International Journal of Orthopaedics Sciences

A rare presentation of a bilateral tear of the posterior horn of medial meniscus in a young patient: A case report

2019, Volume 5 Issue 2

A rare presentation of a bilateral tear of the posterior horn of medial meniscus in a young patient: A case report

Author(s): Yasser Alwabli
Abstract: 
Introduction: There are two menisci in the human knee, the medial and lateral meniscus. The function of the menisci is shock absorption, proprioception, and improved stability. The vascular supply of the meniscus is crucial as it dictates the choice between surgical options. Meniscal tears are common and account for the majority of surgical knee procedures. The tear usually affects one knee and bilateral meniscal tears are extremely uncommon. Treatment of meniscal tears can be non-operative or operative. Operative treatment is indicated specifically if the tear is associated with mechanical symptoms such as locking or catching.
Clinical case: A 20-year-old male patient presented at our university out-patient clinic with bilateral knee pain after a soccer injury a few months prior. A detailed history and physical examination raised a suspicion of bilateral meniscal tears. Advanced imaging including magnetic resonance imaging (MRI), confirmed the diagnosis. After discussion with the patient and explaining different treatment options, non-operative treatment was carried out in the form of a physical therapy program at our center. On follow up, the patient showed significant improvement of his symptoms.
Conclusion: Bilateral meniscal tears are extremely uncommon injuries with only a few reported cases in the literature. The reported cases were bucket-handle type tears which were treated arthroscopically. In our case, there were no mechanical symptoms and the patient improved with non-operative treatment.
Pages: 257-259  |  941 Views  56 Downloads
How to cite this article:
Yasser Alwabli. A rare presentation of a bilateral tear of the posterior horn of medial meniscus in a young patient: A case report. Int J Orthop Sci 2019;5(2):257-259. DOI: 10.22271/ortho.2019.v5.i2f.32
 
International Journal of Orthopaedics Sciences
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