Torn meniscus: treatment and symptoms of trauma
The gap meniscus knee joint is one of the most common knee injuries. Enough to make a shaky leg to hit at the knee or to make a sharp rotation, to break this small organ. Damage can also occur if the patient keeps the leg bent at the knee. A meniscus tear is easiest to obtain during enhanced training. That is why professional athletes are at risk.
The symptoms of meniscus damage
The meniscus is a cartilaginous tissue that is synovial bags and performs several important functions:
There are 2 types of menisci: lateral and medial (internal and external). Tear of the lateral meniscus of the apparatus occurs most often due to the fact that it is less mobile. If the patient has damaged this cartilage, he will immediately begin to experience severe pain in the affected joint. But if a person has a chronic meniscal tear, this damage will manifest through the patient’s osteoarthritis. If the patient has a meniscus tear, the symptoms of damage occur at once. This:
These symptoms can occur if the patient was injured minick, and if there is other damage to the joints. Therefore, the appearance of these symptoms should contact a doctor for detailed diagnosis. If the patient does not pay attention to soreness and swelling, then after 2 weeks he begins to show signs of secondary damage. The first sign is the accumulation of fluid in the joint box and swelling. After this, the patient will begin to feel weakness in the muscles.
The patient difficult to move, and the damaged joint is practically not functioning. Diagnosis of internal meniscus of the knee joint can take place in various ways. For this the patient must pass a number of tests and an MRI. In addition, there are special tests that determine the mobility and the volume of fluid that has accumulated in the articular capsule.
A meniscus tear in the knee
Such damage is most common. Such injuries are degenerative and traumatic nature. Causes of damage may be different, but most often affects people who are engaged professionally in sports or are constantly experiencing strong physical activity. If the trauma is not to be treated on time, it transformirovalsya in a chronic tear (degenerative) and is manifested in a patient in old age.
There are several types of rupture of the internal meniscus. Then, what type of damage a particular patient depends on which area of localized injury. Quite common for people suffering with front horn, and the result is a torn meniscus of the knee joint. Classification of damage occurs not only at the place of their localization, but in form. The gap may be horizontal, vertical, oblique, transverse, combined or degenerative. In the age to 50 years old patients are particularly susceptible to oblique or longitudinal damage of traumatic nature. Elderly people suffer from degenerative and combined damage.
If the patient has damage to the posterior horn of the meniscus of the knee joint, the symptoms will not differ from the other signs of articular damage to the box. Such injury may be vertical or longitudinal in nature. To such damage simply. If the gap is long, the patient will first torment severe attacks of pain, and then perhaps the complete immobilization due to the fact that the joint will cease to function. Signs of meniscus tear will manifest itself immediately.
Symptoms of meniscus tear knee apparatus also include full or partial immobilization. However, if the damage will be of a degenerative or combined character, the injured area will be much greater. The result will be damaged not only the cartilage but the entire joint. The gap may be caused by the rotation of the lower leg.
Damage to the lateral meniscus of the knee joint accompanied by strain, inflammation and severe pain. Cartilage begins to shift, to separate, and as a result, the joint can be completely blocked.
An old knee injury
Chronic injury to the knee may occur in old age with renewed vigor. Typically, such cases arise when the patient is not treated, the joint disease in his youth. Degenerative damage can be transformed into one of the forms of arthritis. In this case, the disease fully manifests the symptoms of the disease, which was transformed:
Often old meniscus tear transformirovalsya in periarthrosis. In this disease the patient experiences severe pain inside the joint, but all other tissues around while not affected. If the disease starts, the patient has dull aching pain in the muscles. It is accompanied by severe muscle weakness and pain occurring in the calf, thigh, buttocks and feet.
If the inflammatory process is quite long and treatment of a meniscus tear begins, it can lead to atrophy of muscle tissue. First tissue of the joint are deformed and thinning, and then starts degeneration. In this case, the patient may not help the standard treatment, and he will definitely need surgery.
During the surgical intervention, the person will remove the damaged area of the knee.
This therapy involves the medical treatment method, manual therapy, therapeutic exercises and traditional medicine. To give effect to this therapy is able mainly to a partial tear in his knee. When such damage does not pinch the main part of the joint capsule is left intact. This injury occurs most often in stable joints and is accompanied by severe pain.
Non-surgical treatment involves complete or partial reduction of any load on the injured area. This files most often applied temporary partial immobilization of the patient. If a person is completely deprived of the opportunity to move for a long time, it can lead to negative consequences. This method of treatment applies only if, in addition to the torn meniscus, injured other parts of the articular apparatus.
Conservative treatment will not help to heal damaged cartilage. So instead of the cast, the patient is usually recommended to wear tight dressing or bandage. If still sick after rupture of the meniscus of the knee put in plaster, there is a chance that the cartilage will heal, but to restore the ability to move after such treatment will be very difficult.
To treat a meniscus tear needs only the doctor who knows about these things. If you just put casts with a fairly strong gap, it will be a waste of time. After all, with such damage still have to resort to surgery. First treatment is medication doctors prescribe to the patient medications that help reducing pain and swelling. In the course of treatment may be injections, aimed at the regeneration of damaged areas.
Often, recovery from injury includes therapeutic exercises. Such training should take place in a sparing mode. If the gap occurred at the athlete, then at some time he will have to give up hard training. Strong pressure on the damaged area could worsen the situation.
The focus during training should be given to strengthening the muscles. Strong muscular frame reduces the load on the joint and stabilizes it work.
If the patient happened injury of meniscus of knee joint, treatment should occur as quickly as possible. If minor damage can be limited to conservative treatment, a significant injury should be treated as soon as possible. But how to treat the gap? The most effective way is surgery. If there is a need for such an intervention, the operation must be carried out promptly. In difficult cases, to rely on conservative treatment does not make sense.
The operation has a long and effective relief. In contrast to conservative treatment, it really helps, and takes time. If you long to abandon the operation, it is possible to worsen your condition, in this case, the effect of the operation may not be as significant.
If there is a meniscus injury, what to do? In this case, will arthrotomies the removal of the damaged portion of cartilage. This is a fairly heavy operation, which can be of 2 types. In the first case, the doctor makes a small incision on the knee and pulls out the damaged section of the meniscus. Is this part of the cartilage in his place, is placed into the implant, which will serve as the cut site.
If the patient is not partial and complete rupture of the cartilage tissue and the joint begins to reject it, the surgeon cuts out the entire meniscus. In its place is placed a prosthesis, which completely replaces the whole component of the knee apparatus. This method is rarely used and only in cases where partial replacement of torn meniscus impossible. In most cases, surgeons are trying to restore the integrity of the knee device, replacing only a portion of the damaged section. This significantly reduces the rehabilitation period and does not cause significant damage to the health of the patient. This operation is much more efficient than installing a full implant, it allows you to save netravmirovannymi part of the meniscus.