Discoid Meniscus

with Rehab

ExitCare ImageThe meniscus is a piece of cartilage in the knee joint, between the shinbone (tibia) and the thigh bone (femur). Each knee joint has two menisci: inner and outer. The purpose of the meniscus is to allow the shinbone and thigh bone to fit together better. The meniscus also acts as a shock absorber, decreasing the forces placed on the body, It also helps provide nutrients to the cartilage on the ends of the shinbone and thigh bone.

A discoid meniscus is a defect present at birth (congenital), in which the meniscus is shaped like an oval instead of like a crescent. A discoid meniscus may also have a normal shape, but have an abnormal attachment to the surrounding structures. Discoid meniscus most often occurs on the outer meniscus. Discoid meniscus may cause symptoms with or without injury.

SYMPTOMS

CAUSES

The cause of discoid meniscus is unknown. Discoid menisci develop before birth. They occur in both knees in up to 10% of people with the condition.

RISK INCREASES WITH:

PREVENTION

PROGNOSIS

RELATED COMPLICATIONS

TREATMENT

Discoid menisci that are found without symptoms are left alone. If an injury occurs, ice and medicine should be used to reduce pain and inflammation. It may be advised that you walk with crutches until you are able to walk without a limp. Strengthening and stretching exercises may be needed to maintain strength and a full range of motion. These exercises may be performed at home or with a therapist. The only definitive treatment for discoid meniscus is surgery, to repair the malformed meniscus. After surgery, the joint is usually restrained. This is followed by a rehabilitation program consisting of strengthening and stretching exercises.

MEDICATION

HEAT AND COLD

SEEK MEDICAL CARE IF:

EXERCISES

RANGE OF MOTION (ROM) AND STRETCHING EXERCISES - Discoid Meniscus

These exercises may help you when beginning to rehabilitate after your surgery. Your symptoms may go away with or without further involvement from your physician, physical therapist or athletic trainer. While completing these exercises, remember:

ExitCare Image STRETCH - Knee Flexion, Supine

Repeat __________ times. Complete this stretch __________ times per day.

ExitCare Image STRETCH – Hamstrings, Supine

Repeat __________ times. Complete this stretch __________ times per day.

ExitCare Image STRETCH - Knee Extension, Prone

Repeat __________ times. Complete this __________ times per day.

STRENGTHENING EXERCISES - Discoid Meniscus

These exercises may help you when beginning to rehabilitate after your surgery, restraint, or onset of your symptoms. They may resolve your symptoms with or without further involvement from your physician, physical therapist or athletic trainer. While completing these exercises, remember:

ExitCare Image STRENGTH - Quadriceps, Isometrics

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH - Quadriceps, Short Arcs

Repeat __________ times. Complete this exercise __________ times per day.

OPTIONAL ANKLE WEIGHTS: Begin with ____________________, but DO NOT exceed ____________________. Increase in 1 lb/0.5 kg increments.

ExitCare Image STRENGTH - Quadriceps, Straight Leg Raises

Quality counts! Watch for signs that the quadriceps muscle is working, to make sure you are strengthening the correct muscles and not "cheating" by substituting with healthier muscles.

Repeat __________ times. Complete this exercise __________ times per day.