Preserve when it can heal
The meniscus distributes load and contributes to stability. Repair is preferred when tissue quality and tear pattern give a reasonable chance of healing.
Degenerative tears
These often coexist with early osteoarthritis. Treating the MRI finding alone can produce disappointing results.
Root and radial tears
Some patterns substantially reduce meniscal function and require a different biomechanical discussion.
True locking
A persistently locked knee from a displaced tear is different from clicking or occasional catching.
Medical review: Dr Julien Stanovici · August 2026. Consultations are available in French and English.