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Knee Locking and Bucket Handle Meniscus Tear: When Is Surgery Needed?
What is knee locking?
Sometimes your knee suddenly gets stuck, won’t bend, or feels “locked.” Many confuse this with a sprain or muscle spasm. One of the most common reasons is a bucket handle meniscus tear.
How does a bucket handle meniscus tear occur?
The meniscus is the cartilage in the knee that acts like a shock absorber. During sports or sudden movements like squatting or twisting, it can tear. In a bucket handle tear, a piece of the meniscus flips into the joint space.
- Sudden locking,
- Knee doesn’t fully bend or straighten,
- Sharp pain may accompany it.
When is surgery needed?
Not every meniscus tear is the same. Small tears without symptoms may improve with rest, medication, and physiotherapy. However, bucket handle tears are different because they:
- Cause recurrent locking,
- Significantly limit daily life,
- Lose the chance of successful repair if delayed.
If you say, “My knee keeps locking and won’t bend,” surgery is usually considered. The standard treatment is arthroscopic meniscus repair.
Recovery after surgery
- Most patients walk the same or next day,
- Crutches may be needed in the first weeks,
- Physiotherapy restores motion and strength,
- Return to daily life is possible in about 6–8 weeks (varies by person).
Daily life tips
- Avoid sudden twisting and deep squats,
- Strengthen surrounding muscles regularly,
- Maintain a healthy weight to reduce stress on the joint,
- Use proper footwear and knee protection during sports.
Frequently Asked Questions
Does knee locking always mean a meniscus tear?
No. Loose bodies or cartilage problems can also cause similar complaints. MRI and examination confirm the cause.
Does every bucket handle tear need surgery?
Tears that cause locking usually require surgery, but the final decision is made after MRI and examination.
Will the meniscus fully heal after surgery?
In many patients, a repaired meniscus heals and continues to function, but results depend on age, tear type, and other factors.
Reminder: This page provides general information. Diagnosis and treatment are individualized; medical evaluation is essential.
Next step: If you are experiencing knee locking and suspect a bucket handle tear, schedule a short consultation.
