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Degenerate Meniscal Tear

THIS PAGE WAS LAST REVIEWED 16-01-2019

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
Unable to kneel, squat or Duck waddle

Secondary care referral

  • No indication unless true, mechanical locking

Primary care investigations

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

Primary care treatment

  • Analgesia
  • PRICE (Protection, Rest, Ice, Compression, Elevation)
  • Physiotherapy
  • Weight loss as appropriate
  • Corticosteroid injection