Orthopaedic Surgery Meniscus Injuries: Review Questions Mark D. Miller, MD Dr. Miller is an Associate Professor of Orthopaedic Surgery and Co-Director of Sports Medicine, Department of Orthopaedics, University of Virginia, Charlottesville, VA. Choose the single best answer for each question.
	1. A 20-year-old college football player twisted his right knee while attempting to make a tackle. He cannot completely extend his knee. There is minimal effusion and medial joint line tenderness. Laxity is not evident with either anteroposterior or varus/valgus stress. His magnetic resonance imaging (MRI) scan demonstrates a displaced bucket handle tear of the medial meniscus. What is the appropriate treatment for this patient? Manipulation with reduction of the meniscus and return to play Open meniscectomy Arthroscopic meniscectomy Meniscal repair Click here to compare your answer. 2. A 40-year-old woman complains of lateral joint line pain. For the last several months, she has noticed a 1-cm nodule lateral at the joint line. The nodule is mobile and appears to be cystic. Extended nonoperative management has failed. What is the appropriate treatment for this patient? Aspiration of the cyst and intra-articular steroid injection En bloc resection of the cyst Arthroscopic meniscectomy and arthroscopic cyst decompression Arthroscopic meniscectomy and en bloc resection of the cyst Click here to compare your answer. 3. A 16-year-old girl undergoing anterior cruciate ligament (ACL) reconstruction is noted to have a discoid lateral meniscus. The meniscus is not torn or hypermobile. What is the appropriate treatment for this patient’s discoid meniscus? No treatment Partial meniscectomy/saucerization Total meniscectomy Meniscal repair/stabilization Click here to compare your answer.		4. A 55-year-old man with early arthritis of the knee complains of medial joint pain and catching. He has tried 3 months of conservative measures such as nonsteroidal anti-inflammatory drugs, glucosamine, and physical therapy. An intra-articular steroid injection did not provide relief. His primary care physician ordered an MRI scan, which shows moderate chondrosis and a degenerative medial meniscal tear. What is the appropriate treatment for this patient? Continued conservative management Intra-articular viscosupplementation Arthroscopic débridement and partial meniscectomy Total or unicompartmental knee arthroplasty Click here to compare your answer. 5. An 18-year-old female basketball player hurt her knee while landing after making a basket. She felt a pop and had immediate swelling. Physical examination and MRI confirm that she has a complete ACL tear and a vertical tear in the posterior horn of the medial meniscus. What is the appropriate treatment for this patient? ACL reconstruction with delayed meniscal repair Meniscal repair with delayed ACL reconstruction Meniscal repair with fibrin clot and ACL reconstruction Meniscal repair and ACL reconstruction Click here to compare your answer.
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