the Meniscus: some hints

Medically speaking, the “cartilage” is actually known as the meniscus. The meniscus is a C-shaped piece of fibrocartilage which is located at the peripheral aspect of the joint. The majority of the meniscus has no blood supply. For that reason, when damaged, the meniscus is unable to undergo the normal healing process that occurs in most of the rest of the body. In addition, with age, the meniscus begins to deteriorate, often developing degenerative tears. Typically, when the meniscus is damaged, the torn piece begins to move in an abnormal fashion inside the joint.

Because the space between the bones of the joint is very small, as the abnormally mobile piece of meniscal tissue (meniscal fragment) moves, it may become caught between the bones of the joint (femur and tibia). When this happens, the knee becomes painful, swollen, and difficult to move.

The meniscus has several functions:

  • Stability – As secondary stabilizers, the intact meniscii interact with the stabilizing function of the ligaments and are most effective when the surrounding ligaments are intact.
  • Lubrication and nutrition – The meniscii act as spacers between the femur and the tibia. By doing so, they prevent friction between these two bones and allow for the diffusion of the normal joint fluid and its nutrients into the tissue which covers the end of the bone. This tissue is known as articular cartilage. Maintenance of the integrity of the articular cartilage is critical to preventing the development of post-traumatic or degenerative arthritis.
  • Shock absorption – The biconcave C-shaped pieces of tissue known as meniscii (cartilage in non-medical terms) lower the stress applied to the articular cartilage, and thereby have a role in preventing the development of degenerative arthritis.

source: this website