American Board of Internal Medicine (ABIM) Certification Practice Exam

Initial therapy for acute meniscal tears typically includes which of the following?

1. Surgery

2. Rest and ice

3. Corticosteroid injections

4. Wearing a knee brace

The correct answer is: Rest and ice

Initial therapy for acute meniscal tears typically focuses on conservative management, which includes rest, ice, compression, and elevation (often abbreviated as RICE). This approach aims to reduce swelling, alleviate pain, and facilitate healing. Rest allows the affected knee to recover without further strain, while ice application helps minimize swelling and discomfort. This treatment method is preferred initially because many meniscal tears can improve with appropriate conservative care, especially if they are not associated with locked positions of the knee or significant mechanical instability. Surgery is often considered if conservative management fails or if the tear is complex or involves significant knee instability. Corticosteroid injections are generally not the first line of treatment for acute meniscal tears, as they are more commonly used for chronic conditions or inflammatory issues. Wearing a knee brace may provide support but is not the primary focus in the initial management of an acute injury, as the goal at the outset is to reduce symptoms and allow for healing through rest and ice application.