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197: MENISCUS TEAR

Tasha Mouton, DPT, MOT, OCS, FAAOMPT, MTC; Eric Shamus, PhD, DPT, PT, CSCS

CONDITION/DISORDER SYNONYMS

  • Lateral meniscus tear

  • Medial meniscus tear

ICD-9-CM CODES

  • 717 Internal derangement of knee

  • 717.0 Old bucket handle tear of medial meniscus

  • 717.1 Derangement of anterior horn of medial meniscus

  • 717.2 Derangement of posterior horn of medial meniscus

  • 717.3 Other and unspecified derangement of medial meniscus

  • 717.4 Derangement of lateral meniscus

  • 717.40 Derangement of lateral meniscus unspecified

  • 717.41 Bucket handle tear of lateral meniscus

  • 717.42 Derangement of anterior horn of lateral meniscus

  • 717.43 Derangement of posterior horn of lateral meniscus

  • 717.49 Other derangement of lateral meniscus

  • 717.5 Derangement of meniscus not elsewhere classified

ICD-10-CM CODES

  • M23.009 Cystic meniscus, unspecified meniscus, unspecified knee

  • M23.202 Derangement of unspecified lateral meniscus due to old tear or injury, unspecified knee

  • M23.205 Derangement of unspecified medial meniscus due to old tear or injury, unspecified knee

  • M23.219 Derangement of anterior horn of medial meniscus due to old tear or injury, unspecified knee

  • M23.229 Derangement of posterior horn of medial meniscus due to old tear or injury, unspecified knee

  • M23.239 Derangement of other medial meniscus due to old tear or injury, unspecified knee

  • M23.249 Derangement of anterior horn of lateral meniscus due to old tear or injury, unspecified knee

  • M23.259 Derangement of posterior horn of lateral meniscus due to old tear or injury, unspecified knee

  • M23.269 Derangement of other lateral meniscus due to old tear or injury, unspecified knee

  • M23.305 Other meniscus derangements, unspecified medial meniscus, unspecified knee

  • M23.319 Other meniscus derangements, anterior horn of medial meniscus, unspecified knee

  • M23.329 Other meniscus derangements, posterior horn of medial meniscus, unspecified knee

  • M23.339 Other meniscus derangements, other medial meniscus, unspecified knee

  • M23.349 Other meniscus derangements, anterior horn of lateral meniscus, unspecified knee

  • M23.359 Other meniscus derangements, posterior horn of lateral meniscus, unspecified knee

  • M23.369 Other meniscus derangements, other lateral meniscus, unspecified knee

FIGURE 197-1

This sagittal slice MRI reveals increased signal intensity in the posterior horn of the meniscus as well as at the meniscocapsular junction, suggesting a tear of the meniscus and possible separation from the peripheral attachment. (From Malone TR, Hazle C, Grey ML. Imaging in Rehabilitation. http://www.accessphysiotherapy.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

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PREFERRED PRACTICE PATTERN

  • 4I: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Bony or Soft Tissue Surgery

PATIENT PRESENTATION

A 40-year man was out playing in the backyard with his son and twisted his knee when he was running and stepped on a sprinkler head. The patient stated he heard a pop and had difficulty moving the knee. He states it was not very painful but feels like the knee is locked. With traction the therapist was able to regain full range of motion. The patient was referred to a physician who ordered an ...

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