Menish breaks The most common from the injuries of the knee joint - up to 75% of all closed kneading knee joints. More often this injury is found in men. Menetic knee joints are cartilage pads that perform the role of shock absorbers in the joint, as well as stabilize the knee joint.
Content
Menisk injury
Menetical knee joints two:
- Outdoor (lateral)
- Internal (medial).
In front of the joint they are connected by a cross-liga.
Outdoor meniscus is more moving than internal, therefore its traumatic damage occurs less.
Internal meniscus is less mobile and associated with
internal sidebar of the knee joint, which often causes it
Combined with a ligament defeat.
On the side of the joint of the meniscus fucked with a joint capsule and have
Blood supply from the arteries capsules. Internal parts are in depth
Sustav and own blood supply do not have, and feeding their tissues
is carried out due to circulation of intra-articular fluid. therefore
damage to meniscoves next to the joint capsule grow well, and
Internal partitions, in the depths of the knee do not grow
at all. There are damage to meniscoves with sharp movements of the shin with
turn in the knee joint, but at a fixed foot. Less often break
Meniskov occur when squatting, when jumping. Often injury that
led to the gap of meniscus, maybe a minor.
Distinguish between meniscus from the place of attachment to the joint capsule and
Body rupture Meniska. When the meniscus breaks off the part saves
Communication with the body of meniscus. Such a gap is called a gap of meniscus by type
«knobs of watering». More often arise brooms of meniscovs and combined
Damage.
Traumatic damage to Menishov maybe
combine with other injuries of the structures of the knee joint: side and
Cross-shaped ligaments, joint capsules. Torn part of Meniska,
Meniscus associated with the body can move to the custody of the joint and
infringes between the articular surfaces of the femoral and tibial
Bone. The blockade of the joint occurs, manifests a sudden sharp pain
and restriction of movement in the joint. Especially often such a blockade
It occurs when the internal meniscus is broken by type «Pen leaks».
The patient complains of severe pain, violation of movements in the knee
Sustain. Sometimes the gap of meniscus is accompanied by bleeding in the knee
The joint (hemarthrosis), but more often the reactive inflammation of the inner
Shell Sustava – Sinovit. The patient holds the leg in the bent
condition because the pain is enhanced when extension, especially if
Blocade of Sustava occurred. When patting, pain in
Projections of damaged meniscus, sometimes the elastic roller is tested,
which rolls along the outer surface of the articular slot when
Extension in the joint.This symptom is called a click symptom or
Perekat.
To eliminate damage to bone structures, X-ray
Snapshots. Menish breaks in the pictures are not visible, since meniscus are transparent
For x-ray. Fully identify the diagnosis helps
X-ray shots with the contrast of the joint, but more modern
Magnetic resonance tomography or endoscopic
Artroscopy (inspection of the inner surface of the joint with
arthroscope). Anesthesia is performed as first aid,
superimposed tire and patient transport in traumatologic
hospital.
Treatment of damage to Menishov
The joint puncture is carried out with the introduction of a novocaine solution. Then
Posted by the disadvantaged Menisk with special techniques in the patient's position
lying on an orthopedic table. With this surgeon-traumatologist
Moves are made inverse, movements that led to injury.
When Menisk becomes in its place, movement in the joint
Restore. After refueling the meniscus to the damaged leg
impose a gypsum bandage, with a bent at a certain angle
knee joint.
The term of immobilization is 3 weeks, after which physiotherapy is appointed and
physiotherapy. If the patient has repeated blockades
The joint is such a condition called the solar damage to the meniscus. At
This is usually the inflammation of the inside shell of the joint –
Sinovit, constant pain in the joint, amplifying when
walking, especially when descent on the stairs. Sometimes appears «joint
mouse».
Articular mouse – This is a free body in the custody of the joint, which
Forms due to the separation of a piece of articular cartilage, parts of meniscus,
Regional osteophyte (bone expanding). Such a state leads to
frequent blockade of joint and «Articular mouse» You need to delete
surgically.
With traumatic damage to meniscovs, if not
It is possible to eliminate the blockade of the joint, the blockade of the joint occurs often,
The patient constantly worries pain in the joint, difficulties arise when
Walking Requires Surgical Treatment. To date, the best
Exit is the arthroscopic surgery. At
The help of endoscopic equipment first examine the inner
The surface of the joint will decide on the volume of the operation. Then
Damaged meniscus remove. After the operation on the legs impose a tight
Bandage or Gypsum Longetu. An important condition for recovery is
early occupation of medical gymnastics.
