What tests should be done for meniscus injury?

  1. X-ray radiography The purpose of radiography is not to diagnose meniscal tears but to rule out osteochondral free bodies, exfoliative osteochondritis and other knee disorders that may resemble meniscal tears. Arthrography is a valuable adjunct to the analysis of knee disorders. However, due to modern non-invasive and highly accurate examinations such as MRI, imaging techniques are now less commonly used.  2. MRI is by far the imaging tool with the highest positive sensitivity and accuracy in diagnosing meniscal injury and cruciate ligament rupture, with an accuracy rate of 98%. MRI of meniscal tears shows a low signal meniscus with linear or complex shaped high signal bands across the surface of the meniscus.  Other diagnostic imaging methods such as high-resolution ultrasound of the knee joint and high-resolution CT are also helpful in the diagnosis of intra-articular disorders of the knee.  3. Arthroscopy Arthroscopic techniques have been recognized as the most ideal means of diagnosis and surgical management of meniscal injuries. However, arthroscopy should not be a routine means of examining meniscal tears. Its superiority can only be shown when arthroscopy is performed to confirm the diagnosis and simultaneous arthroscopic surgical management after the initial clinical diagnosis of meniscal tears has been made.