Presentation
The present study examined the agreement between MRI aspect and arthroscopic exploration in traumatic meniscal lesions in children. [ncbi.nlm.nih.gov]
The protocol contains modifications according to the type of meniscal tear, if a concomitant procedure is done (such as a ligament reconstruction) or if noteworthy articular cartilage deterioration is present. [citeseerx.ist.psu.edu]
Entire Body System
- Pain
INTRODUCTION: Pain in osteoarthritis (OA) has been classically attributed to joint structural damage. [ncbi.nlm.nih.gov]
Pain during compression and rotation suggests a meniscal injury; pain during distraction and rotation suggests a ligamentous or joint capsule injury. [merckmanuals.com]
- Swelling
To prevent additional swelling and blood loss, wear an elastic compression bandage. Elevation. To reduce swelling, recline when you rest, and put your leg up higher than your heart. Non-steroidal anti-inflammatory medicines. [orthoinfo.aaos.org]
Patients who had a locked knee, had had more than two episodes of locking, or had unrelieved swelling were given preference on the waiting list and were not included in the study. [ncbi.nlm.nih.gov]
Such patients should be examined 2 to 3 days later (after swelling and spasm have subsided). [merckmanuals.com]
- Surgical Procedure
Of utmost importance is establishing the correct portal for the arthroscope, and it is time well spent at the beginning of the surgical procedure to verify the proper location of the arthroscope and not simply insert the arthroscope "a thumb-breadth above [ncbi.nlm.nih.gov]
Surgical Treatment If your symptoms persist with nonsurgical treatment, your doctor may suggest arthroscopic surgery. Procedure. Knee arthroscopy is one of the most commonly performed surgical procedures. [orthoinfo.aaos.org]
not elsewhere classified T81.0 Bleeding and hematoma as complication due to surgical and medical procedures, not elsewhere classified T81.1 Post procedural shock T81.2 Accidental puncture or damage during surgical and medical procedure, not elsewhere [doi.org]
More serious tears may require surgical procedures. Surgery, however, does not appear to be better than non surgical care. [en.wikipedia.org]
Musculoskeletal
- Knee Pain
Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12-24 months. [ncbi.nlm.nih.gov]
The most common cause of anterior knee pain is patellofemoral pain syndrome. Magnetic resonance imaging (MRI) is rarely helpful in managing this syndrome. [choosingwisely.org]
The NUsurface ® Meniscus Implant is a meniscus replacement in patients with persistent knee pain following medial meniscus surgery. [activeimplants.com]
“We hope that this meniscus implant, by putting it into the knee, can restore some of the function of the meniscus, decrease the amount of pain the patient has, and hopefully decrease the progression of any arthritis,” he said. [thelantern.com]
Once it's damaged, it doesn't always heal, which can cause a person to experience chronic knee pain. It can lead to arthritis, and sometimes patients end up needing knee replacement surgery. [cbsnews.com]
- Fracture
However, anteroposterior, lateral, and oblique x-rays are often taken to exclude fractures. The Ottawa knee rules are used to limit x-rays to patients more likely to have a fracture that requires specific treatments. [merckmanuals.com]
not specified as medial or lateral meniscus current injury, not specified as medial or lateral ICD-9-CM Volume 2 Index entries containing back-references to 836.2 : Avulsion (traumatic) 879.8 cartilage - see also Dislocation, by site Bucket handle fracture [icd9data.com]
In the setting of high-energy trauma, associated fractures of the proximal tibia (“tibial plateau”) can occur. Meniscus tears have been reported to be as common as 50% with these fractures. [sportsmd.com]
Physicians and Patients Should Question Released April 5, 2014 1 Avoid ordering a brain CT or brain MRI to evaluate an acute concussion unless thereare progressive neurological symptoms, focal neurological findings on exam or there is concern for a skull fracture [choosingwisely.org]
- Joint Swelling
Of the six studies, which reported safety endpoints, four stated no major postoperative complications related to scaffold, and two reported adverse events and serious adverse events such as pain, joint swelling, et cetera. [ncbi.nlm.nih.gov]
Practical issues It takes between two and six weeks to recover from arthroscopy, during which time patients may experience pain, swelling, and limited function. 27 28 Most patients cannot bear full weight on the leg (that is, they may need crutches) in [bmj.com]
- Joint Effusion
The ballottement (patellar tap) test can be used to check for joint effusion. It is best done when the patient lies supine. [merckmanuals.com]
Treatment
Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58%. LEVEL OF EVIDENCE: Prospective cohort study, Level II. [ncbi.nlm.nih.gov]
Nonoperative treatment is rarely successful for treating meniscal tears in young athletes, and therefore repair of the torn menisci is often required. [doi.org]
Prognosis
These data combined with recent reports of the poor long-term prognosis after meniscectomy in children stress the need for making an accurate diagnosis by arthroscopy and arthrography before embarking on meniscectomy. [ncbi.nlm.nih.gov]
While younger patients have a more favorable prognosis, successful healing has been reported in older patients. • Higher rates of failure have been noted in the setting of unstable knees secondary to excessive shear forces that prevent healing. [sportsmd.com]
Future research will be important to identify the prognosis of these patients. [doi.org]
Prognosis of pain and physical functioning in patients with knee osteoarthritis: a systematic review and meta-analysis. [bmj.com]
Etiology
Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg 43:752–757 Google Scholar 20. [doi.org]
Epidemiology
In this article, we review the anatomy and function of the meniscus, the epidemiology of meniscal tears, and mechanism(s) of injury. Important concomitant injuries are also discussed. [doi.org]
[…] and Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Melbourne, Vic 3004, Australia 10 Monash Department of Clinical Epidemiology, Cabrini Institute; Suite 41 Cabrini Medical Centre, Malvern Vic, 3144, Australia [bmj.com]
Pathophysiology
Abstract The pathophysiologic mechanism of osteoarthritis is not well known. [ncbi.nlm.nih.gov]
Meniscus injuries of the knee joint: pathophysiology and treatment principles, in Baillière’s Clinical Orthopedics: Baillière Tindall. London,1997, pp123-44. Google Scholar 14. Warren RF, Arnoczky SP, Wickiewicz TL. Anatomy of the Knee. [doi.org]
Prevention
CONCLUSIONS: Better safety measures in high-risk sports and weight control would likely improve the prevention of meniscal lesions in populations. [ncbi.nlm.nih.gov]
Regardless of what the activity is, it is important to take the correct precautions to prevent a meniscus tear from happening. There are three major ways of preventing a meniscus tear. [en.wikipedia.org]
The initial goal is to prevent excessive weight bearing and joint compressive forces that could disrupt the healing meniscus repair or transplant. [citeseerx.ist.psu.edu]