Horizontal degenerative tear in medial meniscus with cartilage loss

@djva
About two years ago, at 61, I experienced a tear: “Magnetic resonance imaging of the right knee demonstrates a complex flap type tear of the posterior horn and body segments of the medial meniscus with associated small inferomedially displaced meniscal tissue at the level of the body segment.”
But “No focal cartilage defect is present”—so I don’t know how similar my situation was to yours. I did experience a lot of pain and I had to be careful because it would slide internally all wonky if I tried to pivot on it—a really weird and unstable feeling. I don’t think it ever gave out though! (That would be nerve racking, I am sorry you experienced it.)

I did not need to have surgery and it healed quite well on its own. I think it took about six to eight weeks for the pain to go away, and a bit longer for it to feel completely stable (that wonky sliding apart feeling happened long after the pain had dissipated, so was a surprise!)

I hope that whatever course you and your doctor choose, that you heal thoroughly and quickly! Blessings to you.

Hello @djva and@babbsjoy,
Thank you for your posts!
I am a 64 year old woman with mild-moderate knee arthritis and psoriatic arthritis. I injured my knee last November and finally got an MRI in October, showing mild to moderate lateral joint, and mild medial and patelloformal compartment degenerative changes. And a complex tear of the body and posterior horn of the lateral meniscus with a radial flap and an oblique component. Surgery offered left knee arthroscopic meniscus debridement, meniscectomy to remove flap and possible prp injections.
The surgeon mentioned he wouldn't really know what he needs to do until he is in there. I have concerns about greater meniscus removal than just the flap.
He laughed when I asked how long before I would need a tkr, and said he has lots of patience who after meniscus repair didn't need one. When I asked whether he had any patience with similar medical history I could speak with, I got the old medical privacy spiel. Of course, I respect that but communication is lacking and if he had experience with patients with psoriatic arthritis, I would have expect him to say he was familiar with this autoimmune disease. Is that unrealistic expections?
I have been in physio for the year and am unable to keep my leg straight but I think it is due to my leg muscles which could be enthesitis, adjusting to the brace nd my fear of hyperexstention due to hypermobility as I am double jointed and further tearing to the flap.
@djva - I too want to avoid surgery but have read the knee joint can go immediately. That blew my optimism about intermittent pain. Hopefully only caused by pinching the flap.
@babbsjoy - Congrats on your physio success. I read about the importance of glutes so I'm on a mission to save my knee. And get me some glutes to help me learn how to walk differently with the assistance of a physiotherapist.
Your thoughts and updates are greatly appreciated!
May you be free of suffering and the causes of suffering.