ORTHOPEDICSTREATMENT
Rest, ice, elevate, NSAIDs, immobilization, orthopedics referral, physical
therapy
MEDIAL ANDLATERALMENISCUSINJURIES
Medial meniscus is injured twice as often. Injury usually results from quickly
changing directions, squatting, or twisting knee.
SYMPTOMS/EXAM
Pain and swelling (acute injury), clicking, or locking of the knee
DIAGNOSIS
Positive McMurray’sand Ege’s tests are suggestive. MRI or arthroscopy is
diagnostic.
TREATMENT
Rest, ice, elevate, NSAIDs, orthopedics referral
Match the Mechanism to the Injury:- While downhill skiing, a skier catches the edge of one ski, causing his
skis to go in different directions. A twisting fall ensues, causing a tear-
ing sensation in the knee. - While running downfield during a soccer match, a defender plants her foot to
decelerate and change directions, causing a pop in her knee. A large effusion
is seen shortly afterward. - While bending down to pick up a heavy box with his right knee externally
rotated, a man feels a pop in his knee. He has had problems with his knee
locking since the incident. - The patient’s knee hit the dashboard in an MVC. No fracture is found, but
patient is complaining of knee pain.
a. PCL injury
b. ACL injury
c. LCL injury
d. MCL injury
e. Lateral meniscus injury
f. Medial meniscus injury
Answers:- d
- b
- f
- a
The Lachman’s test is better
than the anterior drawer test
for detecting ACL injuries.
Diagnoses for meniscal and
ligamentous injuries are
improved when tests are used
in combination.