UCSF Clinical Professor Orthopedic Surgery Disclosures Consultant for Moximed Stock Shareholder Ceterix 50 Y O female stepped off a curb 2 weeks ago Acute R knee pain and swelling Posterior medial pain ID: 919778
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Slide1
PT/ATC 2021
Elly LaRoque, MDUCSF Clinical Professor Orthopedic Surgery
Slide2Disclosures
Consultant for Moximed
Stock Shareholder
Ceterix
Slide350 Y O female, stepped off a curb 2 weeks ago
Acute R knee pain and swelling
Posterior medial pain
Limped for a few days and now feeling 75% better
No locking
New clicking has persisted
Slide4Most Likely Diagnosis?
Degenerative complex meniscus tear
Bucket handle meniscus tear
Posterior medial meniscus root tear
Slide5Degenerative complex meniscus tear
Bucket handle meniscus tear
Posterior medial meniscus root tear
Slide6Meniscal root tear
40-60 y/o patient – often female
Acute knee pain, relatively minor event, +/- hear a pop
Pain posteriorly, moderate-large effusion
If untreated, can lead to rapid development of OA (as if total meniscectomy)
Root repair restores normal contact forces and is indicated urgently in patients who do not have OA
Faucett
SC et al. Meniscus root repair vs
meniscectomy
or
nonoperative
management to prevent knee osteoarthritis after medial meniscus root tears. AJSM 3/8/18.
Posterior tibia
Slide7Medial Meniscus Root Tear
7
Slide8Courtesy of: April 2018
LaPrade et al.
8
Root Repair
Slide98/19/21
9
Slide108/19/21
10