greek.doctor

Meniscus tears

Revision as of 12:59, 27 August 2024 by Nikolas (talk | contribs) (Created page with "<section begin="orthopaedics" />* The menisci equalise the weight load on the joints, and stabilizes the joint * Medial meniscus is more commonly injured than the lateral * Etiology ** Trauma (in young people) *** Axial loading of the knee + rotation ** Degenerative disease * Location of tear ** White zone *** The inner third *** Avascular part of meniscus ** Red-white zone *** Middle third *** Poorly vascularized ** Red zone *** Outer third *** Well vascularized * Types...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
  • The menisci equalise the weight load on the joints, and stabilizes the joint
  • Medial meniscus is more commonly injured than the lateral
  • Etiology
    • Trauma (in young people)
      • Axial loading of the knee + rotation
    • Degenerative disease
  • Location of tear
    • White zone
      • The inner third
      • Avascular part of meniscus
    • Red-white zone
      • Middle third
      • Poorly vascularized
    • Red zone
      • Outer third
      • Well vascularized
  • Types of tear
    • Bucket handle tear
    • Flap tear
    • Transverse tear
    • Torn horn tear
  • Clinical features
    • Pain on lateral or medial side
    • Tenderness on the joint line
    • Knee instability
    • Popping or clicking with movement
    • Slowly developing knee effusion
  • Diagnosis
    • MRI
      • Gold standard
    • McMurray test
    • Steinman test
    • Apley test
  • Treatment
    • Conservative
    • Surgical repair with arthroscopy