Meniscal tears

Question 1

What are the 4 ligaments of the knee

Answer 1

Anterior cruciate
Posterior cruciate
Lateral collateral
Medial collateral

Question 2

What can cause tears in these ligaments?

Answer 2

Twisting movements in the knee

Question 3

How does it present?

Answer 3

Pain, swelling, stiffness
Restricted ROM
Locking of knee
Knee giving way
Popping of the knee

Question 4

What are the tests to aid diagnosis of meniscal tests and what type do they identify?

Answer 4

McMurray’s test identifies lateral or medial meniscal damage
Apley grind test - either meniscus

Question 5

What are the Ottowa Knee rules?

Answer 5

Used to determine whether a pt requires an XR of the knee after an acute knee injury to look for a fracture
- > 55 yrs
- patella tenderness
- fibular head tenderness
- can’t flex the knee to 90 degrees
- can’t weight bear

Question 6

What are investigations

Answer 6

MRI
Arthroscopy - gold standard

Question 7

What is conservative management?

Answer 7

RICE
R - rest
I - ice
C - compression
E - elevation

Question 8

What are surgical options for management?

Answer 8

Repair of meniscus
Resection of the affected portion of the meniscus