2024-06-17 12:01:56
“The meniscus is a clean, versatile and robust construction that ensures knee stability and protects the knee cartilage from put on and tear. The medial meniscus is on the internal aspect of the knee, and the lateral meniscus is on the outer aspect. Menisci are inclined to tear as a consequence of a sudden twist of the knee, when the whole weight of the physique is on the supporting leg. In keeping with the character of the harm, meniscal tears could be divided into horizontal, vertical, radial, patch, bucket deal with, root and paracapsular tears,” notes D. Pekarskas.
Sufferers of all ages expertise these accidents
Single (remoted) tears of the lateral meniscus are extra widespread in individuals youthful than 20 years previous. aged individuals. 20-30 years whether or not these accidents lower within the older affected person group, however remoted medial meniscal tears enhance with age.
“Meniscal tears that require remedy are 2-3 instances extra widespread in individuals over 40.” sufferers. Threat components for degenerative meniscal tears are higher than age 60. age, gender, as a result of it happens extra typically in males, kneeling and squatting associated to the character of labor,” says the orthopedic traumatologist.
Meniscal tears are additionally in danger throughout actions that contain aggressive twisting and rotation of the knee. For that reason, athletes are at higher danger of harm, particularly these concerned involved sports activities equivalent to soccer, rugby, or actions involving frequent knee rotation equivalent to tennis or basketball.
Are meniscal accidents at all times straightforward to acknowledge?
The principle signs of a meniscus tear are ache while you flip extra sharply, in addition to swelling, problem in extending the knee, or stiffness within the knee joint. Nevertheless, within the case of degenerative lesions, sufferers typically don’t really feel ache, however it’s provoked by cartilage put on, patellar ache, bursitis or bone marrow edema.
“It is price noting that there are several types of meniscus tears and their causes could be totally different. Some accidents are brought on by trauma, whereas others are brought on by a weakened or degenerative construction of the meniscus.
Because the knee is a posh joint of many various constructions, any untreated harm to it will possibly trigger further well being issues,” says D. Pekarskas.
The harm can typically happen along with injury to the anterior cruciate ligament, and if left untreated, it will possibly tear much more, which results in extra difficult surgical remedy, so if a meniscus tear is suspected, a session with an orthopedic traumatologist on the nearest medical establishment is efficacious.
“Meniscus injury is identified clinically by performing their exams, however the primary diagnostic technique stays magnetic resonance imaging (MRI) of the knee, which has a sensitivity of about 95 % and a specificity of 81 %, so it’s at present probably the most correct check,” says the physician orthopedic traumatologist.
How are meniscus accidents handled?
The remedy of a torn meniscus depends upon the kind and course of the pathology, so surgical remedy isn’t at all times mandatory. For non-traumatic tears, if attainable, conservative remedy is often used – for instance, if a affected person has osteoarthritis together with a meniscus harm, treating this situation will cut back ache over time. For that reason, surgical remedy isn’t at all times superior to conservative remedy.
At the moment, traumatic meniscus tears are often handled surgically. It is very important word that every case is particular person, subsequently, through the session, examination and operation, all current violations are assessed and additional remedy techniques are determined in every case.
“We additionally take into consideration the sorts of meniscus injury and tear areas – if the tear is within the outer third of the meniscus, we will sew it up, if within the internal third, the good thing about suturing could be very questionable,” notes the orthopedic traumatologist, including that it’s best to stitch up a meniscus tear within the first 2 months . from the trauma that occurred.
The interval from meniscal suturing to return to regular day by day actions lasts about 3-4 months, and whether it is determined to take away the meniscus, remedy lasts as much as 4 weeks.
“In the course of the therapeutic interval, it is vitally essential to take into consideration the directions given by the medical doctors, carry out workouts correctly and commonly, and enhance the vary of movement. The directions could differ in particular person instances, relying on the carried out operation and its kind”, factors out D. Pekarskas.
2024-06-17 12:01:56