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The meniscus injuries and treat

Their main function is to transfer the loads from the femur to the tibia in a smooth manner, increasing the contact area playing a role "shock" and is subordinate stabilizers of the knee. When the knee is extended, through the meniscus carry 50% weight and about 90% by weight when the knee is flexed. It has been shown that the absence of the meniscus leads to early degenerative osteoarthritis.

The tears of the meniscus occur frequently in heavy sports and contact sports like football, basketball, rugby and American football. The frequency of breaking through to the outside meniscus is about 5:1.

In young people the damage (lacerations) of the meniscus is traumatic and the most common adverse movement when the foot is "stuck" on the ground and the body turns. Many times the patient reports and clicking sensation in the knee joint. The tears of the medial meniscus caused by the internal rotation of the femur to the tibia, foot stuck in the ground and the knee in slight flexion vlaisotita. Unlike the ruptures of the lateral meniscus caused by the external rotation of the femur to the tibia, foot stuck in the ground and the knee in slight flexion and varus.

Miniskikes ruptures can also occur during or sleek hyperextended knee, such as getting up from squatting or who have prolonged kneeling, as are workers who put tiles and floors. After the age of 40 years, miniskikes rifts caused by the impact less intense violence, due to the presence of degenerative lesions.
The tears of the meniscus may be small, partial or complete. Also divided into vertical and horizontal.

The symptoms and clinical signs resulting from traumatic rupture of the medial and lateral meniscus are characteristic: The pain is usually detected in the internal (for the medial meniscus) or external (for the lateral meniscus) surface of the knee. Occurs during or immediately after exercise and play in yperkampsi and hyperextended knee or the lower leg and foot turned out (for the medial meniscus) or inwards (for the lateral meniscus) and the knee is bent progressively test (Mc Murray). The mobility of the knee is limited and can cause 'involvement' of the knee joint that is unable to come to full extension or full flexion. Quite often they also observed the presence of fluid in the knee (ydrarthro), especially after exhaustive exercise.

However, the diagnosis of rupture of the medial and lateral meniscus is not always so efkoli.Yparchoun various clinical trials: McMurray, Apley, Steinmann, etc.

The diagnosis can be confirmed by arthrografima, ultrasound or MRI. The most reliable diagnostic method, however (which may be useful in treatment) is, without doubt, arthroscopy, which takes place at the surgery under general anesthesia and aseptic conditions.

Therapeutic viewpoint, the athlete should follow program isometric exercises of quadriceps and hamstring when suspected rupture of the medial meniscus. However, these exercises strengthen the quadriceps and hamstring muscles should take place before the operation to remove the cut portion of the meniscus, because it avoids the side effects of muscle atrophy and longer recovery period.

The surgery involves the removal or stapling of damage to the meniscus. In cases of severe involvement, surgery should be done as soon as possible. Some lacerations effect may be restored satisfactorily during the arthroscopy. In this way, the scars of arthroscopy and the swelling and pain reduced to a minimum, in contrast to what happens after an open meniscectomy.

Furthermore, the knee after arthroscopic recover functionality soon ..

After surgery, the Physiotherapy Rehabilitation includes a program of isometric and isotonic exercises strengthen the quadriceps and hamstring muscles, which should be implemented as soon as possible after surgery. The crutches can be useful for the movement of the patient the first 1-2 postoperative days, while the motion of the knee allowed the first 24 hours.

An athlete who has undergone meniscectomy should not return to full coaching schemes if not first restore the mobility of the knee and the strength of muscles that move. It usually takes 4-8 weeks after open meniscectomy or 2-4 weeks after arthroscopic meniscectomy.

Athletes who underwent meniscectomy have the chance n 'develop after many years of regular sporting involvement, degenerative arthritis in the knee articular cartilage.