Meniscus Tear on the Field – How Does It Happen? How Is It Treated?

The knee joint is a complex structure. The end of the femur (femoral condyles) articulates with the top of the tibia (tibial plateaus), both of which are covered with cartilage. At the front of the joint lies the patella (kneecap), which glides smoothly over the femoral condyles during movement. Between the femoral condyles and the tibial plateaus are the menisci—medial (inner) and lateral (outer). The menisci are crescent-shaped structures composed mainly of water and collagen, and they are highly elastic.

What Is the Role of the Menisci in the Knee Joint?

The menisci function as shock absorbers, distributing load and cushioning the joint during changes in direction and weight-bearing activities. They also contribute to knee stability and help protect the joint from long-term wear and degeneration.

When Do Meniscal Injuries Occur?

On the field, meniscus tears often result from sudden changes in running speed, abrupt loading, awkward landings after a jump (such as heading the ball), pivoting movements (rotational force applied to the tibia while changing direction), or knee hyperextension. Meniscal injuries—affecting either the medial or lateral meniscus—are quite common and are frequently accompanied by injuries to other soft tissue structures in the area, such as the medial or lateral collateral ligaments and the cruciate ligaments. The most common types of meniscus tears include:

1. Horizontal tear: A straight, horizontal split through the meniscus
2. Longitudinal tear: A tear running along the length of the meniscus
3. Radial tear: A tear that extends outward like the spokes of a wheel
4. Buckethandle tear: A displaced fragment of the meniscus that may cause the knee to “lock”
5. Complex tear: A combination of different tear patterns

What Is the Role of the Physiotherapist and What Does the Treatment Plan Involve?

Our role is crucial in ensuring the athlete’s smooth return to daily routine and competitive activity. Effective rehabilitation requires close collaboration and communication between the patient, physiotherapist, and treating physician. Depending on the diagnosis, treatment may be conservative (physiotherapy, guidance, structured strengthening programs) and/or surgical. Conservative management typically includes pain-relief strategies, maintenance of knee joint range of motion, reduction of swelling and inflammation, acceleration of tissue healing, strengthening of the surrounding muscle groups, improvement of balance and proprioception, and gradual simulation of sport-specific activity before full return to play.

References

Cabarcas B. C., Ina J., Ward H.G., Hevesi M., Krych J.A. Meniscus Root Injuries: Modern techniques and clinical outcomes. 2025, Operative Techniques in Orthopaedics, V.35, I.2. Fältström A., Kvist J., Hägglund M. High risk of new knee injuries, lower activity level and reduced knee function: A controlled follow-up of male football (soccer) players 6–9 years after primary anterior cruciate ligament reconstruction. 2025, Journal of Science and Medicine in Sport, V.28, I.9. Francesca de Caro, Grammens J., Verdonk P. Meniscal transplantation in the football player. 2022, Journal of Cartilage & Joint Preservation, V.2, I.2. Gicquel P. Knee ligament and meniscus injuries in children and teenagers. 2025, Orthopaedics & Traumatology: Surgery & Research, V.111, I.1. Kalifis G., Marín Fermín T., Raoulis V., Shakya A., Hantes M. Meniscus tears in professional soccer athletes: resect or repair? 2022, Journal of Cartilage & Joint Preservation. V.2, I.2. Nukuto K., Konstantinou E., Maximiliane Wackerle A., Lagreca C.J., Grandberg C., Linda Park Y., Collins B., Musahl V. Meniscus tears in the setting of anterior cruciate ligament injury. 2024, Journal of Joint Surgery and Research, V.2, I.4. Eleonora Roussou – Physiotherapist