Arthroscopic Meniscectomy Essay

Estimations indicate that each year in the United States 200,000 ACL tears occur, with approximately 50 percent of those tears requiring reconstructive surgery: Furthermore, about half of those ACL tears are accompanied by a torn meniscus (the cartilage that acts as the shock absorber between the shin bone and the thigh bone) and/or injuries to other ligaments. Common symptoms of a torn ACL include knee instability, swelling and pain.

With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always

Children with tears in their ACL can be treated nonsurgically. Children can heal easily due to vascularization, or the formation of blood vessels, which plays a role in the healing process of the body. “An explanation for the discrepancy may be that minor lateral meniscus tears heal in children, which several authors have suggested is possible because of significant vascularization,” (Moksnes 2013). In a study of 41 children, 28 children underwent conservative non-surgical

Meniscus tears are quite serious injuries, and it is recommended not to walk on the knee, and to perform surgery to fix the re-join the torn meniscus. Not walking on the knee prevents further damage to the surrounding if left untreated. Meniscus tears will very rarely heal on their

Total Knee Replacements are the most successful procedures in all of medicine, accounting for 600,000 knee replacements each year in the US. The knee is the largest joint in the body, which is why it’s very important to have healthy knees in order to get around to perform daily activities. The knee consist of the lower femur, the upper end of the tibia, and the patella. The ends of the three bones touch, which is covered with articular cartilage, this is a smooth substances that protects the bones and enables them to move smoothly. Also, located between the femur and tibia are the menisci. The menisci are C-shaped wedges that act as “shock absorbers” this provides cushion for the joint as well. Then, the large ligaments also play a role as well, they hold the femur and tibia together to provide stability. The long

The triangular shaped cartilage within the knee joint that assists with stabilizing, cushioning and transmitting weight across the joint is the meniscus. Several conditions related to the meniscus are visible on an MRI Scan.

medication within 24 hours were excluded from the study. Patients enrolled in the study were divided

One of the most common injuries related to the knee is the Anterior Cruciate Ligament (ACL) injury. This is a tear or sprain that affects the knee joints and can be treated via surgery. Notably, athletes such as footballers and basketballers are more prone to these type of injuries than people who do not engage in sports activities. What is more, these types of injuries usually range from the simple and small sprains to the severe injuries where the ACL is torn completely. Although anterior cruciate ligament injuries are common, female are more vulnerable to the injuries than their male counterparts. Particularly, the incidence rate of females is about 9.7 times more probable to occur than the men participating in the same activities (Renstrom

Introduction: Unicompartmental knee arthroplasty (UKA) is gaining popularity due to its less invasiveness and quicker recovery than total knee arthroplasty (TKA). However, incidence of tibia-related complications such as tibial component subsidence and fracture has been increased. These may be due to improper surgical technique selection such as excessive removal of tibia plateau, including excessive posterior slope, exposing soft metaphyseal bone prone to fracture and implant subsidence. Mobile-bearing UKA allows minimal tibial bone resection because thinner polyethylene bearing can be used since there are less concerns about polyethylene wear.

Methods: In this retrospective study, the clinical data of 154 arthroscopic partial medial meniscectomies performed for acute symptomatic tears in patients over 60 years of age were evaluated. Body mass index (BMI), duration of symptoms, the hip-knee-ankle angle (HKA), type of the meniscal tear, presence of any chondral lesions, degenerative changes in the patellofemoral joint, the status of the cruciate ligaments and lateral meniscus, and the presence of any plica

Meniscal tears affects a large number of patients and belong to everyday practice every orthopaedic surgeon.6,13 If left untreated, they can lead to a considerable restriction of quality of life.7,20 The detection and measurement of health-related quality of life in patient with a meniscal tear plays a crucial role in the routine diagnostic practice.9,10 Moreover, the objective measurement of the health-related quality of life both before and after an intervention allows the evaluation and comparison of treatment modalities.14,25,26

ACL injuries used to be seen as career ending injuries 50 years ago, however, throughout the years with the advancement in technology aiding treatment and rehabilitation procedures. Yet they are still sever and take months to recover. This is because of the precise location of the ligament within the knee joint. Resulting in no blood clot formation within the joint as a consequence scar tissue will not form and the tissue will just be filled with uncontrolled blood leading to swelling an pain within the joint (ACL reconstruction Oxford university hospital, 2017) which is why it takes between 9 to 12 months for recovery. With an ACL injury, other injuries often follow, namely MCL injuries and meniscal lesions which in time would likely lead to the patient contracting osteoarthritis due to it being a degenerative disorder consequently resulting from the meniscal and

MMHS is a successful home health service company which has expanded constantly over the intervening 20 years, with further patient growth forecasted in 2012. The home healthcare business is seasonal with 66% of the entire annual sales occurring in the late Fall and Winter months. The evolving expansion of the agency and seasonality of the business makes cash management challenging for Ms. Ringer and has landed her in the predicament of requiring a loan to pay salaries. Aligning operating expenses to revenue, improving management of operating costs and decreasing the amount of cash in accounts receivable will improve her immediate cash flow crisis. For details see prior question.

Introduction seemed contradictory; as seventy five per cent accuracy of diagnosis can be made on history alone (Daniel, 1982; DeHaven, 1975) followed by specific clinical tests with above average accuracy. Very brief essentially, non-existent literature review. Besides mention of the population susceptible to meniscal injury, other relevant information pertaining to the injury wasn’t briefed. Such as, the mechanism of injury as well as the classic signs and symptoms experienced by an individual after meniscal pathology. Neither the introduction nor the brief literature review goes over what exactly sensitivity and specificity imply in the results. Sensitivity being how good the test is at detecting meniscal tears and specificity being how good the test is at identifying normal knee (Mohan, 2007). Also, there is no mention of what constitutes a false-positive and a false-negative result encountered during

MMHS is a successful home health service company which has expanded constantly over the intervening 20 years, with further patient growth forecasted in 2012. The home healthcare business is seasonal with 66% of the entire annual sales occurring in the late Fall and Winter months. The evolving expansion of the agency and seasonality of the business makes cash management challenging for Ms. Ringer and has landed her in the predicament of requiring a loan to pay salaries. Aligning operating expenses to revenue, improving management of operating costs and decreasing the amount of cash in accounts receivable will improve her immediate cash flow crisis. For details see prior question.