Meniscus Tear Types: From Longitudinal Tears to the Dangerous Bucket-Handle
If your knee hurts, you may have a torn meniscus without knowing it. The meniscus is a cushion between the thigh bone and the shin bone: it absorbs shocks and protects the joint from injury. Dr. Amr Elyamany explains the four main types of tear.
The four types of meniscus tear
- Longitudinal tear: runs along the length of the meniscus. It is sometimes small and can be treated with physiotherapy.
- Transverse (radial) tear: runs against the direction of the fibres and usually causes pain with movement.
- Degenerative tear: happens with age or after direct injury and is closely linked to knee osteoarthritis.
- Bucket-handle tear: the most serious type. Part of the meniscus moves out of place and can suddenly lock the knee.
When should you worry?
A meniscus problem is likely if you have any of these:
- Persistent swelling in the knee
- A popping or clicking sound together with pain
- A feeling that the knee gives way or betrays you
- A knee that suddenly locks and will not fully bend or straighten
Does every tear need surgery?
No. Some tears settle with treatment and rehabilitation, while others, such as a bucket-handle tear, usually need keyhole (arthroscopic) surgery. The examination and an MRI scan show which group you belong to.
Key takeaway: A locked or unstable knee should be examined promptly; the type of tear decides the treatment.
When to see a doctor
- Knee swelling that keeps coming back
- Clicking or popping with pain
- A knee that locks or gives way
- Pain that appeared after a twisting injury
Need advice about your own case? Book a consultation with Dr. Amr Elyamany in Dubai.
This article is for general education and does not replace an in-person medical examination. If you have symptoms, please consult a qualified doctor.