Meniscus tear in children

When your child tears the shock absorber (meniscus) in a knee, we can help. We provide the full range of possible treatments, with a focus on providing the most effective but least invasive option possible.

Some tears may only require braces, medication or rehab with our in-house physical therapists. But if surgery is needed, our surgeons offer a minimally invasive arthroscopic approach. We also have expertise treating related knee injuries such as:

• ACL injury

• Articular cartilage injury 

Meniscus tears usually occur during sports in which the knee twists or rotates suddenly, like football. But our expert team will provide the needed care and help your child heal.

What are the signs and symptoms of meniscus tears in children?

The meniscus is a thin, soft piece of cartilage that’s shaped like a wedge and located between your thighbone, kneecap and shinbone. Young athletes who participate in contact sports like football are at an increased risk of meniscus tears.

Signs and symptoms of a tear depend on its severity. Minor tears may cause only minimal pain and swelling for a few weeks after the injury.

For children with acute pain and discomfort, symptoms may include:

• “Pop” in the knee joint

• Swelling

• Stiffness

• Knee pain, especially when twisting or squatting

• Limited range of motion

• Discomfort walking

It's feeling as if the knee is giving out, “locking” or “catching”.

How are meniscus tears in children diagnosed?

Often, our physicians can diagnose a meniscus tear with a physical exam. They will also order an imaging scan such as an X-ray or MRI to examine the bones, tendons, ligaments and tissues for damage. Your child’s physical evaluation may include:

• Comparison of the injured and non-injured knees

• Tests to stress the knee and identify weak and possibly injured ligaments

Diagnostic testing may include:

• X-ray - Uses invisible electromagnetic energy beams to take detailed images of the bones of the knee, checking for any problems with the knee bones

• MRI (magnetic resonance imaging) scan - Uses magnetic fields and radiowaves to take detailed pictures of the knee joint, checking for tears in the ligaments and tendons

How are meniscus tears in children treated?

At the Andrews Institute, our team of orthopedic specialists designs treatment plans using the least invasive options possible. Whenever possible, our physicians first suggest non-surgical treatment for a torn meniscus.

• Anti-inflammatory medications

• Activity modification

• Immobilization with a brace

• Physical therapy (PT) and rehabilitation

If symptoms continue to worsen, we may recommend minimally invasive arthroscopic surgery. During the procedure, your child’s physician inserts an arthroscope (a thin, lighted tube with a small camera attached) through tiny incisions in the knee, along with special instruments. The physician can visualize, evaluate and treat the problem during the same visit. Learn more about arthroscopy.