 DEFINISI

 FAKTOR RESIKO
 PENYEBAB
 Meniscal injury during sport occurs most frequently during noncontact cutting, deceleration,
hyperfl exion, or landing from a jump.
 Degenerative meniscal injury with aging (40 years) often occurs after trivial insult. The tear
may not be noticed at the time of injury. The mechanical symptoms that follow often trigger
the patient to seek attention.

 EPIDEMIOLOGI
 Meniscus injury is more common in males, with a male-tofemale ratio between 2.5:1 and
4:1
 Meniscal tears are also commonly associated with tibia plateau fractures and femoral shaft
fractures.
 GEJALA
 Mechanical symptoms of popping, catching, locking, or buckling, along with joint line pain,
are suggestive of meniscal tear. These are nonspecifi c symptoms and may be secondary to
chondral injury or patellofemoral chondrosis
 Mild synovitis often results from the injury, with swelling present for several days after the
event. The synovitis may be recurrent and activity related. ■
 An audible pop at the time of injury is more characteristic of an ACL tear; however, a
meniscus tear is commonly present in this scenario.
 A delayed effusion is more characteristic of meniscus injury, with the production of reactive
joint fl uid

 The athlete might experience a “popping” sensation when a tear of the meniscus occurs.
Most people can still walk on the injured knee, and many athletes continue to play. When
symptoms of inflammation set in, the knee feels painful and tight. For several days, the
athlete has
 • stiffness and swelling, • tenderness in the joint line, and • collection of fluid (“water on the
knee”).
 Without treatment, a fragment of the meniscus may loosen and drift into the joint, causing
it to slip, pop, or lock; the knee gets stuck, often at a 45° angle, until it is manually moved or
otherwise manipulated. The athlete suspected to have a meniscal tear should see a
physician promptly for diagnosis and individualized treatment.
 PENANGANAN
 Surgical treatment is recommended for most meniscal tears, except those causing minor
symptoms in less active patients.
 If nonoperative management is selected, treatment is directed at minimizing symptoms of
pain and swelling.
 A trial of activity modifi cation, rehabilitation, and nonsteroidal anti-infl ammatory
medications is warranted until symptoms abate. This may be successful; however,
symptoms may recur.