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If you can't get your knee straight the meniscus may be displaced out of its normal position. I typically recommend surgical repair of bucket handle meniscus tears. I would recommend prompt evaluation from an orthopaedic surgeon. I would avoid meniscus removal at all costs. ___________________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

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I had a colleague give me the model. Not sure where they got it. I bet you can find on Amazon.

Hopefully it was helpful!

Thank you for the compliment. All the best.

You're so welcome!

Thanks for watching! I hope everything goes well with your surgery!

Thanks for the question. I agree when you say a "complex" MM tear. The meniscus is classically divided into the anterior horn (toward the front of the knee), the midbody, and the posterior horn (part in the back of the knee). A bucket handle tear is when a tear that extends along a large area of the meniscus actually shifts from its normal position. See the videos in part 1 and part 2 for clarification. A horizontal tear is a different pattern of tear to the meniscus than a bucket handle tear. However, complex tearing can involve combinations as appears to be the case in the situation you describe. The patient in this case should make sure they followup promptly with an ortho surgeon to discuss the injury. Even though the tears are "complex", I will prefer to attempt repair in the right situations. I avoid trimming the meniscus (even small parts) if at all possible. _______________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

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Thanks again!

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Glad it was helpful!

Great!

Thanks for the question. The fibular collateral ligament (FCL) and the lateral collateral ligament (LCL) are the same thing. These two terms are used interchangeably. The ligament attaches to the fibula thus "fibular collateral ligament". It is on the lateral side of the knee which is where the "lateral" comes from. "Conjoined tendon" is likely the radiologist using terminology to describe the biceps femoris (there is a "short head" and a "long head" which sort of blend together at the knee). The biceps femoris is one of the hamstring tendons that also inserts onto the the fibular head right next to the LCL/FCL attachment. It is common to injure both at the same time and I have repaired / reconstructed complete tears of this type of injury (Usually reconstruction of the ligament and repair of the ruptured biceps femoris tendon from the bone). Often the FCL/LCL and biceps femoris can actually pull off a piece of bone of the fibula with it during the injury. This is called an "avulsion". You are correct regarding sprain vs strain. The popliteus tendon is a small muscle that start/inserts along the back of the tibia and wraps around to attach on the femur near the FCL/LCL. It provides rotational stability to the knee. The combination of the FCL/LCL and the popliteus is often termed the "posterolateral corner" (PLC). In severe injuries with complete tears (not sprains or strains) the knee can have significant instability requiring surgery. PLC injuries are often combined with ACL and PCL injuries so the physician needs to do a careful clinical exam and often special X rays to accurately diagnose the injury. ___________________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

Thank you for the detailed question. Apologies for the delay responding. Regarding the displacement: In a bucket handle tear, typically the segment that is torn shifts from its normal position and get stuck along the inner part of the knee called the intercondylar notch. It is possible for this part of the meniscus to shift back into its normal position with knee motion. Regarding the lump on the inner knee: Other types of meniscus tear can shift out of position along the inner (i'm assuming you mean the medial aspect of the knee). Perhaps this could be noticed. However, a lump or swelling could be a cyst that can develop with meniscus tears. In my experience this is more likely that a fragment of the meniscus. Keep in mind there are other things like loose fragments of cartilage that could "lock" the knee as you describe. Regarding repair technique: Many ortho surgeons will repair a meniscus. I am personally biased toward what's called an "inside-out" approach to a large meniscus tear like a bucket handle. This requires a surgical approach to the knee some surgeons may not be as familiar with. By "approach" I am referring to an incision which uses intervals between muscles to access the back of the knee. This has to be done well because of the nerves and blood vessels in the back. Using this particular approach, a surgeon has a lot of flexibility when suturing the repair and can typically place many more sutures for a more stable repair. The other option is an "all - inside" repair which can be done well for many types of repairs. I just believe the "inside - out" approach is better for a large bucket - handle repair. One should have a thorough discussion with the surgeon regarding any surgical plan - I can not emphasize this enough!! Regarding repairability: Some patterns of repair are more likely to heal than others. This is taken into consideration by the surgeon. However, many factors also come into play here: patient age, cartilage status of the knee and if there is any arthritis, alignment (bow-leg or knock - kneed), patterns of the tear, patient ability to comply with rehab etc. Regarding "mending" and regenerating: The meniscus can definitely "mend" (heal) after a repair. In some cases such as small tears associated with an ACL tear, the meniscus can heal by itself. Many types do not heal though. Once the tissue is gone, such as after a removal surgery, it does not regenerate. I hope this answers your questions. All the best _______________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

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I hope everything went well!

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I'm sorry you are having this amount of trouble. This is posted under a shoulder oriented video so I will assume you are referring to your shoulder. If it is your shoulder, I would recommend you have this evaluated by an orthopaedic surgeon for a full workup including discussion of symptoms, examination, x rays, and possibly a MRI. ___________________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

You are welcome. Glad it helped.

Awesome! Thank you!

Patient education is critical when making a decision about surgery. Good luck!

Tough injury but you can get through it! Good luck!

Thanks for watching!

Thanks for your comment. I was worried that the length of the videos would be a turn off to people but I thought it was necessary to help people understand everything. These reports can get very confusing and going through them with the ortho surgeon is really critical to avoid over or under treating the problem!