Banner - Hide this banner





Author Topic: Physical exam indicates medial meniscus tear but MRI is good.  (Read 918 times)

0 Members and 1 Guest are viewing this topic.

Offline UKnee

  • MINIgeek (20-50 posts)
  • **
  • Posts: 21
  • Liked: 0
Physical exam indicates medial meniscus tear but MRI is good.
« on: February 03, 2020, 07:23:10 PM »
I did the limbo, hurt my knee in AUG. Have pain in the left medial line. There was no popping or giving way just some pain.

Had 2 mris, both clear, one did incicate slight swelling. I had a physical exam by a ortho, he said i have a meniscus tear and slightly lax acl. When he reviewed the MRI (in about 30 seconds, no joke.) he said that there is nothing he can do and i need to physio.

Is this normal, the physical exam indicated a medial meniscus tear...everything points to meniscus but because the MRI is clear he wont do anything. After the physical exam i was in PAIN and could not WALK!


I have been refered to physio...i have been physio once before and was told that my kneecap was not tracking and was clicking, i strenghtened my glutes and my kneecap rarely clisks now.



I'm thinking about getting a T3, Tesla 3 MRI.

What should i do people??

Thanks.




PS = Limbo - bad.

Offline vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 5147
  • Liked: 454
  • Neelie knee!
Re: Physical exam indicates medial meniscus tear but MRI is good.
« Reply #1 on: February 03, 2020, 07:59:50 PM »
Can you get a second opinion? Have you had sight of the radiologist report? What did it say? Meniscus tears are easy to miss on MRI but a knee specialist should be able to diagnose a bad tear by pulling the knee around. Do you have swelling? Locking? Buckling? Or 'just' pain
Go with physio, you don't want surgery if you can avoid it (i.e. If There's no mechanical symptoms)
How old are you?
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline UKnee

  • MINIgeek (20-50 posts)
  • **
  • Posts: 21
  • Liked: 0
Re: Physical exam indicates medial meniscus tear but MRI is good.
« Reply #2 on: March 03, 2020, 08:23:55 AM »
Can you get a second opinion? Have you had sight of the radiologist report? What did it say? Meniscus tears are easy to miss on MRI but a knee specialist should be able to diagnose a bad tear by pulling the knee around. Do you have swelling? Locking? Buckling? Or 'just' pain
Go with physio, you don't want surgery if you can avoid it (i.e. If There's no mechanical symptoms)
How old are you?

Hi, I'm 30. I have a small amount of joint swelling according to the mri. When I fully extend the knee I feel as if there is a slight hitch in movement. It feels painful st times along the medial line.

I'm not sure if I have a meniscus tear... bone in my knee fluid.... or inflamation. I'm leaning towards tear as it's been like this for 8 months.

I cant go down stairs, and I've noticed I've started to walk on the side of my foot.. as to avoid friction.

Offline vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 5147
  • Liked: 454
  • Neelie knee!
Re: Physical exam indicates medial meniscus tear but MRI is good.
« Reply #3 on: March 03, 2020, 08:35:13 AM »
Have you seen an orthopaedic surgeon (knee specialist?) and has a/he also looked at the MRI images (not just the radiology report)
The swelling could be restricting the ROM, it certainly does in my (arthritic) knee.
Are you seeing a physio?
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline UKnee

  • MINIgeek (20-50 posts)
  • **
  • Posts: 21
  • Liked: 0
Re: Physical exam indicates medial meniscus tear but MRI is good.
« Reply #4 on: March 03, 2020, 02:22:16 PM »
Have you seen an orthopaedic surgeon (knee specialist?) and has a/he also looked at the MRI images (not just the radiology report)
The swelling could be restricting the ROM, it certainly does in my (arthritic) knee.
Are you seeing a physio?

Other did the physical exam and said meniscus tear, he viewed he mri and said no tear. Report says small joint effusion