Most often, the menisci, a kind of cartilage pads in the knee, injured men. The degree of injury is different from a mild injury with a sharp movement to a serious gap. Very often the menisci act as shock absorber of the knee joint and its stabilizing system damage in athletes and people in General are physically underdeveloped, pereocenivat undertaken physical activity.
Sharp pain in the joint and limited movements occurring immediately after injury, will gradually subside. However, without appropriate treatment at any awkward movement pain, swelling and locking movement of the knee joint return. Prolonged compression of the meniscus in the knee joint develop atrophic phenomena, patients complain of clicks in the joint when walking and recurring pain.
Often just the incident damaged meniscus confused with normal bruise or sprain. X-ray of the knee joint with the introduction of the contrast agent will help doctors in the diagnosis. More accurate data can be obtained by computed tomography (CT) of the injured joint or MRI( magnetic resonance imaging).
The method of treatment depends on the degree of damage to the meniscus. When the displacement and compression of the trauma under local or spinal anesthesia sets the meniscus, in the reverse sequence by repeating the movement of the joint at the time of injury. If minor damage is a three-week immobilization of the joint, it is also prescribed with non-steroidal anti-inflammatory drugs. This is followed by physiotherapy, massage and medical gymnastics. Well proven in the treatment of injuries of the meniscus of water and mud.
With a significant tear of the meniscus, accompanied by hemarthrosis, full blockade of the knee joint shown arthroscopic surgery, during which remove the damaged meniscus. The removed cartilage after formation of connective tissue cord, spliced with the joint capsule. Remove any torn pieces often leads to repeated infringements and blockages of the joint. Stitching and meniscus transplantation is rarely used, as after a long time in the knee joint develops osteoarthritis. Ability to work after meniscectomy (removal of the medial meniscus is restored after 1.5 months with physical therapy and additional methods of rehabilitation.
To avoid the development of chronic atrophic phenomena in the knee joint after injury it is advisable to immediately contact the trauma, which, by setting the degree of damage, select suitable in this case, conservative or operative treatment. Young people with high probability over time when properly conducted, the treatment will be completely restored motor function of the damaged knee joint.