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Mike Trout #MLB
Suffered an injury to the meniscus in his knee.
Trout has dealt with wrist, back and calf injuries. However, there is no reported history of any knee issues.
News came out today that he has an injury to his meniscus and is going to require surgery, but it is not expected to be season-ending.
The meniscus is a very important piece of cartilage in the knee to help to protect the articular cartilage, the ACL, as well as the function of the knee.
There is a meniscus on both the inner (medial) and outer (lateral) parts of the knee. Each of these are shaped similar to the letter C.
Traditionally, the meniscus has a very poor blood supply and does not heal very well on its own.
Injuries to the mid-body or posterior (back) part of the knee have a tendency to cause more issues.
There are two types of surgeries that you can perform on the meniscus. The first is a trimming of the meniscus called a meniscectomy.
These often tend to be a quick fix and can end up being counterproductive in the long run, as they allow more damage to the articular cartilage, often leading to early onset osteoarthritis.
The benefit of the surgery is that it removes the meniscus that is causing the pain/swelling and allows the person to return to normal function relatively quickly.
This is likely what Trout had in light of the fact that they said it would not likely end his season.
The other type of procedure is a much larger one, and this is a repair of the meniscus. These are often completed when the patient is young, or there is a significant tear of the meniscus where removal/trimming would be not effective.
I would not be surprised if Trout is evaluated by Dr. Neal ElAttrache, who of one of the top orthopedic surgeons in the country and based in LA.
There are 2 possibilities/scenarios here :
1. Some players will return from a trimming of the meniscus in about 2 to 3 weeks, but that is very aggressive and usually not recommended.
I think a more realistic timeline is anywhere between 4 to 6 weeks.
Post surgery Trout’s rehabilitation will be important and may be complimented by supplemental injections like PRP or orthobiologics (stem cells) to help with improving his rehab and recovery.
2. If the surgeon deems that the piece of meniscus that is torn is larger than expected upon opening him up, there is a chance the decision is to repair the meniscus instead, which would end his season.
I think a realistic scenario is that Trout returns between mid-June and the All-Star break, assuming he doesn’t have any setbacks.
If you found this helpful, consider following me for more sports medicine/injury related posts.
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Caitlin Clark: "You like that?"
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