Differences Between Medial And Lateral Arthroscopic Partial Meniscectomy

Mean follow-up was 117 months. 86% are male. Average age of 26 years at surgery. 35 patients had partial meniscectomy (53% internal, 31% external, 16% bimeniscal). A significant improvement (p<0.001) between pre and postoperative parameters was demonstrated (pre-operative mean IKDC score 47 points; post-operative 94 points). 92% perform moderate demand activities, of which 40% returned to pre-injury activity levels without complaints. An increase in the time between rupture of the ACL and surgery was not associated with higher rates of meniscal lesions, osteoarthritis or lower IKDC scores. There was a correlation between clinical results and associated meniscal or chondral lesions. Clinically 6% had symptoms/signs of anterior instability (Lachman 2 A). Radiologically 25% had an anterior displacement of the tibia with an average distance of 3.9 mm [3.3-7.2]. 10% shown femoral tunnel enlargement (with a average of 1.8 mm) and 60% present with subchondral sclerosis in tibial plates. All patients with symptoms suggesting anterior instability shown anterior displacement of the tibia and sclerosis areas, yet only one has femoral tunnel

The magnitude of the problem is clear, as a high incidence of ACL injury, particularly in young athletes. Recent evidence suggests that more than half of athletes who undergo ACL surgery are unable to return to their preinjury level of function after ACLR surgery. Return to sports activities remains a very difficult topic. Thus the research regarding the rehabilitation process of athlete after

Based on the medical report dated 04/20/16, the patient continues to report pain over the lateral aspect of his knee as a result of a consequential injury, iliotibial band friction syndrome. The iliotibial friction syndrome occurred because of long-term mechanical alteration of IW’s gait resulting in stress of the iliotibial band leading to inflammation of the iliotibial band which crosses the lateral femoral epicondyle causing painful snapping on an intermittent basis, which is preventing the patient from returning to work. The patient has no chance of returning to work until the iliotibial band syndrome is properly addressed. The patient has had a previous corticosteroid injection and PT which provided no relief.

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

Diagnosis: Results from the orthopedic exam indicated two torn ligaments. The medial collateral ligament (MCL), which originates at the medial femoral epicondyle and inserts at the periosteum of the proximal tibia, deep to the pes anserine and the ACL, which originates on the Lateral wall of the intercondylar notch at its posterior aspect and inserts at the anterior aspect of the tibial plateau between the tibial eminences. As well, a medial meniscal injury was considered

The medical evidence shows the claimant had twisting injury to left knee with lateral meniscus tear on 7/1/13. He was also noted to have preexisting osteoarthritis of the left knee. The claimant underwent arthrosopic partial meniscectomy on the left knee on 2/27/14 with some symptomatic relief. An orthopedic report on 1/13/14 noted ongoing left knee pain. The physical exam showed tenderness; pain with flexion and extension; positive McMuray's test and negative Drawer's test. X-rays of left knee on 1/13/15 showed mild left knee osteoarthritis.

The at home treatment, R.I.C.E., is recommended with minor tears. R.I.C.E is the acronym for rest, ice, compress, and elevate. Rest means not to overuse the injured area; keep the knee mobile, but cut down on its use. Ice means to ice the injured area for ten minutes and then ten minutes off several times, and repeat this pattern three times a day; these numbers may change depending on your doctor. Compression helps diminish swelling of the injured area. Keep the injured area firmly compressed with a wrap or compression band and make sure it is not too tight because this will restrict blood flow and slow the healing process. The tightness of the compress should limit expansion and not cause severe compression. The knee should be elevated at least twice a day. Raise the injured area above the heart. In the knee, this is easily done by lying down on your back and raising your leg. Anti-inflammatory medications such as ibuprophin, advil, motrin and naproxen may be recommended, but ask your doctor before using any medications. For more serious tears, such as moderate to large tears in the “red zone”, surgery will be a likely solution. This surgery is called a meniscectomy . This is where the doctor will remove the entire injured meniscus. For tears that spread from the red zone to the inner two-thirds of the meniscus, surgery may not help. Another option is a partial meniscectomy. This surgery is where only a part of the meniscus is removed. Talking with your doctor will be the deciding factor. Decisions will be made based on the meniscus’ ability to heal as well as the patient’s age, health, and activity

We eventually ended up performing an excision of this portion of the meniscus. We left the anterior one half of the meniscus intact. We excised the posterior one half of the meniscus back to what we felt was a stable rim using a combination of basket forceps and the shaver. At this point then, we thoroughly irrigated the knee. We then

Ligament and meniscal injuries are traumatic injuries in the knee. Ligaments are fibrous connective tissue that connect the bone to the cartilage and it also holds a joint together. The ACL is the ligament that gets injured the most due to where it is sited in the knee. When ligament or meniscus injury occurs, the client will experience pain and good possibility of instability of the joint. What will the client feel when injury occurs? When do most injuries occur? What surgical management will be needed? Some injuries are more severe than others and therefore an X-Ray will be taken to rule out arthritis or possible broken knee cap, MRI will be ordered by physician to determine if there is a tear. NSAIDs may be recommended for

In support of Preventing re-injury after ACL reconstruction: What constitutes optimal rehabilitation and Traditional versus Accelerated Rehabilitation following ACL Reconstruction: A One-Year Follow-Up, concluded that an accelerated approach was most effective in

Objectives: The main purpose of the present study was to identify the major predictors of the clinical outcome following arthroscopic partial meniscectomy performed for acute trauma-related medial meniscal tear leading to mechanical symptoms in patients over 60 years of age.

Intro – About a year and a half ago I was training pretty hard to get into shape for the fire academy here at rio hondo. I would run atleast 5 miles a day to keep good cardio, haha I don’t do much of any running any more. Well, One of those days I went on an uphill run with a 20lb weight pack and experienced some pain in my left knee, about a month later It still hurt so i went to the doctor and after an MRI it was determined that I may have torn my meniscus and I would not be able to attend the academy until it healed. Today im going to go over some knowledge I gained about these types of injuries by experiencing one first hand.

The next phase involve of 3rd to 5th weeks. This postoperative rehabilitation program includes of flexion exercises in the supine and sitting position (can using CPM to reach 60_ 90 degree flexion) , patellar mobilization plus the ventral form. In this phase can do some new exercises in concentric isometric and co_ contraction . in( 3/5_ 10/12 )weeks, For this phase, the patient has a permission to do some exercises for recovery of the proprioception ( in the close kinematic chain mainly but we can use open kinematic chain as well), balance and gait exercises that are executable by various unstable platforms with enhancement of stimulating

Their answer was what is known as Arthroscopy. In anatomical language arthro means joint and scopy means look. So arthroscopy literally translates as “to look into the joint.” Advancements in fiber optics have allowed doctors to be able to insert a small camera into the joint. Slowly, this technique has been used for not only just looking but also aids in surgical procedures (“Arthroscopy.”). Due to the fact that this is a minimally invasive procedure, it has reduced many of the complications found in open repairs (“History of ACL Injury and Repair.”). The joint remains closed which lowers the risk of infection and eliminates the chances of the articular cartilage drying out. Healing time and the damage to normal structures is therefore reduced.

Therapy session with these types of patients will include range of motion, joint mobility techniques and exercises that can be beneficial join restoring shoulder mobility (Shishir, M. S. & etc., 2013). Sometimes taking cortisone injection will relieve some of the pain and will allow the patient to further participate in therapy or in home exercises (Shishir, M. S. & etc., 2013). In very severe cases, surgery may by an option and is usually performed in the thawing phase, where the surgeon can either manipulate under anesthesia or selective arthroscopic capsular release (Von Der Heyde, 2011). After surgery, the patient will be also seen by either an Occupational Therapist and/or a Physical