Differential Diagnosis table forMeniscal tear
| Condition | Differentiating signs/symptoms | Differentiating tests |
| Anterior cruciate ligament tear |
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Subluxation on twisting, turning, or pivoting; some patients can feel this coming on, while other patients are not able to feel it and may experience frequent falls due to their injury.
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Positive Lachman's test, anterior drawer test, and pivot shift test on physical examination.
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| Medial collateral ligament sprain |
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MRI scan reveals fluid around or injury to MCL and differentiates between an isolated MCL injury and one combined with a meniscal tear.
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Subsequent x-rays may reveal calcification along previously injured MCL (Pellegrini-Stieda's disease).
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| Posterior cruciate ligament sprain |
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Patient is often able to continue activity but notes that the knee does not feel right.
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Instability may be more subtle, with knee effusion typically small and less noticeable. In addition, the posterior drawer test is positive.
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| Lateral collateral ligament sprain |
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Local swelling is common, but significant effusion is rare. There is tenderness over the lateral collateral ligament (LCL) and/or bony insertion.
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A complete tear often results in a palpable gap.
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| Osteochondritis dissecans |
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A joint condition in which some parts of the joint cartilage and bone lose their blood supply due to an unknown aetiology, and may detach from the joint surface. Adolescents are commonly affected. May present with knee pain and swelling. Catching of the knee can occur, especially during or after sporting activity.
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| Osteochondral fracture |
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Caused by a twisted knee, usually occurring during sporting activity. Presents with knee pain, swelling, and catching. The osteochondral fragment is detached. The medial femoral condyle is frequently involved.
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| Medial synovial plica syndrome |
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The synovial fold on the medial side of the knee is called the medial plica. This stucture is sometimes exposed to direct injury or impingement between the patella and medial femoral condyle. It may also be injured in overuse syndromes. The injured medial plica causes irritation and inflammation of the knee presenting with knee swelling and pain usually in a medial distribution, although can involve the superior or lateral aspect of the knee.
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