Meniscal Pathology Flashcards

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1
Q

What are radiographic findings indicative of a discoid meniscus?

A

1) Squaring of LFC
2) Hypoplastic lateral intercondylar spine
3) Widened joint space (11mm)

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2
Q

What is the preferred treatment for an asymptomatic discoid meniscus?

A

Observation

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3
Q

What is the preferred treatment for a symptomatic (locks, clicks and pops) discoid meniscus?

A

Partial menisectomy

If Wrisberg variant, then perform meniscus repair as well

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4
Q

What is the most sensitive physical exam finding in meniscal tears?

A

Joint line tenderness

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5
Q

A “double PCL sign” seen on a sagittal MRI image of a knee is indicative of which of the following conditions?

A

Bucket handle meniscal tear

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6
Q

What are predictors of success of a menisectomy?

A

age less than 40yo
normal alignment
minimal or no arthritis
single tear

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7
Q

What are the best candidates for meniscal repair?

A

Red zone injury, vertical or longitudinal tears, 1-4cm tears, repair combined with ACL reconstruction

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8
Q

What is the most common late complication of meniscal transplants?

A

Graft tear d/t acellularity

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9
Q

Following meniscal repair, saphenous nerve injury is more common with which of the following techniques?

A

medial inside-out

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