Diagnosing Meniscus Tears for Physical Therapists
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In today's video we go over Diagnosing Meniscus Tears for Physical Therapists: FPF Show Episode 150
- 0:00 Introduction
- 1:04 What are some common complaints in patients with meniscal tears? (Acute tears)
- 5:45 What is the presentation of patients with chronic meniscus tears? (Degenerative)
- 10:55 What do the clinical practice guidelines recommend for diagnosis of meniscus tears?
- 17:29 What patients have a meniscus tear, where is the pain located?
- 19:02 What are the best special tests for diagnosing meniscus pathology?
- 29:30 If we combine subjective complaints and objective tests does that improve validity of our diagnosis?
- 30:14 Can we improve sensitivity and specificity by combining special tests?
- 32:20 Should you send patients for imaging (MRI) after a meniscal tear?
100% certainty of a meniscus tear,
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- What Physical Therapists Need to Know About MENISCUS Injuries
- IT Band Pain - Evidence Based Guide [For Physical Therapists]
- What Physical Therapists Need to Know [Patellofemoral Pain]
- PATELLAR Tendinopathy Evidence Based Guide [What Physical Therapists Need to Know]
- My Favorite Single Leg Exercise Modifications for Knee Pain [Lunges, Step-ups, Single Leg Squats]
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
Raj, M. A. (2023, July 17). Knee Meniscal tears. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK431067/
Chirichella, P. S., Jow, S., Iacono, S., Wey, H. E., & Malanga, G. A. (2018). Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics. PM&R. doi:10.1016/j.pmrj.2018.08.384
Kujala UM, Kettunen J, Paananen H, et al. Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters. Arthritis Rheum. 1995;38(4):539‐546. doi:10.1002/art.1780380413
Beals CT, Magnussen RA, Graham WC, Flanigan DC. The Prevalence of Meniscal Pathology in Asymptomatic Athletes. Sports Med. 2016;46(10):1517‐1524. doi:10.1007/s40279-016-0540-y
Logerstedt DS, Scalzitti DA, Bennell KL, et al. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Revision 2018. J Orthop Sports Phys Ther. 2018;48(2):A1‐A50. doi:10.2519/jospt.2018.0301
- Meniscus Image: file source: https://upload.wikimedia.org/wikipedia/commons/a/a8/Gray349.png attribution: Henry Vandyke Carter, Public domain, via Wikimedia Commons Edited by Fitness Pain Free LLC
- Lateral Meniscus - Source: https://commons.wikimedia.org/wiki/File:Lateral_Meniscus_Counterstrain.png Attribution: Powellle / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0)
- Meniscus and Knee - SOURCE: https://commons.wikimedia.org/wiki/File:Depiction_of_a_person_suffering_from_Knee_Pain.pngAttribution: https://www.myupchar.com/en / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0)Edited by fitness pain free LLC
- Medial Meniscus Source: https://commons.wikimedia.org/wiki/File:Medial_Meniscus_Injury.png Attribution: BruceBlaus / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0) Edited by fitness pain free LLC
- Knee Joint Source: https://commons.wikimedia.org/wiki/File:917_Knee_Joint.jpg Attribution: OpenStax College / CC BY (https://creativecommons.org/licenses/by/3.0) Edited by fitness pain free LLC
- Gray Meniscus Source: https://commons.wikimedia.org/wiki/File:Gray349.png Attribution: Henry Vandyke Carter / Public domain Edited by fitness pain free LLC
- Types of Meniscus Tears Source: https://commons.wikimedia.org/wiki/File:Meniscus_tear_types.svg Attribution: Mikael Häggström / CC0 Edited by fitness pain free LLC
