Meniscal tear

History & exam

Key factors

  • presence of risk factors
  • knee swelling
  • sensation of knee instability or buckling/catching
  • knee pain
  • tenderness at joint line and joint line crepitation
  • positive McMurray's test
  • positive Apley's test
  • positive hyperextension test

Other diagnostic factors

  • popliteal (Baker's) cyst in chronic cases
  • limited range of motion

History & exam details

Diagnostic tests

1st tests to order

  • MRI scan
  • plain film radiographs: AP x-ray, lateral knee x-ray, 45° PA flexion, and skyline views

Tests to consider

  • arthroscopy

Diagnostic tests details

Treatment details

Acute

all patients

  • rest, ice, compression, and elevation
  • physiotherapy
  • analgesia
  • with meniscal tear <1 cm refractory to conservative measures or ≥1 cm or with root involvement
    • surgery
    • post-operative measures

Treatment details

最後更新於: 五月 20, 2013
Top

Use of this content is subject to our disclaimer