Meniscal Injury

Question 1

What are the 3 types of meniscal tear?

Answer 1

Radial tear - axial to abaxial
Circumferential- follows curvature of meniscus
Bucket handle tear - separation of meniscus at the site of the tear

Question 2

What is the most common tear description?

Answer 2

Bucket handle tear in the caudal body of the medial meniscus that extends from medial to lateral

Question 3

What is the clinical presentation of meniscal injury?

Answer 3

Long standing CCL lameness worsens, or a very painful CCL with a meniscal click in late flexion

Question 4

What is a partial meniscectomy?

Answer 4

The treatment of choice for bucket handle tears of the medial meniscus.

Lever the tibia down and forward with a Hohmann retractor and cut the most medial attachment first

Question 5

Why is the lateral meniscus less predisposed to injury?

Answer 5

Additional ligament inserts into the caudal intercondyloid fossa of the femoral condyle
Loose cranial and caudal meniscotibial ligaments and meniscocapsular ligaments

Question 6

What is a meniscal release?

Answer 6

Means of protecting the medial meniscus following surgical stabilisation of stifle for CCL rupture- medial arthrotomy to expose menisci

Insert needle caudal to collateral ligament and chase with no 11 scalpel