Evidence Checklist: Meniscus Tear

Orthopedic evaluation with knee range of motion and meniscal testingCritical

Examination documenting knee flexion and extension in degrees, joint line tenderness, positive McMurray or Thessaly test, and any associated effusion or locking.

Nexus opinion linking meniscus tear to service ("at least as likely as not")Critical

A medical opinion connecting your meniscal tear to an in-service injury, repetitive knee stress from military duties (running, jumping, kneeling, bearing heavy loads), or occupational activities.

MRI confirming meniscal tear (type, location, size)Critical

MRI documenting the tear type (horizontal, vertical, radial, complex, bucket-handle), location (anterior horn, body, posterior horn), and which meniscus (medial or lateral) is involved.

Surgical records (arthroscopy findings if surgery was performed)

Operative reports from arthroscopic meniscectomy or meniscal repair, including direct visualization of tear characteristics and any concurrent findings (chondral damage, ligament status).

Documentation of mechanical symptoms (locking, catching, giving way)

Medical records or personal log documenting episodes of knee locking, catching, or giving way caused by the meniscal tear, which reflect functional severity beyond motion limitation.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Knee and Lower Leg ConditionsCritical

Standardized form capturing knee range of motion, meniscal findings, pain, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.