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Guidelines

Degenerate Meniscal Tear

History

  • Middle age
  • Pre existing early OA
  • Minimal injury
  • History of overuse eg DIY
  • Limp
  • Restricted work
  • Localised joint line pain
  • Possibly swelling

Signs

  • Limp
  • Effusion
  • Joint line tenderness
  • Possible painful block to extension
Knee squat or Duck waddle
NHS Lothian Unable to kneel, squat or Duck waddle- image from NHS Lothian Medical Photography.

    Referral Guidelines

    Secondary care referral

    • No indication unless true, mechanical locking
    Primary Care Management

    Primary care investigations

    • X-Ray – AP standing & lateral to confirm presence of OA

    Primary care treatment

    • Analgesia
    • PRICE (Protection, Rest, Ice, Compression, Elevation)
    • Physiotherapy
    • Advice – not all degenerate tears need surgery 
    • Weight loss as appropriate
    • Corticosteroid injection
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