I tore mine playing basketball (HORSE). It was a flap tear, and that sucks. Had it shaved, and was told that arthritis was a part of the prognosis. Boy, was he right. It seems that if you are under 35 or so many Orthopods would rather surgically repair the tear than cut it away. Repair does not always work, and there is always the risk of a second surgery (meniscectomy). After a certain age, arthroscopic knee surgery is rarely performed.
The key is to keep your thighs strong. Strengthening the muscles around the knee may replace the need for surgery.
Regarding MRI, I think that they are good to a point because they show a tear, but surgery is either needed, or not, that can be ascertained by manipulation and it's not until the surgeon is inside looking around until he really sees what's going on.
“How does it feel to be the greatest guitarist in the world? I don’t know, go ask Rory Gallagher”. — Jimi Hendrix
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