Meniscus Injury

• Meniscal injuries:

  • Periphery - more vascularised with greater healing capacity
  • Bucket handle tears - more likely to cause mechanical symptoms
• Meniscal injuries:

  • Similar mechanism to ACL – and more up to 4 times more common
• Meniscal injuries - Initial symptoms:

  • Something ‘goes’
  • Swelling within 24 hours
• Meniscal injuries - Ongoing symptoms:

  • Locking
  • Swelling
  • Instability
  • Pain in end range flexion and/or extension
• Meniscal injuries: diagnosis

  • Thessaly’s test
  • Single leg squat to 20 °
  • Rotate patient
  • Positive: pain reproduced with rotation
  • PLUS: Joint line tenderness is common

  
• Meniscal injuries: diagnosis

  • McMurray’s test
  • positive test: painful clunk