Arthroscopic assessment of a meniscal tear classifies it by location relative to the vascular supply. Tears in which zone have the best prognosis for primary healing after repair?
- A Red-red zone at the peripheral third ✓
- B Red-white zone at the middle third
- C White-white zone at the inner third
- D Central avascular zone near the intercondylar attachment
Explanation
Meniscal vascularity comes from the perimeniscal capillary plexus supplied by the genicular arteries, penetrating only the outer third of the meniscus. Peripheral red-red tears therefore have rich blood supply and heal well after repair, while white-white tears in the inner avascular two thirds are usually treated by partial meniscectomy rather than repair. The middle third has intermediate healing potential.
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.