Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

What is the pain pattern typically associated with a torn meniscus?

1. Pain under the kneecap

2. Pain worse with full knee flexion or extension

3. Generalized pain around the knee

4. Severe pain with sudden twisting

The correct answer is: Pain worse with full knee flexion or extension

A torn meniscus typically presents with a specific pain pattern that can be characterized by worsening pain during activities that involve full knee flexion or extension. This occurs because these positions place increased stress on the meniscus, particularly in movements that may exacerbate the tear. Patients often report that activities such as squatting, deep bending, or fully extending the knee might provoke pain, making option B the correct choice. In contrast, pain under the kneecap generally suggests patellar issues, such as patellofemoral pain syndrome, rather than a meniscal tear. Generalized pain around the knee may indicate a variety of conditions affecting the knee joint, but it is not specific to meniscal injuries. Severe pain with sudden twisting can occur during a meniscus tear, particularly at the time of injury; however, it is not a defining characteristic of the pain pattern that follows. Instead, the chronic symptoms and specific pain during knee flexion or extension are more indicative of a meniscal tear, reinforcing option B as the best answer.