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Meniscal tear — MSRA MCQ

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ModerateKnee InjuriesMeniscal tearMSRA

A 29-year-old footballer twists on a planted foot and later reports catching with pain over the medial joint line. McMurray testing reproduces a painful click, but there is no immediate large effusion. What is the most appropriate investigation?

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Correct answer: E — MRI of the knee

Mechanical symptoms and joint-line signs suggest a meniscal tear. MRI is the most appropriate non-invasive test when symptoms persist or surgical planning is being considered. Arthroscopy is now generally reserved for treatment rather than initial diagnosis.

Reference: NICE CKS; Brukner & Khan