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Meniscotibial ligament strains: a prospective survey.
1Lewisham Institute of Sports Medicine, Petersham, Australia.
British Journal of Sports Medicine
|June 1, 1991
Summary
Meniscotibial ligament strain is a frequent cause of medial knee pain in middle-aged athletes. Key diagnostic signs include painful loss of flexion and posteromedial joint line tenderness, often resolving with conservative treatment.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Medial knee pain is a common complaint in sports medicine.
- This condition affects middle-aged individuals engaged in sports activities.
Purpose of the Study:
- To identify diagnostic findings and effective treatments for medial knee pain.
- To investigate the role of meniscotibial ligament strain.
Main Methods:
- Prospective review of 72 patients (mean age 48) presenting with medial knee pain.
- Evaluation of physical findings, including range of motion and joint line tenderness.
- Assessment of treatment outcomes for steroid injections and physiotherapy.
Main Results:
- Diagnostic findings included painful loss of flexion and posteromedial joint line tenderness.
- Most patients responded well to steroid injections or physiotherapy with quadriceps exercises.
- Five patients required arthroscopy, and nine experienced a single relapse.
Conclusions:
- Meniscotibial ligament strain is a prevalent cause of medial knee pain in middle-aged athletes.
- Conservative management, including physiotherapy and exercise, is often effective.
- Early identification of specific physical findings aids diagnosis and treatment planning.