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  • Menisk injury
  • Treatment of damage to Menishov



  • 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.

    Tarrow Menishov
    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.

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