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In the younger population, your knee meniscus is usually torn traumatically, by a twisting on a slightly flexed knee. The traumatic type of meniscal injuries are most often sports-related. The meniscus can be torn anterior to posterior, radially (parrot beak), or can have a bucket handle appearance.n this case, surgery may be required to attend to both the meniscal repair and to repair the damaged joint surface. Depending on the type of meniscus tear, meniscus repair be complicated. A large meniscus tear that is inadequately treated may cause premature degenerative bony (arthritis) changes.