MENISCUS Flashcards
1
Q
MENISCUS TEAR classic presentation
A
- presents with rapid knee pain following rotational injury
- may have episodes of locking or catching or clicking where there is significant pain
- inability to move the leg until knee is forcefully extended
- longitudinal tear = most common
- radial = trauma in young athletes
- bucket handle = ACL injury
- horizontal = in older patients
2
Q
similar DDX’s
A
- ACL tear
- PCL tear
- MCL tear
3
Q
supporting factors
A
- younger patient: athlete brought on by sudden twisting motion
- older patient: age related and repetitive movements like squatting and kneeling
- rapid onset knee pan
- rapid swelling
- sense of knee “giving way”
4
Q
refuting factors
A
- abnormal neuros
5
Q
relevant orthos
A
- McMurrays
- Apley’s compression
6
Q
referrals
A
- MRI
7
Q
contraindications
A
- adjusting the tibia and fibula
8
Q
care plan
A
2 x a week for 4 weeks
9
Q
recommendations
A
- pronation control to reduce abnormal internal tibial rotation
10
Q
prognosis
A
- do not heal well
- fair
11
Q
red flag for large tear
A
- pain localised in joint line
- if the locking and catching
