Meniscal Tear (Silver)

Question 1

Common MOI of Meniscal Tear? (Active patients)

Answer 1

Traumatic Injury; twisting of the knee in the semiflexed position with the foot planted on the ground.

Question 2

Which meniscus is more affected? Medial or Lateral

Answer 2

Medial, secondary to it being more firmly attached to the knee

Question 3

Most likely contributing factor for the development of meniscal tears? (Sports movements and old bitches)

Answer 3

Those involved in sports that involve quick cutting and pivoting.

Degenerative tears in older adults; secondary to thinning of the meniscus

Question 4

Clinical Presentation: (Visual)

Answer 4

Joint line pain and tenderness

Swelling and loss of ROM

Question 5

Clinical Presentation: (Verbal)

Answer 5

Complaints of catching or locking

Feelings of instability

Question 6

Onset difference Traumatic vs Degenerative

Answer 6

Traumatic: immediate onset

Degenerative: gradual onset

Question 7

Special tests used to confirm diagnosis?

Answer 7

McMurray
Apley Compression Test
Thessaly Test

Question 8

What portion of the meniscus is most likely to heal?

Answer 8

Outer 1/3 of the meniscus as this portion is most vascular.

Peripheral 1/3