Meniscal Tears

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

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.

In the sports world the word ACL brings absolute horror and cringe with it. That’s because when an ACL tears it can be one of the most painful experiences an athlete can have, especially with the surgeries and recovery it brings with it. Along with that, the ACL is in the deep part of the middle of the knee, so most of the time when you damage your ACL you most likely have damaged something else. Women especially have to worry about the overall health of their knees as they have a 4.8% greater chance of tearing their ACL than men (Musgrave). ACL tears are one of the worst injuries in the sports world and in order to recover to full health it takes time, patience, and a hard-work ethic.

Sport injuries have come to the forefront with the worldwide coverage of all sports. Of these injuries, the most common is knee injuries. A large portion of knee injuries are Medial Collateral Ligament (MCL) stains and tears.

The foremost cruciate ligament (ACL) gives security and quality to the knee by averting front interpretation of the tibia under the femur and inordinate pivot through the knee it essentially keeps the knee from turning the distance around. The ACL is harmed amid running ball games, skiing, or bouncing game, so this is discovered more in more youthful grown-ups. It is frequently joined by damage to the average security ligament (MCL) and the average meniscus and that is known as a blown knee when you tear every one of the three. These mix wounds are connected with a higher commonness of radiographic osteoarthritis at 10-15 years, yet these patients demonstrate no distinctions in capacity contrasted with those with an detached ACL damage. The patient with an ACL break usually report a sudden sharp torment and precariousness amid rotating or a fast alter of course, or on effect, for example, a fall or handle. They additionally have heard or felt a thump as the joint separates or a snap of the muscle. On the off chance that there is intra articular muscle harm, the patient will report swelling (because of haemarthrosis). They might likewise give lost extent or development because of the torment and a sentiment unsteadiness on the weight bearing knee. The GP will watch, inspect the knee, screen and upgrade on swelling and emission. The foremost drawer tests the adaptability of the front ligament, Lachman test and the turn shift test are most normally used to test the strength of the knee joint. The level of crack or vicinity of different wounds can be affirmed by X-ray. Different ways while inspecting the patient in the event that they give atypically or abnormal amounts of torment are bone wound, microfractures, post-corner harm and tibial level breaks. All patients with suspected ACL wounds ought to see a physiotherapist inside of the initial two

Figure (14): Anteromedial view of the left knee, showing the injury grading scale established by the American Medical Association Standard Nomenclature of Athletic Injuries. Isolated grade-I injuries present with localized tenderness and no laxity. Isolated grade-II injuries present with a broader area of tenderness and partially torn medial collateral and posterior oblique fibers. Isolated grade-III injuries present with complete disruption, and there is laxity with an applied valgus stress. ( 70 )

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.

Being an athlete and playing sports is fun, until you tear your ACL. Tearing your ACL is one of the most painful injuries for athletes. ACL injuries normally occur in non-contact activities like soccer, basketball, volleyball, skiing, and gymnastics. Not only do they occur in non-contact activities, but they also occur when you suffer a blow to the knee. Common symptoms of ACL injuries include a popping sensation, immediate pain, swelling, limping, stiffness, and feeling of the knee giving away.

A torn ACL is a injury in which also is a torn anterior cruciate ligament in the knee. When someone tears their ACL they have to have a surgery to replace it. ACL injuries range from mild, such as a small tear, to severe such as when the ligament tears completely or when the ligament and part of the bone separate from the rest of the bone. A lot of the time some of the other knee ligaments or parts of the knee are also injured. This includes cartilage such as the menisci, or bones in the knee joint they also can be broken. Your ACL can be broken during sport activities. During an activity if your leg is planted firmly on the ground then hit by a heavy/large force it could tear the ACL. Some ways your ACL can be tore is by being bent backwards,

The news actually came as a little bit of a relief because a meniscus tear was the quickest recovery time. Then the doctor started talking about what he could do to fix it. There were two options, trim the torn part out or repair it. He said based on the MRI, it looked repairable but would not know for sure until I was in surgery.

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 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 common causes for a PCL tear is crashing your knee against the dashboard in a motor accident or falling on the knee when it's bent. Some of the main sports that can cause a PCL tear are, Football, Soccer, Baseball, and Skiing. The recommended treatment for a PCL tear is known as PRICE Protecting the knee from further injury, Resting the knee, Icing the knee with a ice pack for short times,Compressing the knee lightly, with a wrap, and Elevating the knee. A knee brace is also recommended(AAOS 2016).

The Anterior Cruciate Ligament (ACL) is one of the most common knee injuries in female sports today. The ACL is a ligament that attaches the femur and tibia to the knee allowing the knee to bend while still being stable and supporting the whole body. Dr. Russel F. Warren, a physician for the New York Giants football team, explains, “The ACL prevents the shin bone (tibia) from moving too far forward on the thigh bone (femur) and keeps the knee from twisting inward excessively.” When athletes tear their ACL there is a greater chance that they have hurt or another ligament in their knee such as the LCL, MCL or Meniscus; which is cartilage that absorbs shock from the body’s pressure (MedlinePlus). The ACL is strong, but one wrong move could result

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