Which tests can be performed?
In order to diagnose a meniscus tear, there is, in addition to the standard procedures such as MRI and X-rays, a manual examination by the doctor. The doctor can perform a number of tests, which generally consist of various rotational, extension and bending movements of the knee joint. Through these tests, the physician is then able to draw conclusions about the type, extent and location of the tear. The most common test procedures are: Payr Böhler McMurray Appley-Grinding Steinmann
- Payr
- Boehler
- McMurray
- Appley Grinding
- Stone Man
The torn meniscus
A torn meniscus is not only a typical sports injury, but can affect anyone. The injury usually occurs when an unfavorable rotational movement is performed with the knee. There are two menisci in each knee, the inner meniscus and the outer meniscus.
In the case of injuries, the inner meniscus is usually more likely to be affected, as it is more restricted in its freedom of movement than the outer meniscus. In most cases, these are tears or tears in the menisci, which lead to problems and pain. Regardless of whether the meniscus tear is treated conservatively or surgically, physiotherapy plays an important role in the rehabilitation process in both cases, since the normal functionality of the knee joint is restored through various techniques such as massages, cold therapy and electrotherapy, as well as exercises for mobilization, increasing muscle strength and mobility, so that normal everyday life is possible again. In order to decide how and to what extent physiotherapy should be performed, special diagnostic procedures such as MRI and X-rays must be applied and evaluated taking into account the individual patient’s history (age, fitness level, weight, previous illnesses) in order to draw up a therapy plan.
Summary
All in all, in case of a meniscus rupture, one should always weigh up all possible therapy methods against each other and decide individually whether a surgical or conservative treatment is more sensible. In general, smaller and uncomplicated tears can be treated very well conservatively, whereas complicated tears, especially in less well supplied areas of the meniscus, should rather be operated. The healing time is different for each patient.
Between conservative or surgical treatment, however, no clear rehabilitation time differences can be recognized. One should also always take into consideration what the individual is aiming for after the therapy. For example, it may be useful to operate on competitive athletes, while conservative treatment may be sufficient for people who already have degenerative damage. Unfortunately, a meniscus tear is not uncommon and should be treated as soon as possible, otherwise consequential damage such as cartilage damage and arthrosis may occur in the further course of the disease.
