This is a trizonal-type tear with several loose unstable flaps.Īt this time, a spinal needle was inserted. Examination of his intercondylar notch again showed a bunch of hypertrophic synovium.Įxamination of his lateral compartment once entered showed there was obvious complex tear of his lateral meniscus extending from the posterior horn to mid body. Medial and lateral gutters were free of debris.Įxamination of his medial compartment showed he had a large thickened synovial plica band, and the joint shows no evidence of any chondral abnormalities. No chondral lesions on the undersurface of the patella or the trochlea. Examination of patellofemoral joint showed it tracked appropriately. Suprapatellar pouch showed no abnormalities. The right lower extremity was then prepped and draped in the usual sterile fashion.Ī standard inferomedial portal site was then made. The left lower extremity was well padded, and all bony prominences were well padded. The right lower extremity was placed into the leg holder. Following adequate induction of general anesthesia, tourniquet was applied to the right lower extremity.
Following explanation of risks, benefits and alternatives to treatment, he opted to proceed with right knee arthroscopy.ĭESCRIPTION OF OPERATION: Following informed consent, the patient was taken to the operating room and placed upon the operating table. The patient failed nonoperative management. MRI findings as well as clinical exam was significant for lateral meniscus tear. INDICATIONS FOR OPERATION: This patient is a (XX)-year-old gentleman with a history of persistent right knee pain. Limited synovectomy/medial plica excision.ĬONDITION: The patient was transferred to the recovery room in stable condition. Right knee partial lateral meniscectomy.ģ. Right knee complex lateral meniscus tear.Ģ. PREOPERATIVE DIAGNOSIS: Right knee lateral meniscus tear.ġ.
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