Y5 - Knee: Meniscus injuries Flashcards

1
Q

who is commonly at risk of meniscal tears

A

sportspersons (twisting sports)

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2
Q

signs and symptoms

A

catching, locking, or buckling of the knee

knee pain

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3
Q

what is the gold standard investigation for meniscal tears

A

MRI

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4
Q

what are the two types of aetiology of meniscal tears

A

traumatic

degenerative

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5
Q

what do the menisci do

A

are shock absorbers and force distributors

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6
Q

where are the menisci located

A

between the femur and tibia

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7
Q

are medial or lateral meniscal lesions more common

A

medial

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8
Q

epi

A

common in young (traumatic)

common in elderly (degeneration)

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9
Q

aetiology of traumatic meniscal tears

A

common in twisting sports

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10
Q

aetiology of degenerative meniscal tears

A

during normal activities as a consequence of ageing

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11
Q

why cannot the meniscus heal itself

A

poor vascular supply

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12
Q

what injury predisposes to meniscal injury

A

ACL injury

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13
Q

why does buckling, locking, and catching occur with a meniscus tear

A

produces a rough surface inside the knee

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14
Q

signs and symptoms

A

knee swelling
sensation of knee instability or buckling/catching
knee pain
RFs (ACL injury, trauma)

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15
Q

what is the McMurrays test

A

positive in meniscal tear

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16
Q

what is the Apleys test

A

positive in meniscal tear

17
Q

first line investigation

A

MRI

18
Q

management

A

RICE with short periods of NSAIDs (paracetamol is preferred)

if >1cm surgery

19
Q

why are NSAIDs only to be used for short periods

A

they have negative effects on musculoskeletal growth

20
Q

complications

A

degenerative arthritis

21
Q

prognosis

A

usually results in return to full health however a chonic undiagnosed meniscal tear may cause degenerative arthritis

22
Q

prognosis after partial meniscectomy

A

a couple of weeks

23
Q

prognosis after a meniscus repair

A

6 months

24
Q

a meniscus reconstruction

A

3 months with added time for maturation