Meniscectomy Case Studies

DOI: 12/14/2011. Patient is a 38-year old left-hand dominant female associate who sustained a work-related injury to her right knee while turning to go to another area in work. She is status post arthroscopic partial medial meniscectomy on 05/10/2012 and right knee arthroscopic partial medial meniscectomy on 07/03/2013.
Per the medical report dated 09/14/16, the patient has had PT and nonsteroidal anti-inflammatory drugs after her knee surgeries. Of note, X-ray of the right knee taken in this office showed right knee mild medial compartmental osteoarthritis with decreased joint space, sclerosis and osteophyte formation. Mild patellofemoral osteoarthritis is seen. IW was advised to continue with modification of activities and home exercise
Patient has right knee pain, described as discomfort and painful. Pain is rated as 10/10. Of note, she received a cortisone injection on 09/30/16 (unofficial), with no relief. Dr. Ashraf feels that she may benefit from a repeat right knee arthroscopy.
On examination of the right knee, active range of motion shows 0-120 degrees. There is moderate tenderness at the medial joint. Maximal flexion is positive with medial joint pain.
MRI of the right knee obtained on 09/26/16 showed findings consistent with partial medial meniscectomy and recurrent tearing along the middle third of the posterior horn of the medial meniscus with possible parameniscal cyst or bursitis measuring approximately 2.3 cm in craniocaudal dimension and 1 cm in anterior to posterior dimension at the peripheral junction of the posterior horn and mid zone. Chondral thinning in the medial compartment is seen with slight subchondral edema and small osteophytes. Mild patellofemoral effusion and synovitis are noted. There is a mild subcutaneous varices posterolaterally.
IW was diagnosed with peripheral tear of the medial meniscus, right knee. Plan is for right knee arthroscopic partial medial meniscectomy, with pre-operative laboratory