Meniscal Injury

• Meniscal tears are common in young patients with sports related injuries and older patients as a degenerative condition.
• It is of higher risk in ACL deficient knees.
• Medial tears are more common than lateral tears.

Causes -

• Sudden squatting or twisting the knee.
• Older people due to age, worn out tissues and weak cartilages.
• Even a twist while doing sit to stand may lead to tear in old age.

Symptoms -

• Pain localizing to medial or lateral side.
• Locking and clicking of knee especially while squatting
• Delayed or intermittent fasting.
• Joint line tenderness is the most sensitive physical examination finding.

Investigations -

• Physical Examination
• Xrays
• MRI

Treatment -

• Conservative or surgical - depending on the grade of tear.
• Healing & Recovery, reduce effusion
• Strengthening
• Functional training and conditioning