{"id":3676,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/acutemeniscaltearknee\/"},"modified":"2026-01-07T17:25:12","modified_gmt":"2026-01-07T17:25:12","slug":"acutemeniscaltearknee","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneetraumaticevent\/acutemeniscaltearknee\/","title":{"rendered":"Acute Meniscal Tear (Knee)"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">History<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Young to middle age<\/li>\n\n\n\n<li>Twisting injury<\/li>\n\n\n\n<li>Kneeling\/squatting injury<\/li>\n\n\n\n<li>Joint line pain<\/li>\n\n\n\n<li>Difficutly walking<\/li>\n\n\n\n<li>True locking<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Signs<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>Effusion<\/li>\n\n\n\n<li>Possible painful block to extension<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:22% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"901\" height=\"603\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee.png\" alt=\"orthopaedics-osteoarthritic-knee\" class=\"wp-image-19785 size-full\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee.png 901w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee-300x201.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee-768x514.png 768w\" sizes=\"auto, (max-width: 901px) 100vw, 901px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Joint line tenderness<\/p>\n\n\n\n<p>image copyright NHS Lothian.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile is-vertically-aligned-center\" style=\"grid-template-columns:22% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"468\" height=\"632\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Knee-sqat-or-Duck-waddle.png\" alt=\"Knee squat or Duck waddle\" class=\"wp-image-16918 size-full\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Knee-sqat-or-Duck-waddle.png 468w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Knee-sqat-or-Duck-waddle-222x300.png 222w\" sizes=\"auto, (max-width: 468px) 100vw, 468px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>                                                                 Unable to kneel, squat or Duck waddle<\/p>\n\n\n\n<p>                                                                                                       image copyright NHS Lothian.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:21% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"779\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Mcmurrays-Test-1024x779.png\" alt=\"mcmurrays-test\" class=\"wp-image-16920 size-full\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Mcmurrays-Test-1024x779.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Mcmurrays-Test-300x228.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Mcmurrays-Test-768x584.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Mcmurrays-Test.png 1219w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>User dependent specific test as part of assessment eg&nbsp; McMurrays Test<\/p>\n\n\n\n<p> image copyright NHS Lothian.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">\u200bSecondary care referral<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Immediate if truly locked, patient unable to flex or extend knee<\/li>\n\n\n\n<li>Routine if primary care treatment exhausted (via SCI gateway &gt;Lauriston Buildings &gt; Orthopaedics \u2013 Knee &gt; LI Non-Arthroplasty Knee)<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">\u200bPrimary care investigations<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>None indicated<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Primary care treatment<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Analgesia<\/li>\n\n\n\n<li>PRICE (Protection, Rest, Ice, Compression, Elevation)<\/li>\n\n\n\n<li>Physiotherapy<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs Joint line tenderness image copyright NHS Lothian. Unable to kneel, squat or Duck waddle image copyright NHS Lothian. User dependent specific test as part of assessment eg&nbsp; McMurrays Test image copyright NHS Lothian.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[410],"class_list":["post-3676","page","type-page","status-publish","hentry","category-acutemeniscaltearknee"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneetraumaticevent\/acutemeniscaltearknee\/\" rel=\"tag\">Acute Meniscal Tear (Knee)<\/a>","rttpg_excerpt":"History Signs Joint line tenderness image copyright NHS Lothian. Unable to kneel, squat or Duck waddle image copyright NHS Lothian. User dependent specific test as part of assessment eg&nbsp; McMurrays Test image copyright NHS Lothian.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3676"}],"version-history":[{"count":16,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3676\/revisions"}],"predecessor-version":[{"id":26121,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3676\/revisions\/26121"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}