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Frequently Asked Questions

Do all meniscus tears require surgery?

FAQ Knee - Howard J Luks,MD
No. Many degenerative or attritional tears can be managed non-operatively and allow you to return to your "normal" lifestyle.
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Do all ACL tears require surgery?

FAQ Knee - Howard J Luks,MD
No. Many ACL tears can be treated non-operatively. Many factors go into the decision making process. Some patients have ACL tears and no instability symptoms. Others are profoundly symptomatic, even with simple stair climbing, turning and twisting. We do not know why some people are more symptomatic than others, which is why surgery is not the right answer for everybody.
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How are the meniscus tears diagnosed ?

Frequently Asked Questions
Meniscus tears are suspected from the history given by the patient and diagnosed by careful clinical examination. In cases of doubt, an MRI scan can give diagnosis.
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What are the recent advances in meniscus surgery?

Frequently Asked Questions
Preserving the meniscus has become a priority. Stable tears are left alone. If most of the meniscus is torn and deficient, Meniscus transplantation is carried out in few centers. In this procedure the entire meniscus harvested from cadaver knees are used to transplant into the recipient. In addition cellular and molecular biology researches aim to improve the healing potential of the meniscus.
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What kind of surgery would I have if I damaged the meniscus?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Surgery for the common meniscus tear is an outpatient arthroscopic surgical procedure. A couple of portals (holes) are made in the knee so that an arthroscope and the trimming instrument(s) can be inserted. Often a motorized or radiofrequency (electro-thermal) device is used to help trim and contour the torn area of the meniscus to create a smooth surface.
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Do all ACL tears need surgery?

Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
No. Some knees function almost normally despite having a torn ACL. Good knee function is more common in patients who are over thirty years old who are relatively inactive in sports. Patients who are less than twenty-five years old, regardless of activity level, tend to have problems with instability and have frequent episodes of giving way. Therefore, surgical reconstruction of a torn ACL is usually recommended for patients who are less than age twenty-five years.
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What is a meniscus?

Frequently Asked Questions
The meniscus is a circular shaped disc of cartilage tissue. There are two menisci (plural of meniscus) in the knee – one on the inside, called the medial meniscus, and one on the outside, called the lateral meniscus. Their main function is to act as shock absorbers in the knee, helping to reduce wear and tear on the joint.
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How common is ACL injury and the surgery for ACL tears?

Frequently Asked Questions
Anterior cruciate ligament is one of the commonest knee injuries in sports and day-to-day life. It is estimated that around 1,00,000 to 2,00,000 ACL injuries occur per year in United States and roughly around 70,000 ACL reconstructions are performed.
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Do all rotator cuff tears need surgery?

Frequently Asked Questions
No. Degenerative Rotator cuff tears, which develop gradually, are part of aging process. Many tears remain asymptomatic. Rehabilitation will result in good range of movement and pain improvement. But the strength will not improve. On the other hand, large cuff tears, profound weakness and an acute traumatic event causing the tear will give bad results if treated non-operatively. The surgeon will consider all these factors and will suggest the appropriate treatment for each patient.
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How can a meniscus be torn?

Frequently Asked Questions
The medial and lateral menisci are fixed between the two weight-bearing surfaces within the knee, and as such can become “pinched” by the other structures of the knee between the joint when an injury occurs. Typically, the injury involves twisting on a bent knee. When this happens the menisci can become torn (“torn cartilage”). Any form of physical movement can potentially cause a meniscal tear, although they tend to be associated with sporting activities.
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Do all stones require surgery?

KidneyStones.org
No. There are several variables, which affect a person's ability to completely pass a kidney stone. Some stones can pass spontaneously without medical or surgical intervention. The size and the location of the stone are factors that may effect whether a stone will pass spontaneously. Stones that are smaller than 4 mm have a 40-fold greater chance of passing spontaneously than for stones larger than 6 mm, regardless of the location of the stone.
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Do all injuries require surgery?

Athletes and Knee injuries
No (Chhabra, et. al. page 217). Depending on the degree of injury, the structure injured, and the patients probable future activity level surgery may or may not be beneficial. For instance there are many people, even competitive athletes, that return to their normal pre-injury activity level with a complete ACL tear and no reconstructive surgery.
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What if a hook tears out?

Suspension FAQ
Hooks rarely tear out BUT in the event that one does or if the skin is torn, it is best to have a suture kit on hand to sew the wound shut.
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Q:If surgery is recommended, do I require hysterectomy?

IVPCARE Reproductive Health Pharmacy | Fibroids FAQ
Usually not. Most women that require surgery can have fibroids removed with preservation of the uterus, tubes, and ovaries. If fertility is the major issue the uterus is not removed.
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What is a meniscus and how does it tear?

FAQ Knee - Howard J Luks,MD
A meniscus is a"C" shaped structure in your knee that is made of fibro-cartilage. It acts as a cushion for the knee when weight bearing. Most meniscal tears in adults are attritional. That is the meniscus simply wears out from years of use. Most adult patients do not recall the moment they tore their meniscus. The presentation is usually quite different in children or adolescents. Their tears are usually traumatic in nature and will usually arise from a non-contact twisting injury.
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What are the most common symptoms of a meniscus tear?

FAQ Knee - Howard J Luks,MD
Many adults have a tear and do not even know it. These are typically degenerative or attritional tears. Painful tears in adults are usually larger, "flap" tears. They will cause pain with kneeling, squatting, pivoting, going downstairs and occasionally they will even hurt at night when you roll over in bed.
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CATSCLEM GEZONDHEID en ZIEKTE - HEALTH and DISEASE
Health Library at MerckSource: Meniscus Meniscus of acromioclavicular joint, meniscus articula?ris, converging meniscus, discoid meniscus, discoid lateral meniscus, diverging meniscus, meniscus of inferior radioulnar joint, joint meniscus, Kuhnt's meniscus, meniscus latera?lis articulatio?nis ge?nus, meniscus media?lis articulatio?nis ge?nus, negative meniscus, positive meniscus, meniscus of sternoclavicular joint, meniscus tac?tus, meniscus of temporomandibular joint Menke Disease - Support Pro.
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How does the meniscus get injured?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
The meniscus is a tough fibrocartilage structure and can be injured with twisting, stopping, and turning motions of the knee. Meniscus tears are usually traumatic in origin. However, as we age, hydration decreases in this tissue and tears can happen with twisting motions that pinch and tear or shear the meniscus between the end of the femur and the tibia bone.
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What kind of symptoms would I have if I damaged the meniscus?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Symptoms of a damaged meniscus are pain and catching, clicking, or locking during certain twisting knee activities. These mechanical sensations are very commonly felt by the patient. The knee can also have swelling. Generally, meniscus tears do not heal because they have a poor blood supply. However, they can occasionally become asymptomatic.
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Will I require additional treatment after surgery for removal of the prostate gland?

Frequently Asked Questions
If prostatectomy was for prostate cancer and all the cancer cells were located within the prostate gland, then your cancer is cured. However, because it sometimes is difficult to tell if cancer has spread, some men may need treatment for a recurrence of cancer. If prostatectomy was a treatment for prostate enlargement (benign prostatic hyperplasia), about 10 percent of men will require additional surgery because of complications arising from the prostatectomy.
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Do all hand problems require surgery?

Beverly Hills Medical Group, 57 Paseo de Roxas Street, Makat...
No. The majority of hand problems are treated with non-operative means, although complex difficulties actually necessitate surgical intervention.
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Will I require eye drops after surgery?

LASIK Surgery FAQs - Questions Regarding LASIK Eye Surgery i...
In PRK, because the laser removes tissue from the surface of the eye, the body will attempt to fill in the defect much like if you had a cut on your hand. Since corneal tissue has different healing properties, the process can normally be regulated with the use of topical steroid drops which patients may be required to use over a one-month period. In LASIK, these drops are only used for a week. These drops will rarely cause any problems.
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What should I do if a condom tears, while having intercourse?

Birth Control FAQ
You should wash as soon as possible. A shower is probably your best bet in this case. Make sure that you use soap and water as the soap will wash away most residue left behind from the semen and the torn condom. Try to refreain from douching as the procedure may actually push substances further in. If you're concerned about Sexually Transmitted Diseases (STDs), you should see your doctor and get tested as soon as possible.
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What do we know about tears?

Dry Eye, Dry Eye Treatment, Blepharitis, Sjogren's Syndrome,...
We know an enormous amount about tears and we are learning more every day. Although it is a bit of a simplification, the tear film can be considered to consist of three layers. The most superficial layer is the oil layer produced by the oil glands in the lids. These oil glands are called meibomian glands. This oil layer coats the tear film retarding evaporation like a biological Saran Wrap. The middle layer is the aqueous layer.
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What are the symptoms of menisus tears?

Frequently Asked Questions
Meniscus tear leads to knee pain, which is more in certain positions like squatting, knee locking and joint effusions.
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Can Meniscal Tears be "fixed"?

FAQ Knee - Howard J Luks,MD
In the majority of cases in people under 30 the meniscus can be repaired..or sewn together. As we age, and our tears become more degenerative in nature, the likelihood of a tear being "repairable" decreases dramatically and a removal of the torn portion is necessary to alleviate pain.
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How are ACL tears diagnosed?

injuryupdate.com.au - Australia's best information source fo...
Most ACL tears can be detected by experienced examiners as the knee joint will undergo abnormal movements when stressed. There is a variation in the normal range of these tests so the amount of movement is compared to the other knee. Sometimes these tests can be inconclusive immediately after an injury, due to excessive swelling.
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Can ACL tears or recurrences be prevented?

injuryupdate.com.au - Australia's best information source fo...
ACL injury is associated with multidirectional sport (football, basketball, netball and skiing particularly), so refraining from these sports is a way to prevent injury, but often not acceptable to athletes. The mechanism of injury is often getting the foot caught in the ground while the body moves in another direction. In football, wearing boots with shorter stops helps prevent the foot getting caught in the turf. In all sports, a stabilising knee brace may offer some protection.
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