A meniscus tear, a particular injury to the joint located in the knee, can be extremely problematic and may even be disabling, since suffering from this condition can make it too painful to step on your leg, and will cause a significant reduction. There is little evidence suggesting that ultrasound treatment is effective in treating the impairments following meniscus tears. The aim of phase 3 of a meniscus tear rehabilitation program is to ensure full range of movement in the knee, regain normal strength with the ability to perform a full squat and start to return to running and normal training. Physical therapy pt and exercises for a meniscus tear rehab. If you have a meniscus tear, what can you do to help. Ii accelerated, no limits on rom, wb, pivoting sports. Utilization of modified nfl combine testing to identify functional. Together they created the knee resource to assist healthcare professionals to make better decisions and provide patients with information and guidance about their knee problem. I have teared my lateral meniscus some 6 years back while playing cricket. When doctors and patients refer to torn cartilage in the knee, they actually may be referring to an injury to a meniscus at the top of one of the tibiae. The healing process depends on debridement or abrasion of the walls of the tear, especially in chronic lesions.
I asked him about how much damage there was, if there was any chance of repair, as i brought the mri. Management of traumatic meniscal tear and degenerative. The efficacy of arthroscopic partial meniscectomy in symptomatic patients with a meniscal tear and osteoarthritis has been evaluated, to our knowledge, in only one randomized, controlled trial. Does this patient have a torn meniscus or ligament of the. This paper aimed to identify the characteristics of isolated anterior horn tear of the lateral meniscus in footballers who underwent arthroscopic surgery. In addition, the menisci help distribute nutrients into the tissues and cartilage that cover the femur and tibia. Physical therapy pt can be useful for a torn meniscus whether or not you have surgery. Lateral meniscus tear injuries and rehab forums t nation. Lowe this rehabilitation protocol is designed for patients who have undergone knee arthroscopy or arthroscopic lateral release. S tiffness, swelling, pain, catching, locking, clicking, buckling maybe youve experienced a few of these symptoms in your knee. Contact mechanics after mattress suture repair of medial meniscus. Control inflammationeffusion allow early healing full passive knee extension gradually increase knee flexion independent quad. Physical therapy management of meniscus tears morphopedics. Immediate postsurgery days 17 ice, compression, elevation.
Degenerative meniscal tear treatment the knee resource. Meniscal tacks or fixators im proved the allinside repair of the meniscus. Arthroscopy, a minimally invasive outpatient procedure with lower morbidity, improved visualization, faster rehabilitation, and better outcomes than open meniscal surgery, is now the standard of care. With a moderate tear, you may feel pain at the side or center of your knee. Diagnosis and management of meniscal injury jacob babu, md, mha. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear and how bad the tear is. This is mainly because it does not have a good blood supply. Meniscus tear surgery is basically of two types, one that involves partial removal of the meniscus and the other which aims at repairing the damaged part. It is the orthopaedic surgeons responsibility to combine clinical information.
There are three types of meniscus tears, each increasing in severity. Physical therapy can help meniscus tears michael curtis pt. There is also the unhappy triad which is a tear of the acl, mcl, and meniscus typically seen in sports. Meniscus repair surgery is effective, if the damage to meniscus is on the periphery, where there is adequate blood supply. Meniscal tear incidence may be as high as six per population 6 with a 2. The intensity allowed and the time frame required for the rehabilitation process is dependent upon the. Common tears include longitudinal, parrotbeak, flap, bucket handle, and mixedcomplex. Tuesday, october 14, 2014 for patients with meniscus tear, exercise therapy outperforms surgery in key muscle strength measure. A meniscus tear is a common injury in sports and is a rupture of the fibrocartilage strips in the knee known as the menisci. Tears are noted by how they look, as well as where the tear occurs in the meniscus. Jun 26, 2015 this pin was discovered by tara gebhardt.
All 8 patients were footballers, comprising 7 men and 1 woman with. The outer onethird of the meniscus has a rich blood supply. I have a tear of the lateral meniscus in my right knee, today i saw an ortho surgeon to discuss the treatment. Surgery versus physical therapy for a meniscal tear and. Meniscal rootradial tears present in a variety of forms, ranging from partial to complete avulsion. Cortisone injections temporarily decrease the pain associated with a tear but cannot heal a meniscus tear. Meniscus repair rehabilitation northeast orthopedics and. Behrens, md abstract meniscal injury is a common cause for presentation to the emergency department or primary care physicians office. Patients with labral tears complain of pain in the groin region and pain with clicking in the hip without a history of. Meniscus repair rehabilitation progression will always be variable due to locationextent of tearstable, unstable bucket handle into joint analogous to rcr in shoulder barber accelerated rehab. Rehabilitation following meniscus repair memorial hermann. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear see figure in appendix and how bad the tear is. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much. The medial meniscus is semicircular in shape and the lateral meniscus is almost a.
Meniscal injuries can be the result of a forceful, twisting event in a young athletes knee or it can insid. Rehabilitation after arthroscopy of an acetabular labral tear. Find out when it helps, what to expect, and how long youll need to do it for. The treatment chosen will depend on the location of the tear, the athletes sport, ligamentous stability of the knee and any associated injury. Meniscus repair rehabilitation meniscus repair rehabilitation this rehabilitation protocol was developed for patients who have isolated meniscal repairs. Type of meniscal tear, patients functional needs, state of the joint before surgery, recovery time and compliancemotivation of the patient are factors that. Key factors in determining progression of rehabilitation after meniscal repair anatomic site of tear suture fixation too vigorous rehabilitation can lead to failure location of tear anterior or posterior other pathology pcl, mcl, or acl injury. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much strength and. Pdf modern treatment of meniscal tears researchgate. Registered users can save articles, searches, and manage email alerts.
For example, you may also sprain or tear a ligament. The athlete must be given a clear explanation of what a meniscus tear is and of what the potential ramifications of delaying surgery are. The potential ramifications of delaying surgery include the possibility of propagation of the tear or significant symptoms during a competition, which may preclude further participation at a particular event. Often this is simply referred to as torn cartilage and can occur as a result of walking. Physical therapy is effective for the treatment of. Rehabilitation exercises a meniscus tear is a common knee joint injury. Pdf evaluation of effectiveness of kinesiotaping in supporting of. This type of traumatic injury can occur independently or in conjunction with other knee damage like an acl or mcl tear. Your knee joint is cushioned by two cshaped wedges of cartilage called the menisci.
As reported by majewski, injuries to the menisci are the second most common injury to the knee, with an incidence of 12% to 14% and a prevalence of 61 cases per 100,000 persons6. Duke university hospitals nationally ranked orthopaedics program was named best in north carolina by u. Racgp meniscal tear presentation, diagnosis and management. A meniscal tear occurs when there is a twisting force applied to a knee joint that is usually in a flexed position. Menisci can be torn during innocuous activities such as walking or squatting. Meniscal repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that are. Meniscal cartilage does not heal very well once it is torn.
Rehabilitation protocol for meniscus repair this protocol is intended to guide clinicians and patients through the postoperative course for a meniscus repair. The meniscus functions in load bearing, load transmission, shock absorption, joint stability, joint lubrication, and joint congruity 11. Torn meniscus meniscus tear treatment options duke health. Meniscus rehab exercises the physical therapy advisor. Surgeons at a united kingdom hospital are pioneering a new treatment that they hope will prevent the development of arthritis and extend athletes sporting careers. Bledsoe style brace for concomitant gr iii mcl injury if present d. We identified 8 patients with stable knee and no ligament injury, who had only isolated anterior horn tear of the lateral meniscus between 2007 and 2009. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician. Meniscal repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that are more complex and located in the avascular zone of the meniscus. The menisci provide stability and help distribute body weight by keeping the bones from rubbing together. Kinesiotaping kt is a method being increasingly more often applied in rehabilitation. A meniscal tear is a tear in the cartilages, or menisci, that are located between the femur and tibia bones in the lower leg. As shown in this article, after meniscal tear, there are varied surgical and rehabilitation treatments and the timing of recovery from meniscal injuries after surgery is very different.
Intact knees, knees with a medial meniscus vertical longitudinal tear, and knees after meniscal repair were tested. Exercise therapy can improve certain functions to a degree not possible through arthroscopic surgery for middleaged patients with degenerative meniscus tears, according to a new study from denmark. Brian krabak and susanne michaud talk about the injury and their approach to getting patients. Meniscus tear exercises in pdf meniscus tear, excersize. Does this patient have a torn meniscus or ligament of the knee. The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear. A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee called menisci. The knee menisci medial and lateral are wedgeshaped semilunar disks made of fibrocartilage interposed between the. In one case report by muche 10, a patient who had been in a coma for a month and a half complained of knee pain upon waking up which was diagnosed as a posterior horn meniscus tear. What is the best way to rehabilitate meniscus tears.
Be sure to rotate your leg outward laterally slightly to gain a better activation of the medial inner side of the quadriceps. In severe injuries, other parts of the knee may also be damaged in addition to a meniscal tear. Meniscal cartilage plays a crucial role in the function and biomechanics of the knee joint. The rubbery meniscus cushions the knee, but a twist or pivot can tear this cartilage. A frequent cause of hip and groin pain is a tear of the acetabular labrum. With a minor tear, you may have slight pain and swelling.
Meniscus tear rehabilitation and exercises whatever the form of meniscus treatment, rehab is must for a patient to fully recover from the meniscal tear. In case of majority of meniscus tears, few easy exercises can help preserve muscle strength in the front thigh or quadriceps, back of thigh or hamstrings, hip and calf muscles. He did however, say that it would lead to premature arthritis in my 40s or 50s im 19 which i kind of knew already. One study found that arthroscopic pullout repair of a medial meniscus root tear provided better results than partial meniscectomy. The more serious the tear, the more severe the symptoms. Maybe youve heard that meniscus surgery is a possible option for. My knee is seen with little inflamation always and sometimes its painful while walking fast and going up the stairs. New treatment for torn meniscus orthopedics this week. Back then i got treated with some pills and some exercises.
In his epidemiological study conducted on 17,397 patients in germany and switzerland, soccer, followed by skiing, are the sport with an increased risk of meniscal injuries. Arthroscopic meniscus repair and partial meniscectomy have become two of the. Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. A recent research study in the new england journal of medicine nejm showed that physical therapy is as effective as arthroscopic surgery for treating patients with meniscal tears and osteoarthritis of the knee. Pdf the complex ultrastructure of the meniscus determines its vital functions for. Acl rehabilitation protocol with meniscus repair without microfracture, except radial tears or root avulsion dr. To consult with on of the physicians at tidewater orthopaedics, please request an appointment online or call 757 8272480.263 1465 707 500 575 1075 232 1475 1024 407 914 948 996 342 595 1048 1477 199 1282 162 470 972 1325 469 383 1468 1498 395 154 460 1301 1474 236 729