How can the doctor diagnose meniscal damage?

Based solely on the reported subjective complaints and with the manual examination of the knee, the "suspected diagnosis of meniscus damage" can usually be made quite certain. From the genesis (sudden onset of pain during sports?) You can also deduce whether it is more likely to wear a tear or an acute meniscal tear.

MRI scan for knee pain

The necessary diagnostic security, however, only offers a look into the knee. The method of choice is magnetic resonance imaging (MRI), also called nuclear spin. So the so-called "tube". The MRI scan detects about 90% of all meniscal tears. And the resulting layer images also provide information about which type of crack is and where exactly it sits.

Articular reflection is no longer the first choice in pure diagnostics

The alternative to MRI is the articulation (in Chinese: Arthroskopie). In this case, fine endoscopes (tubes with attached lamp and camera, all in miniature format) are introduced into the knee joint via one or two small incisions. They then throw an enlarged picture of the knee inside the monitor and allow a very precise assessment of where the rabbit is in the pepper. And above all, you can use the endoscopes to repair the damage right away, as it also allows tiny surgical devices to be inserted and controlled.

As a primary diagnostic measure, the joint mirroring is no longer in use today because the MRI examination usually allows reliable statements even without opening the knee. Only if it is already clear that you have to operate anyway, may possibly be started immediately with the arthroscopy. Or if the MRI scans do not provide sufficient clarity.

But it is also clear: If the MRI scans show a meniscal tear, surgery is almost always required. And that usually happens via arthroscopy.

Author: Dr. med. Jörg Zorn