Meniscal Pathology Flashcards
What are radiographic findings indicative of a discoid meniscus?
1) Squaring of LFC
2) Hypoplastic lateral intercondylar spine
3) Widened joint space (11mm)
What is the preferred treatment for an asymptomatic discoid meniscus?
Observation
What is the preferred treatment for a symptomatic (locks, clicks and pops) discoid meniscus?
Partial menisectomy
If Wrisberg variant, then perform meniscus repair as well
What is the most sensitive physical exam finding in meniscal tears?
Joint line tenderness
A “double PCL sign” seen on a sagittal MRI image of a knee is indicative of which of the following conditions?
Bucket handle meniscal tear
What are predictors of success of a menisectomy?
age less than 40yo
normal alignment
minimal or no arthritis
single tear
What are the best candidates for meniscal repair?
Red zone injury, vertical or longitudinal tears, 1-4cm tears, repair combined with ACL reconstruction
What is the most common late complication of meniscal transplants?
Graft tear d/t acellularity
Following meniscal repair, saphenous nerve injury is more common with which of the following techniques?
medial inside-out
