Meniscal tears March 2018 | by EMauthor •Medial meniscal tear are five times as common as lateral •Twisting injury of weight bearing knee •Painful knee with difficulty in walking in the acute phase, typically they are unable to continue the game if they have been playing football •Recurrent pain and knee swelling with or without locking of the knee and feeling of the knee giving away in the chronic stage •Examination oThere may be locking of the knee (bucket handle tear) oTenderness over the joint line on injured side oEffusion, which occur hours or days after injury oPainful clicking on twisting knee oMcMurray’s or Apley’s grinding test may be positive •Treatment oTense knee effusion may need aspiration, seek senior help of refer to orthopaedics oAll locked knees should referred to orthopaedics, do not try to straighten locked knee by force – it will only extend the tear oOther cases will need support bandage and A&E review, discuss with senior if possible oChronic cases should be treated with support bandage, analgesia and referral to GP for formal orthopaedic referral |
Links •HOSPITAL ADMISSION •HOME •INTRANET HUB |
Created with the Personal Edition of HelpNDoc: Easy CHM and documentation editor