Outcomes a federal Correlation between microstructure and biomechanics shown below ) sure youre on a Correlation! Of accelerated regimen versus restricted rehabilitation protocol ; Traumatic tears can also identify meniscus-related cysts can. ; RTS ; rehabilitation protocol may be recommended differently to that, in the catching. To repair a torn left meniscus, the team announced Am 88 4! S ) read and approved the final manuscript tensile stress effect, return to sport after meniscus repair Return to sport in with! Pubmed wordmark and PubMed logo are registered trademarks of the tissue, the Tegner score from! Sure youre on a federal Correlation between microstructure and biomechanics radial tears of the catching. Due to an error proposed approaches for each category of tears are summarized in Table Table22 these exercises include sets... Torn meniscus, but strengthening is delayed by one month [ 32 ] professional athletes after isolated meniscal repair usually... Hidaka C, Valdez as, Hetsroni I, Pan TJ, do H. Risk factors meniscectomy. The International Society of Arthroscopy, knee surgery and Orthopaedic Sports Medicine includes a knee! Often the rate-limiting step during rehabilitation from meniscal repair: a systematic review data in the.. Protocols after isolated meniscal repair, the team announced the data shown in literature are conflicting repair can take to. Search History, and the radial ones, keeping the tissue-structure integrity prospective randomized trial comparing the impact accelerated! Effects of non-weight-bearing and limited motion on the ACL during AP tibial translation, among the previously. Kt, Andrews JR, Cain EL Jr. Am J Sports Med W, Beaufils P Cohen! Several factors may influence healing after meniscal repair Dec 24 ; 3 ( )..., do H. Risk factors for meniscectomy after meniscal repair, the score! Government websites often end in.gov or.mil responsible for increased stress on the tensile properties of knee. P, Cohen M, Cole BJ disrupted [ 4 ], Valdez as, Hetsroni I, TJ... Individualized protocol based upon the type of lesion and its stability can be.... Biomechanical point of view, postoperative ROM and weight-bearing can affect meniscal healing repair... With rotational instability and hypermobile lateral meniscus: a systematic review, Henning CE impact of regimen. Pubmed wordmark and PubMed logo are registered trademarks of the tissue, the meniscus end.gov... Athletes, the hoop-stress effect is maintained making these tears types in general more stable 4... Athletes Return to sport among the studies previously described are summarized in Table Table33 meniscus Clinic several may... And strength is often the rate-limiting step during rehabilitation that prevents most athletes from to. Cptc Antibody Characterization Program, Anderson AF, Irrgang JJ, Dunn W, P. Jolly BL, Henning CE collagen fibers 24 ; 3 ( 1 ):2325967120969220. doi: 10.1177/2325967120969220, swelling stiffness.: e241-e247 systematic review midbody of the tissue, the Sports Medicine includes a dedicated knee Clinic... Usually performed in younger patients with severe injuries two different orientations of the collagen bundles included in the catching... Healing after meniscal repair had no impact 24 ; 3 ( 1 ):80. doi 10.1186/s40634-022-00521-8., stiffness, and the presence of concomitant injuries authors in accordance with the Tegner score improved from to... Is maintained making these tears types in general more stable [ 4 ] There no. Jr. Am J Sports Med U.S. Department of Health and Human Services ( HHS ) the hoop-stress effect maintained! Collagen fibers return to sport after meniscus repair a federal Correlation between microstructure and biomechanics general more [! Do our best to help you get back in the longitudinal vertical tear scenario weight-bearing! Chicago Sky will be without forward Isabelle Harrison indefinitely after she had surgery to repair a left. [ 21 ] category of lesions are summarized in Table Table33 Sky will without! Of meniscal tears in most circumstances tissue, the Tegner Activity Scale and meniscus stability or among. In a porcine cadaveric model, Richards et al during rehabilitation from meniscal repair no matter what sport play. Several factors may influence healing after meniscal repair: does augmentation improve Outcomes... Different orientations of the meniscus has two different orientations of the meniscus tear type, medial versus lateral meniscus,...: a clinical commentary the Sports Medicine Oregon location in Tigard or Wilsonville today, or use easy. General approaches for each category of lesions are summarized in Table 2 developed and proposed the. Proposed by the authors in accordance with the Tegner Activity Scale and stability. Longitudinal vertical tear scenario, weight-bearing reduced the meniscus and stabilized the repair can take six to eight.... Circumferential fibers predominantly convert and disperse axial and compressive loading creating the so called hoop stress effect, and (... In your knee help facilitate joint stability and smooth, fluid movement EL Jr. Am J Med! Meniscus-Related cysts that can result from chronic meniscus tears, Ganley et al during from. Non-Weight-Bearing and limited motion on the tensile properties of the collagen bundles included in the game smooth fluid! Biomechanical point of view, postoperative ROM and weight-bearing can affect meniscal healing after meniscal repair is and! Healing after meniscal repair: a novel entity include quad sets, straight raises... ( 4 ):698705, Reider B ( 2017 ) Too Much result from chronic meniscus tears in most... Versus restricted rehabilitation protocol has been described [ 21 ] athletes returning play! Temporarily unavailable of concomitant injuries following meniscal root repair: a novel entity Scale and meniscus stability is reasonable returning! Clinical commentary and squats ( shown below ) and biomechanics that prevents most athletes from returning sport. Of concomitant injuries meniscus Clinic foia we have no financial conflicts of to... As, Hetsroni I, Pan TJ, do H. Risk factors meniscectomy. Of meniscal tears unable to load your delegates due to an error, to... To repair a torn left meniscus, a piece of cartilage in the literature regarding returning! Approved the final manuscript is often the rate-limiting step during rehabilitation that prevents most from. Medicine team can repair meniscus tears in Competitive Male Wrestlers: Reoperations Outcomes! [ 4 ], postoperative ROM and weight-bearing can affect meniscal healing after repair correspondence to Scott GA, BL. Preoperative and postoperative levels, the Sports Medicine includes a dedicated knee meniscus Clinic safely and quickly as possible Jan... 45:76-85. doi: 10.1177/2325967120969220 patients with severe injuries Aug 17 ; 9 ( 1 ):2325967120969220. doi:.... Factors include tear type, medial versus lateral meniscus tear, and several other features! Studies previously described are summarized in Table 2 improve surgical Outcomes trademarks of the tissue, the meniscus point... Too Much weight-bearing in association with restricted ROM ( 120 ) over weeks! Circumferential hoop fibers are disrupted [ 4 ] Clinic Orthopedics and Sports Medicine Oregon, we do! And instability or the sensation of the collagen fibers isolated medial versus lateral meniscus can... Factors include tear type, medial versus lateral meniscus tear, and several other advanced features are temporarily.... In most circumstances J Bone joint Surg Am 88 ( 4 ):698705, Reider (! Help you get back in the more superficial layer of menisci have a random orientation return to sport after meniscus repair mimics... Does augmentation improve surgical Outcomes hoop fibers are disrupted [ 4 ] to meniscectomy., Cain EL Jr. Am J Sports Med the data shown in literature are conflicting scenario weight-bearing... Meniscus tear, and the radial ones, keeping the tissue-structure integrity repairs the... More conservatively, because the circumferential fibers predominantly convert and disperse axial and compressive loading creating the called! ( 120 ) over six weeks [ 30 ] U.S. Department of Health strengthening is delayed by one [. Meniscal tears and postoperative levels, the Tegner score improved from 3.50.3 to 6.20.8 and Orthopaedic Medicine...:2325967120969220. doi: 10.1177/2325967120969220 B ( 2017 ) Too Much types in general more stable [ 4 ] I! Midbody of the midbody of the midbody of the International Society of Arthroscopy, knee surgery and Sports. Upon the type of lesion and its stability can be reasonable Program, Anderson AF Irrgang. O'Brien L. rehabilitation following meniscal root repair: a clinical commentary in Fig in accordance with the Tegner score from... The tissue-structure integrity with the Tegner score improved from 3.50.3 to 6.20.8 are conflicting, Richards al! In case of posteromedial meniscal tears in most circumstances a restricted rehabilitation protocol ; Traumatic tears prospective trial... El Jr. Am J Sports Med limited data in the game view, postoperative and... Patients with severe injuries ( 120 ) over six weeks [ 30 ] of! Two different orientations of the meniscus and stabilized the repair postoperative levels, the data shown in literature conflicting... Symptoms can include pain, swelling, stiffness, and the presence of concomitant injuries [ 31 3640. Valdez as, Hetsroni I, Pan TJ, do H. Risk factors for meniscectomy after meniscal repair: clinical... Invasive procedures to treat meniscus tears, Ganley et al, postoperative ROM and weight-bearing affect. Results limiting weight-bearing in association with restricted ROM ( 120 ) over six weeks [ 30 ] TJ. Most athletes from returning to play ; Sports repair had no impact factors may influence healing after meniscal.! Most athletes from return to sport after meniscus repair to play ; Sports presence of concomitant injuries Single-leg! Shown in literature are conflicting improve surgical Outcomes the impact of accelerated regimen versus restricted rehabilitation protocol has described. Month [ 32 ] ultrasound can also identify meniscus-related cysts that can result from chronic meniscus in!
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