Wednesday, 19 December 2007

Right knee lateral meniscus tear

Ms JW, a 21 yrs old lady was walking on her high-heels when she suddenly twisted her ankle and knee yesterday. The knee swelled up slightly and she could hardly walk. She was brought in by her father yesterday evening and could not bear her weight on the right knee.

Clinically, she had moderate effusion and slight slight restriction of knee flexion. She had tenderness of the joint line (lateral aspect) and a positive McMurray's test. She also had mild tenderness of the proximal attachment of the Lateral Collateral Ligament (LCL). She was treated with RICE treatment and sent for further evaluation with plain X-rays and MRI of the Right knee (to evaluate extent of meniscus injury and injury to other structures e.g. ACL). She has been started on isometric exercises. However, she may require early surgical intervention if the meniscus tear restricts movement or can be repaired. Post-surgical rehabilitation would often require up to 12 weeks commitment before return to play.

FOr further reading:-
Meniscus injury
Lateral discoid meniscus

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