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Orthopaedic

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Sports Medicine

Question
24 out of 26
 

It is wise to keep and repair the meniscus rather than removing it when the injury is? (AIIMS May 2012)



A Medial part of meniscus

B Mid part of meniscus

C Lateral part of meniscus

D Associated with collateral ligament injury

Ans. C

Lateral part of meniscus

Explanation

Meniscal tear is the most common injury to the knee that requires surgery. The medial meniscus is torn approximately three times as often as the lateral meniscus.

Treatment

a. Partial Meniscectomy – Tears that are not amenable to repair are best treated by partial meniscectomy. In general, complex, degenerative, and central/radical tears are resected with minimal normal meniscus being resected.

b. Meniscal Repair – Should be done for all peripheral/lateral tears, especially in young patients and in conjunction with an ACL reconstruction.

c. Meniscal Repair Results – Several studies report 80–90% success rates with meniscal repairs. However, this depends on location, type of tear and chronicity. It is accepted that the results of meniscal repair are best with acute, peripheral tears in young patients undergoing concurrent ACL reconstruction.

Sports Medicine Flashcard List

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