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Meniscal Tears
Posted: Sep 29 2016 #(C2686)
E

Lateral-sided knee pain in a 48M

;
Lateral-sided knee pain in a 48M

HPI

48 year old male present with a 12-month history of predominantly lateral-sided knee pain. The pain is aggravated with activity and worse when flexing the knee beyond 80 degrees. The patient previously underwent a left knee arthroscopy in 2011, with a partial lateral meniscectomy (posterior 1/3 80% excised). He recently had a diagnostic arthroscopy which confirmed posterolateral wear involving both the tibial surface and the posterior aspect of the lateral femoral condyle.

PMH

No significant PMHx.

PE

No valgus deformity. Active ROM 0-120, painful beyond 80 deg flexion. Stable ligamentous exam.

Poll
1 of 1
1. What conservative treatment would you recommend, if any, in this patient?
Physiotherapy
30%
76/251
    • Hyaluronic Acid injections
    19%
    50/251
    • Platelet-Rich Plasma (PRP) injections
    9%
    23/251
    • Stem Cell injections
    1%
    4/251
    • Corticosteroid injections
    18%
    47/251
    • I would not recommend conservative treatment in this patient - surgery is indicated.
    19%
    50/251
    • Other - please describe in the comments section below.
    0%
    1/251
    • PROCEDURE #1

    Awaiting decision

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