- Untreated meniscal tears are at increased risk for developing osteoarthritis
- Medial tears more common
- Classified based on location, position, and pattern.
- Mechanical symptoms (locking and clicking), especially with squatting
- Clinical examination: joint line tenderness, Apley compression, Thessaly test, McMurray’s test
- MRI – most sensitive diagnostic test
- Operative includes : Partial meniscectomy, Meniscal repair, Meniscal transplantation, Total meniscectomy
- Success rates for meniscal repair in the range of 80% to 84% at a minimum of 5 years
- Younger patients repair
- Above 40yrs- repair if possible, repair not possible, symptomatic then partial menisctomy
- Older age meniscal tear consider physio and surgery if no improvement
