2d] Meniscus

Question 1

History of meniscus tears is that they occur from minor trauma and squats and result in ??

Answer 1

Slow effusion and “locked” in flexion

Question 2

Physical exam of meniscus tears

Answer 2

Catch/lock of knee
Tender a/p to MCL
Joint line click
"Lock" and "unlock"
Delayed swelling

Question 3

Meniscus signs, pain with

Answer 3

Forced hyperextension
Max flexion
Mcmurray
Thessaly

Question 4

Medial meniscus primary presentation

Answer 4

Degenerative tear
Older
Chondral defect

Question 5

Surgical indications for medial meniscus

Answer 5

Swelling and locking

NOT knee pain

Question 6

Lateral pain anterior to LCL
Minimal swelling
Assoc with meniscal cyst

Answer 6

Lateral meniscus

Question 7

Longer return to play

6 weeks vs 2 weeks

Answer 7

Lateral meniscus

Question 8

Post op rehab to protect the repair of meniscus includes:

Answer 8

Avoid end range and WB flex

Avoid resisted hamstring exercises

Question 9

Brace protocol

Answer 9

Unlock several times daily
After 1 week unlock for gait training
After 4 weeks d/c use

Question 10

Within one week for meniscus have?

Answer 10

Full extension

Question 11

Meniscus milestone week 4 and 6

Answer 11

90 flex by 4 weeks for repair and by 6 weeks for transplant

Question 12

ROM meniscus milestone week 8-10

Answer 12

Flexion within 10 degrees of opposite side

Question 13

Meniscus weight bearing exercises

Answer 13

0-45 at weeks 4 (repair) week 6 (transplant),
Up to 75 at 6-8 weeks
Protected at 3-4 months (NO loaded squats)

Question 14

Meniscus repair low impact aerobic like walking, cycling, swimming, when?

Answer 14

8 weeks