Knee Meniscus (Cartilage) Tears: Everything You Need to Know to Make the Right Treatment Decision: - What the meniscus does and why it is so important - Treatment options for meniscus tears - Surgery: repair, removal, transplantation - How to prepare for surgery - What to do the first week after su
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Knee Meniscus (Cartilage) Tears - Frank Noyes and Sue Barber-Westin
(Allografts)
About the Authors
Dr. Frank Noyes is an internationally recognized orthopaedic surgeon and researcher who has specialized in the treatment of knee injuries and disorders for nearly 4 decades. He is the founder and chairman of the Cincinnati SportsMedicine and Orthopaedic Center and its nonprofit research foundation. Dr. Noyes completed his orthopaedic training at the University of Michigan Medical Center. He then received a 4-year clinical and research appointment as an orthopaedic surgeon in the United States Air Force, was commissioned as a Lieutenant Colonel, and began his landmark research into knee ligament injuries, the effects of immobilization, biomechanics of ligaments, prevention of ACL injuries in the female athlete, the diagnosis of many knee injuries and problems, and the results of treatment for a variety of knee disorders. Along with Dr. Edward Grood, Dr. Noyes established one of the first biomechanics laboratories in the United States at the University of Cincinnati College of Engineering. The laboratory was subsequently named in his honor as the Noyes Tissue Engineering and Biomechanics Laboratory.
Dr. Noyes has won every conceivable award for his clinical and laboratory research from societies such as the American Academy of Orthopaedic Surgeons, the American Orthopaedic Society of Sports Medicine, the Orthopaedic Research and Education Foundation, as well as the University of Cincinnati. He was inducted into the American Orthopaedic Society for Sports Medicine’s Hall of Fame in 2008. Dr. Noyes has been selected by his peers as one of the Best Doctors in America every year since 1992.
Dr. Noyes has published over 355 research studies and textbook chapters on many different types of knee injuries and disorders. He edited a textbook entitled, Noyes’ Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes
which was written for orthopaedic surgeons, physical therapists, and other sports medicine health care professionals. Dr. Noyes is also a co-editor of ACL Injuries in the Female Athlete. Causes, Impacts, and Conditioning Programs
, a textbook written for sports medicine health care professionals, coaches, and trainers involved with female athletes.
Sue Barber-Westin has directed clinical research studies for Dr. Noyes’ research Foundation for 3 decades. In the mid 1980's, she authored one of the first studies that measured problems during single-leg hopping tests in patients with ACL injuries, Quantitative Assessment of Functional Limitations in Normal and Anterior Cruciate Ligament-Deficient Knees.
She has co-authored 177 articles in medical journals and textbooks, focusing on the clinical outcome of various knee operative procedures, the methods used to determine the results of clinical investigations, differences in neuromuscular indices between male and female athletes, effects of neuromuscular training in female athletes, and prevention of ACL injuries in female athletes. Sue is the associate editor of Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes
and is the co-editor for ACL Injuries in the Female Athlete. Causes, Impacts, and Conditioning Programs
. Sue has personally undergone 4 knee operations and played competitive junior and collegiate tennis. In 2004, Sue and Dr. Noyes were members of the research team that won the Clinical Research Award from the Orthopaedic Research and Education Foundation. They are frequently invited to speak at national and international conferences and review articles for orthopaedic and sports medicine journals.
Sue and Dr. Noyes have written 12 eBooks on a variety of knee and other leg problems. Please visit http://noyeskneebookseries.com/ for further information.
Introduction
Chances are, if you have decided to read this eBook, you have either been told by a physician that you have torn your meniscus or you suspect you may have a meniscus tear based on your symptoms and what you may have read over the Internet or learned from other people. If you are reading this to learn about meniscus transplantation, you have already had your meniscus removed and are most likely having pain and limitations with your knee.
Tears to the meniscus are one of the most common knee injuries that require medical treatment. Approximately 700,000 patients in the United States require surgery for this injury, while another 1 million undergo knee surgery which probably also involves treatment of a meniscus tear. Many thousands more are able to deal with this injury without surgery, but usually require some medical treatment for their symptoms.
Most meniscus tears occur during sports activities in individuals between 15 and 30 years of age. This injury happens more frequently in men than women, probably simply due to the higher number of men who participate in sports. Meniscus tears also occur in adults who are older, usually 40 to 60 years of age. In these patients, the tear may be due to a lower level of trauma, or no injury at all. There is a gradual degeneration of meniscus tissue with aging that may eventually result in a tear, causing pain and disrupting normal knee function.
Although there is a considerable amount of information available on the Internet about knee injuries, not all comes from medical professionals with the clinical and research knowledge that knee specialists
have. As you will learn, the meniscus is a vital component of the knee joint. Unfortunately, many meniscus tears are removed from the knees of young patients that may lead to premature (early) arthritis. It is our opinion that every attempt should be made to save meniscus tissue and function by repairing (sewing together) tears, which requires special training. After treating patients for nearly 4 decades with meniscus tears, we decided to write this eBook to try to help individuals understand this injury, the treatment options that are currently available, and what to expect as a result of these options.
This eBook provides information on basic knee anatomy, what the meniscus does and why it is so important, how a meniscus tear is diagnosed, the different types of meniscus tears, treatment options, and advice on what to do if damage has occurred to other parts of the knee. If you decide to have surgery, we also provide information on how to find a surgeon in the U.S., how to prepare for the operation, potential complications that may occur, and details regarding what to expect and do the first week after surgery.
This eBook should not be used for self-diagnosis and treatment of meniscus tears. Only a qualified orthopedist or sports medicine-trained physician can make a definitive diagnosis of this injury. For medical professionals, we recommend our textbook Noyes' Knee Disorders. Surgery, Rehabilitation, Clinical Outcomes 2nd Edition
for more comprehensive information regarding the diagnosis and treatment of meniscus injuries (including surgical procedures and rehabilitation programs), as well as other knee problems such as knee ligament tears, patellofemoral problems, preventing knee ligament injuries in the female athlete, and lower limb realignment procedures.