Meniscal pathology

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QUESTION 1 OF 6

32.A 20-year-old gymnast sustains a twisting knee injury leading to painful mechanical symptoms. MRI scan suggests an unstable anterior horn lateral meniscus tear.
Which of the following treatment options would be the best way forward to manage the situation?

QUESTION ID: 1190

1. All inside meniscal repair
2. Inside-out meniscal repair
3. Non-operative treatment
4. Outside-in meniscal repair
5. Partial lateral menisectomy
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QUESTION 2 OF 6

30. During a knee arthroscopy you are encountered with a displaced bucket handle medial meniscus tear in a tight medial compartment. You find it difficult to insert instrumentation for meniscal repair on the medial side.
What would be the most appropriate way to manage the situation?

QUESTION ID: 1194

1. Abandon the procedure and reschedule on a different day
2. Ask anaesthetist to give muscle relaxant
3. Continue with the procedure accepting excessive scuffing of articular cartilage
4. Perform meniscal resection
5. Pie-crusting to release MCL
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QUESTION 3 OF 6

51.A shoulder surgeon performs an arthroscopic washout of knee joint in a 25-year-old man. A complication occurs during placement of the anterolateral portal due to inferior positioning of the incision. He refers the patient to the knee clinic for further management of the iatrogenic injury.
What type of repair would be most likely needed for management of this iatrogenic injury?

QUESTION ID: 2264

1. All inside meniscal repair
2. Anterolateral ligament repair
3. Chondral dart
4. MPFL repair
5. Outside in meniscal repair
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QUESTION 4 OF 6

A 44-year-old male attends the OPC complaining of a 3 months history of knee pain, swelling and stiffness. His MRI scan is shown below (Figure 1.1)
Concerning his symptoms

Meniscal root tear Medium.jpeg

Figure 1 MRI scan knee

QUESTION ID: 3168

1. C. Partial meniscectomy partially restores native joint biomechanics
2. Clinical diagnosis is usually straightforward
3. On the affected side(lateral) the tibiofemoral contact pressure is not significantly increased
4. Results in an increased tibiofemoral contact pressure equal to around 70% of that following a total meniscectomy
5. There is usually a history of an acute traumatic event
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QUESTION 5 OF 6

112.A 44-year-old male attends the OPC complaining of a 3-month history of knee pain, swelling and stiffness. His MRI scan is shown below (Figure 1)
Concerning his symptoms

Meniscus .png

QUESTION ID: 3228

1. Clinical diagnosis is usually straightforward.
2. On the affected side(lateral) the tibiofemoral contact pressure is not significantly increased.
3. Partial meniscectomy partially restores native joint biomechanics.
4. Results in an increased tibiofemoral contact pressure equal to around 70% of that following a total meniscectomy.
5. There is usually a history of an acute traumatic event.
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QUESTION 6 OF 6

75.A 35-year-old dance teacher is referred to your elective knee clinic with a complaint of pain in her knee which has been ongoing for 3 months. There is no history of antecedent trauma. She does not have any mechanical symptoms of her knee locking; however, she is quite distressed by – what she calls as a “disappearing” swelling on the outer (lateral) aspect of her knee.
What is this lady suffering from?

QUESTION ID: 3274

1. A ganglion on the lateral aspect of the knee
2. A lateral meniscal cyst
3. Lateral meniscus tear
4. Snapping iliotibial band syndrome
5. Symptomatic discoid meniscus
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