Torn Cartilage

Either meniscus in the knee can be torn during sharp, rapid, twisting motions. The incidence of this type of injury rises with age and participation in sports that require quick, reactive movements, such as basketball, downhill skiing, and soccer. Certain knee motions cause a popping sensation, sometimes accompanied by swelling, warmth, and instability in the joint. Treatment for torn cartilage is similar to treatment for a torn ligament (see page 316). A torn meniscus is often repaired using arthroscopy (see box on previous page).

Other Knee Disorders

Tendinitis (see page 306) can occur in the front of your knee below the patella (kneecap) or in the back of the knee at the popliteal tendon. As with ligament injury, tendinitis is treated with RICE (see page 65) and nonsteroidal antiinflammatory medication such as aspirin or ibuprofen. Rehabilitative exercise programs can begin when the swelling is gone. Because corticosteroid injections can rupture knee tendons, they are rarely, and very carefully, given. Surgical repair of a severely ruptured tendon may be necessary.

Bursitis (see page 305) of the knee commonly occurs on the inside of the knee and on the front of the kneecap. Treatment is similar to that for the ligament and tendon injuries described above. Osteoarthritis (see page 308) is a common cause of pain and inflammation in the knees. In severe cases, surgery to replace the damaged knee joints (see Joint Replacement, page 310) may be necessary.

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