Meniscal Pathology

Question 1

What are radiographic findings indicative of a discoid meniscus?

Answer 1

1) Squaring of LFC
2) Hypoplastic lateral intercondylar spine
3) Widened joint space (11mm)

Question 2

What is the preferred treatment for an asymptomatic discoid meniscus?

Answer 2

Observation

Question 3

What is the preferred treatment for a symptomatic (locks, clicks and pops) discoid meniscus?

Answer 3

Partial menisectomy

If Wrisberg variant, then perform meniscus repair as well

Question 4

What is the most sensitive physical exam finding in meniscal tears?

Answer 4

Joint line tenderness

Question 5

A “double PCL sign” seen on a sagittal MRI image of a knee is indicative of which of the following conditions?

Answer 5

Bucket handle meniscal tear

Question 6

What are predictors of success of a menisectomy?

Answer 6

age less than 40yo
normal alignment
minimal or no arthritis
single tear

Question 7

What are the best candidates for meniscal repair?

Answer 7

Red zone injury, vertical or longitudinal tears, 1-4cm tears, repair combined with ACL reconstruction

Question 8

What is the most common late complication of meniscal transplants?

Answer 8

Graft tear d/t acellularity

Question 9

Following meniscal repair, saphenous nerve injury is more common with which of the following techniques?

Answer 9

medial inside-out