Meniscus Tear Evaluation: 5 Most Common Signs and Symptoms
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- เผยแพร่เมื่อ 15 เม.ย. 2022
- Meniscus Tear Evaluation: 5 Most Common Signs and Symptoms
👉Paul demonstrates how he likes to evaluate the patient with a possible medial meniscus tear and talks about the 5 most common signs and symptoms.
▶Knee effusion (swelling inside the joint)
▶Joint line tenderness
▶Positive McMurray's/meniscal grind test
▶Joint synovitis (warm knee)
▶Pain at the end range of motion
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Awesome video! Great review for me, thank you!
These videos are excellent !
Thank-you
Great explanation
Plz give us feed back after mri
You have a gift for explaining concepts doc, love the videos and the way you talk!
Sorry I missed this comment Nathaniel. Thank you so much! Many more to come.
Glad to see the evaluation unlike my orthopedic dr who goes right to arthritis
Thanks, very clear and helpful these real-life examples.
Glad it was helpful Tim!
I have had several of these knee twisting sensations, which have caused me to fall to the ground in agony. I have had this for about 6 years, but haven't ever gone to a physio or anything.
Please make video on pelvic synphysis dysfunction
Love your videos and the details you give! Thank you!
Thank you!
Thank you a lot
Hi OrthoEvaPal
My guy has a very situation to the one discussed but his pain has extended to his upper hamstring, which makes things more excruciating since he sometimes cannot fully stretch out his leg or even walk as the muscles around the knee and hamstring area tend to stiffen up.
He's been to hospital on several ocassions but there's no definite diagnosis to what he has. The 'clicks' in the knee, behind and below the patella as he describes are so obvious and usual but the doctors didn't pick it up.
What can we do from here, are there any exercises you can recommend?
I have expecting same problem what are the exercises give relief to me
Can u explain please. At about 4:13 ( before and after) u were talking about it being a hyper extension vs meniscus tear. How do I know. Thx
❤ Great information 👍
Thanks for watching
Can a diagnosis of bone bruise be made after all those movements of the knee?
One of the worst pains I have ever had, I tore my right one two years ago and had replacement last month, now tore the left and have to wait for 3 more months to have it replaced. Cant sleep, cant sit, just cry!
Question so when I game I sit crossegged ( criss cross apple sauce lol) and a couple days ago I gamed for along time then the next morning my knee kind of locked I stood up and heard a bunch of cracks. it's day 3 and I'm having some pops I can walk pretty fine on it and it doesint hurt unless it cracks alot in the morning an Amwell doctor told me that I can just rest it and it should be fine and it's nothing serious since I can walk is this true and should I be concerned yet ?
The way my knee feel right now ain't no way in the world I can been my knee like that
It hurt me just to watch
How’s it feeling now ? Cuz I feel you on this🤦🏾♂️
The way I feel now it's about 95% better now and this been going on about 7 months
@@williamsawyer5614 so it’s been a 6 month recovery period
@@davidchang5426 Yes it has and it's still not 100% I say it's about 95% never went to the doctor
for Meniscus extrusion , which therapy is made in general ? are there cases for meniscus problems, where we do not need surgery or all cases need surgery? Like which problems requires definitely surgery and which not? Thanks
My knee is the exact same. It only hurts when I put my weight on it. Should I use crutches when walking? Is it best to not use it until it's healed?
Wouldn’t the motion at 3:07 be a valgus stress? Just making sure for my studies as I do not want to be confused. Good video!
Yes you are right. Paul has misspoken.
Hi Jesse, Thank you so much for bringing that to my attention. I totally missed that. You are correct. I can't believe I missed that. I've only done a thousand knee exams. I will correct it and reload. Best,
Paul
@@OrthoEvalPal no worries! Just making sure. Great video
My guy Jesse ready for that first job😎
Hi I have similar pain there but also in the back of the knee , after sitting down the first few steps are very painful I can’t straight the leg just after I warm up the leg , if I bend the knee to the end the pain are very sharp in the back of the knee and if I do triangle choke with the leg the pain increase very sharp on the inner side of the knee and that pain it’s like nerve pain which extended to upper side of the leg please any idea what might be , thanks
Hello, how are you? Did you later get a diagnosis and how do you feel now
Hi can you help me
Understand my MRI results please. I had an MCL torn meniscus in 2019. Now I have pain had an accident in 2022. When I kneel or squad me knee bothers n I feel like if have a cut or knife cut on my knee. I already had an injection synvisc-one that didn’t helped me.
because doctor told me I have osteoarthritis. Then he changed said I have a torn meniscus then he gave me more therapy I’m still in pain with discomfort in the middle inner side of my knee now he saids it’s arthritis can you help understand better if I have a torn miniscus or not please. Even the pt tells me it’s meniscus so now I’m confused in pain. Thanks
FINDINGS: The anterior and posterior cruciate ligaments are maintained. The components of the posterolateral corner and medial collateral ligament appear intact.
Previously evident horizontal wear of the medial meniscus is less conspicuous and appears somewhat smaller on the present exam reflecting prior intervention. There is persistent near horizontal high signal present extending through the inferior aspest of the posterior horn body junction of the medial meniscus suggesting postsurgical change however the possibility of superimposed tear cannot be excluded, Correlation with MR arthrogram or CT arthrogram may be helpful and should be considered as clinically warranted. Lateral meniscus is intact. Bilateral meniscal tibial attachments are intact,
Tricompartmental cartilage thinning in evident which appear similar to that seen on the prior exam.
Joint effusion Is evident which appears decreased from prior exam.
The patellar tendon and quadriceps mechanism are maintained. There is no abnormal signal evident to suggest fracture or osteonecrosis.
IMPRESSION:
1. Findings most consistent with post surgical change involving the medial meniscus with a possible superimposed tear, discussion at suggestion as above.
2. Tricompartmental chondromalacia/cartilage thinning: unchanged.
3. Joint effusion: decreased frond prior exams.
I have an MRI IN ONE MONTH!! But i cant wait that long to see whats wrong with my knee❗️❗️
Yes if they are painful and locking.
My angle ligament tear
Please help
So he just described my problem to the absolute Exact situation ! Now what ?
I had x-rays about 2 weeks ago. Both medial meniscus are "gone". Y'day, and this morning, my left leg is swollen (from the knee area down thru my ankle), painful, and I could barely walk when I woke this morning.
I'm sitting here with my legs somewhat elevated; it's helping ease the pain, but is still swollen. Suggestions please?
how are you man? any update?
i moved my knee while laying down and felt something snap/ pop. I can move my knee to an extent but there’s dull pain. also can’t walk on it basically
I had the same, except i can walk on it fine. Just dull ache on the outside of knee
@@benquinnell9343did u find the cause? Is that pain is like dull pain arpund the knee joint, which increases by evening?
I am a little sad I have been experience these same issues except a little more severe than your patient. I was squatting in the grocery store trying to get something off a lower shelf and I heard a pop and felt a very sharp pain. I had to gather myself before I was able to get back up because it was excruciating. I went to the Drs who referred me to this Orthepedic Sepialist. I am not happy that he diagnosed me with Pes Anserine Bursitis. I had a lot of fluid build up in my leg, but I complained of the inner knee and back of knee pain. My Hamstrings and front muscles have been stiff as if they are sore from the clinching. Anyways I go for a MRI in about 2 weeks I have been dealing with this pain which I think is a torn meniscus for Several months.
From your explanation, I think you may be right. (meniscus) I hope the MRI will help give you some direction!
Why get an MRI if she is getting significantly better??
Can u help me? Im 4 weeks in to recovery non surgical and significantly better however i dont have full range of motion and walking the smallest distance is uncomfortable. I tried a brace and i was paying for it after
How r u now?what treatment did u take?
@@rit20095 time is the treatment...TIME
I don’t know what I have one day I noticed when walking my knees started hurting so I was conscious of it but didn’t think anything of it as it was a slight pain fast forward couple months my right knee I couldn’t put much weight on it at when I bent it in a squat position it would hurt went away and then my left had knee had the same pain on the inside. My knee would buckle and get a shock suddenly when I hyper extended when walking I done some exercises and it’s managed pain and mobility for a while but noticed after a couple months it just won’t go away.
What treatment did you take? I have the same symptoms
Hello doctor i hurt my knee kicking soccer ball and it sounds like breaking brazil nut 😂 but i can run whit in a week it's 3 time in total the 1st one was 6 years ago second one was about 7 months ago and yesterday it sounds again and there is no lock in the knee pain is negligible and in first case i do squat upto 10 in playing soccer at the same week. Now what should i do
Врач со знанием дела! У меня колено не сгибается на ступенях так хочется ходить!
What’s the main cause for bakers cyst? I’ve had one for about 5 years.
Arthritis and/or injury in the joint
I have all the symptoms of meniscus tear help me please please im from philippines
Hello, how are you, doctor? I have a second-degree meniscus rupture. He went to the doctor and gave me two options, either surgery or platelet-rich plasma. I chose plasma, and now after two months, I feel pain in the same area. Do you recommend an operation?
How r u now? Even my doc advised prp if things don't improve
Same here. How r u now? What treatment did u undergo?
I’m the same situation, bucket handle tear on medial meniscus, can i treat this without surgery?
Bucket handles are tough to treat without surgery. They tend to lock up in the joint, cause prolonged swelling and muscle shut-down.
Orthopedic instruments used in exam and clinical practice
Each chapter apert, please
Good morning doc,my problem is when I’m being examined I don’t get any pain on my knee but once I try to run I get this sharp pain that makes me to stop instantly....I injured my knee playing soccer in December
You need a good evaluation done. Have you seen an orthopedic doctor?
Same here does it feel tender on the sides of your knee or after you play the back hurts and your knee swells?
Did you heal from this? And how long did it take?
I had a possible meniscus tear per the physical therapist, went to my Ortho, ordered an MRI, confirms no meniscus tear. I have a click on extension and leg is weak extending. Ortho dismissed me, but I still have pain...I'm now lost as to what to do
find a new pt and or a new ortho to help you
if pain is mostly in anterior side of jointline, can we say tear is most likely on the anterior horn of menisucs or can it be in posterior as well
More likely anterior
@@OrthoEvalPal 4:10 is my pain location (anterior) , but MRI is showing grade2 tear in posterior horn of medial meniscus
I have knee pain in same area show in video since Nov 2022 still now walking standing is worse
Be sure to get it checked out by a medical provider.
Hello Dr. Three days ago, while exercising, my left leg suddenly turned inwards and I heard a voice and I got a x ray that did not broken . I can’t anymore to straight my leg and to turned inward too . what kind of meniscus’s tear do you think is that ?
Not enough information to say. May not be a meniscus
Thank you for your replying 🙏🏻
Need therapy, if not your leg be stiff
thank you . I went to an orthopedist and started physical therapy and acupuncture
I am having a grade 3 posterior horn of a medial meniscus tear on my MRI.is there any to fix way without surgery?
What ended up happening?
@@nazrobinson7535 still the same, I didn't go for the surgery
How are you feeling now?
@@ashleycam72 still the same, no surgery yet, bending carefully due to locking issue.
Are you walking properly, am 2 months meniscus tear haven't gone for MRI yet hopefully I can heal without surgery
What happens if nothing shows up on an x ray? I had a 2 hr seizure in April- partial seizures I have- and I was alone. I came back 2 my senses w/bruises all on my left side leg, knee, and somehow I scratched the whole side of my face. Since then, I have had a puffiness on my inner left ankle at the end of the day and pain that radiates up to my knee. I've been to ER, seen my neurologist, and my regular Dr .. they act like this is nothing.
I hope you got answers and are feeling better. 💜🙏🌹💜🙏🌹
I just had a MRI, today injury was 5 wks ago. I have a meniscus tear & a Baker's Cyst, plus swelling in the knee. Doc said to wear leg compression, RICE. use a walker, start physical therapy in 7 to 10 days. The pain is intense. I also have a brace.
How are you doing now?
Did you have to go back to work ?AMAZON MAKE YOU GO BACK WHILE still injured
@@jfros9794 No, I am not working. How awful for U to go back so soon. I'm having surgery Nov. 22 after 6 mos. of agony. How is the knee now? How long ago was UR surgery?
@@estelleadamski308 I don’t have the pain I used to but I have to limit the exercises, activity I do or I make it worse. It’s still uncomfortable etc. I still have to work and it requires me to be on my feet a lot. I have no idea as to expectations on how long it should take to get better, it’s been months for me now.
@@estelleadamski308 never got surgery I’m dealing with a tear or some sort of tendon maybe but they try to have me walking etc at work as if turning and bending won’t be good but hopefully WORKS COMP OR SETTLEMENT IF IT FURTHERS N HENDERS FUTURE HEALTH
Bone bruise / bone edema in the medial femoralcondyle and proximal tibia.
Grade II vertical tear of the posterior horn of lateral meniscus.
Grade I horizontal tear of the posterio horn of medial meniscus.
is this treatable without surgery
Sounds surgical to me. But I've seen people survive with worse. Have to change activity level though.
My son hurt his knee while playing soccer. He kicked a ball and he felt pain on his knee. He got an MRI and he got the following results: questionable vertical longitudinal tear of the anterior body and anterior horn medial meniscus. There was an also evidence of patellofemoral maltracking and some degree of trochlear dysplasia. He was able to do PT and return to play soccer 5 weeks after the first injury, but hurt his knee again on the first game back. He rested and return to play 3 weeks later, but hurt himself again. Currently, he has not played since the last injury, which happened one week ago. He doesn't have pain and is able to walk and move. My question is, based on the initial MRI, would the possible tear he has need surgery? Also, would it be a good idea to request another MRI? Right now, he started doing PT and working with a chiropractor.
No one replied to you but do you have any tips
As a Kinesiology student who aspires to be a PT, it sounds like surgery might be needed. Meniscus tears can progress if the injury is not taken care of, compromising the rest of the knee and surrounding muscles. Because there is a tear, the surround muscles begin to compensate for the tear which can cause further issues. That’s why the PT in the above videos says working the quads, hamstring, glutes and calfs must be strengthened, to lessen any further damage. I hope this helps and answers you question to a certain degree
A chiropractor?! Wowza. Common sense would tell me that your son should probably see an orthopedic specialist! Maybe several of them! Put down the ⚽️ for at least 4-6 months! I'm no doctor but I sure wish someone would have stopped me when I was young and kept reinjuring my back! It might have saved me from a major back surgery where I had blown out my L5-S1 and needed a disc replacement with titanium plate, fusion etc. Took YEARS of recovery (if u could call it that) that left me with chronic pain (surgery in 2008) and a slew of other issues all 3 mo's before my 40th bday. I know it's not the same but I cringe when I hear stories of young kids injuring and reinjuring their bodies! Nothing is worse than regret. I wish ur son a very happy ending to what can turn into a very serious life long story with no ending to the pain and suffering he will endure when he's older.
Hello doctor, I hurt my knee and there was nothing like swelling or pain. But after sometime I started having pain whenever I fully sit in sqaut position and stand again. Please suggest something.
You need to get a diagnosis. See an orthopedic specialists
Ya doc, had an x-ray and the doctor found nothing unusual. If only I had access to doctors like you in my place 😢
@@sanskritirajput6788 Any updates ?
My knee feels weird like I can bend it do everything have full range of motion but I just can’t put pressure on it and can barley walk on it doctors said I have a pcl injury bhad it for about 5 months now
Yes. PCL is a very different issue than what I show here. Best of luck!
I am having the same issue and i am frustrated right, i cried my heart out today bcz my doc told me it will take three years or maybe in 6 month it can heal... He stopped me from doing gym, jogging, playin badminton, and running . I don't know how i am gana live. Please if u can help then help me. I am 24 and i don't want this injury to make me feel like 80 year old.
Can u help me! One year is gone my left knee injuried,this my mri report,
1.Acl injuri grade 3
2.Mild joint effusion
3.Bony contusion in posterolateral aspect of the lateral tibial condyle.
You need to see an orthopedic surgery.
surgeon
Bangladesh is best dr,orthopedic surgeon M Ali see,but he see comments no operation my knee
Honestly its been like 2 months or less, and its only like my patella area its still kinda swollen just a little underneath it...i cant bend my knee 90° and i still cant straighten it all the way
Definitely should see an orthopedic specialist. Should be moving better by now.
I tore my meniscus on my right knee when I was doing plyometrics back in 6th grade didn't get surgery I just rest it for a couple of weeks until the swelling stops. I'm 24 now and my knee keeps making a popping sound everytime I bend it and sometimes it locks in place. I lost 80 percent of my athleticism and stop doing sports all together and can't go pass 80% of my body weight doing squats. I'm planning to have a surgery soon but I just got a job and it's really hard to since it's a labor intensive.
Trimming the meniscus AKA as a menisectomy leads to arthritis. Find a t really good surgeon who bias is to repair the meniscus if possible
How's the injury going?
Do x rays pick up on the meniscus ?? It is a soft tissue which nay get picked up with a MRI.
X-rays will not. Yes on the MRI
@@OrthoEvalPal Thanks for the reply!! Great video!
Hello Doc .
Im here because im honestly scared to go to the hospital , on June 8th i was on the court. I was running and a guy hit my left knee inward. I heard a loud pop , my leg swell up very bad but the swelling has since went down. Im able to walk on it , its getting better. I want to know will it get back to normal in time 😭 please i need answers lol im sure ill have to go get it checked soon , but just some type of andwer would help
It’s good that it is getting better, but you should have it checked to see if you have torn one of the stabilizing ligaments.
Any update ?
It's been bout 5-6 days ago now since I had injured my knee skateboarding. I was rolling up to an obstacle and a rock made my board stop short and sent me forward and when I planted my left foot on the ground to stop some of the momentum, my leg was stiff and bent inward from the knee down and popped back to it's original place. I woke up the next day having little range of motion on my knee and a slight buckling feeling when walking. I seen an orthopedic and the guy felt around and only did 2 or 3 of these tests (the one at 3:11 gave me the most trouble) and practically diagnosed me with a meniscus tear without seeing an MRI and said I have 3 options rest at home, physical therapy (which can be a physical terrorist) he said, and surgery. He kind of jumped the gun on surgery being the only option which sketched me out. I will be getting an MRI tomorrow. Should I trust this doctor or anything to look out for on MRI ?
mri for sure, it could also be your acl and you can only see that if you had a mri.
@@yvhgoldenboy2929 I got the MRI done and the doctor said it was a 'fully torn ACL' but I am going to get a second opinion before opting to have surgery because I am starting to regain movement, no pain, and swelling. It just feels very very weak and from my understanding, fully torn would mean that it's not connected anymore right ? I just wanna make sure this guy isn't full of crap.
An ACL tear is quite easy to identify without an MRI. Most ACL tears need to be reconstructed.
@@OrthoEvalPal Thank you for replying back to my comment! I have a few questions that you might be able to answer. I used to be really active before taking a break from skateboarding and picking it back up again recently, what type of graft do you recommend I should get that would let me be able to skate again ? Should I take the prehab PT appointments ? and is there any important things you recommend me to ask my ortho and PT ? This is the first time I've ever experience a major injury skateboarding and I still can't wrap my head around the fact this happened, it's tough.
@@staysteezy1104 I have seen hundreds of ACL reconstruction’s and our best outcomes usually are those who have bone patella tendon bone grafts. There is no reason why you couldn’t get back to skateboarding after a year or so. We could athletes back to playing high-level sports after the surgery. I definitely recommend Prehab! Best of luck!
Can this happen simply from jogging? No weird twists or turns.
LEO Y Yazmin.❤❤
I just stepped down a high step on the fan and now something doesnt feel right.. 💀
High grade tear of anterior cruciate ligament. Grade III tear posterior horn of medial meniscus in my MRI report
Ouch. Sounds like surgery if it's unstable, swollen and painful
@@OrthoEvalPalwould you continue to work light duty at warehouse while having mild meniscus injury or would you rest out of work with Pt and then return when healthy? Or just listen to the Amazon affiliate doctors say it’s fine you can work but not hard 😮
Yesterday I injured my Meniscus :)
I play football and last year (2022) I trained as usual, but after a training session it started to hurt behind my knee (I don't know if it was a bad move or a blow).
Currently I can't pull my knee back much, because after a certain point I start to feel pain behind the knee, then when I stretch it it seems that it also hurts in front of the knee.
I've already had an MRI, ultrasound, physical therapy and the pain continues.
Think you know what it could be?
Same, I can’t bend it and sit on my knee the back hurts a lot
What's your condition now?
@@marufmeer8136 a little better but it still hurts when I sit like Vajrasana - The Diamond Posture
She pivoted in basketball terms means someone Crossed you over really bad 😂
I fell of a horse and landed straight on my knee all my weight on my right knee. My calf was sore for a week and my thigh was also really sore. When I flex my calf I feel something funny on the left side of my right knee. Any feedback would really be helpful
Definitely something I would see a Provider for. Too hard to tell without evaluating you myself.
This video had me in pain!! Every move had me feeling it. 🤮
So does this person require surgery?
I couldn't have a real injury and be a "Guinea Pig" for someone's tutorial video. My whole thing would be, "Just give me the MRI Knee Scan so I can know exactly what the problem is."
Unfortunately, insurance companies control a lot of that. Not a problem if you can pay for the MRI with cash.
How much would the mri cost?
I can bend my knee no problem. I just can t straighten it. I hurts and I hear a pop
And DOES A MENISCUS TEAR NEED SURGERY???
If she wasnt in pain before...she is now after she was manipulated a million dofferent ways.
😂 hopefully I didn’t tear my meniscus. I’m horrible at gauging my pain and doing self diagnosing
You may want to see an orthopedic specialist.
Ok can this GIRL WALK NORMALLY???
Yes.
Hey Also sometimes I share this, the Bible says that GOD loves us so much that he sent his son JESUS CHRIST to this earth and HE lived a perfect sinless life.And JESUS went to a cross and gave HIS life for us.And rose again in 3 days and who ever will receive JESUS AS THEIR SAVIOR AND ASK HIM TO COME INTO THEIR HEART AND FORGIVE THEIR SINS,HE WILL TAKE YOU TO HEAVEN.
Amen
Amen
God has never had offspring, nor was he born. And there is none comparable to him. O mind kind worship your Lord, who created you and those before you, so that you may become mindful of God.
To Him belongs all that is in the heavens and all that on earth: and He is Most High, Most Great.
God is above these debased behaviour of humans and has no sons or daughters neither was HE born! He was and is for ever! Jesus (Eisaa) was a prophet born because of God’s miracle from a Virgin Mary to show the people HE is capable of everything! Read your Old Testaments not written after centuries! Bless you all .
amen
You are twisting her about like a contortionist.
That's how we evaluate a patient.