Meniscal pathology

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QUESTION 1 OF 2

A 20-year-old gymnast sustains a twisting knee injury leading to painful mechanical symptoms. MRI scan suggests an unstable anterior horn lateral meniscus tear.
Which of the following treatment options would be the best way forward to manage the situation?

QUESTION ID: 1190

1. All inside meniscal repair
2. Inside-out meniscal repair
3. Non-operative treatment
4. Outside-in meniscal repair
5. Partial lateral menisectomy
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QUESTION 2 OF 2

During a knee arthroscopy you are encountered with a displaced bucket handle medial meniscus tear in a tight medial compartment. You find it difficult to insert instrumentation for meniscal repair on the medial side.
What would be the most appropriate way to manage the situation?

QUESTION ID: 1194

1. Abandon the procedure and reschedule on a different day
2. Ask anaesthetist to give muscle relaxant
3. Continue with the procedure accepting excessive scuffing of articular cartilage
4. Perform meniscal resection
5. Pie-crusting to release MCL
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