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Ann R Coll Surg Engl. 2009 September; 91(6): 522.
PMCID: PMC2966216
Technical Notes and Tips
Bruce Campbell, Section Editor

Knee Arthroscopy: Viewing the Posterior Horn of the Medial Meniscus

We describe a simple technique to aid visualisation of the medial meniscus during arthroscopy. The patient's leg is flexed over the side of the operating table, with the surgeon exerting a slight valgus strain. To ensure no occult pathology is missed, we recommend that the assistant performs the simple manoeuvre of pressing the fingertips, exerting only moderate pressure into the medial aspect of the popliteal fossa. This pushes the posterior horn of the meniscus anteriorly and aids the surgeon's view, thereby easing the procedure should resection be required. This manoeuvre can be complimented by the assistant using their contralateral hand to push down in an anteroposterior direction on the patient's distal thigh to stabilise the knee. This is illustrated in Figures 1 and and22.

Figure 1
The medial compartment, with no assistant.
Figure 2
The medial compartment with pressure from the assistant to the medial aspect of the popliteal fossa. Note that pathology is easily seen, thus facilitating resection.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England