The Orthobullets Podcast

Foundations⎪Knee & Sports⎪Meniscal Tears

Apr 23, 2025
Explore the insights on diagnosing and treating meniscal tears, a common issue for athletes and older adults. Discover key symptoms and risk factors, especially related to ACL deficiencies, with clinical tests like McMurray's critical for accurate diagnosis. Delve into innovative meniscal repair techniques, highlighting the importance of meniscus preservation for knee health. Learn about the gold standard inside-out vertical mattress suture repair and the all-inside approach tailored for specific conditions like ACL reconstruction.
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INSIGHT

Meniscal Tears Epidemiology

  • Meniscal tears are common sports injuries and most common reason for knee surgery.
  • Medial meniscal tears are more common except in acute ACL tears where lateral tears are prevalent.
INSIGHT

Diagnosis of Meniscal Tears

  • Joint line tenderness and a positive McMurray's test are key clinical indicators.
  • MRI confirms diagnosis, typically normal X-rays in young patients without arthropathy.
ADVICE

Meniscal Tear Treatment Options

  • Use non-operative treatment like rest and NSAIDs first for degenerative meniscal tears.
  • Consider partial meniscectomy or meniscal repair based on tear type and patient factors.
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