2016, Number 2
<< Back Next >>
Ortho-tips 2016; 12 (2)
Meniscal injuries in athletes
Azcona AGM
Language: Spanish
References: 14
Page: 96-101
PDF size: 144.54 Kb.
ABSTRACT
Most knee joint injuries and those attributed to sports, are the result of a poorly developed technical skill, or performing physical activity in an inappropriate environment, being in the least cases of accidental happenstance. With the development of science applied to sport, injuries can become predictable and preventable. However, in sports accidents knee remains a sensitive anatomical site, and have functional limiting consequences if not clinically treated immediately before any post-traumatic pathological evidence. The failure or a broken meniscus segment requires a large mechanical load to break histological truss and once the rupture or detachment of a fragment of the meniscus occurs, it will determine manifestations of functional disability in the knee. The main objective for the proper treatment to a meniscal tear is to restore proper joint mechanics, to promptly recover the ability to perform professional, recreational or amateur sport; and in the future avoid early arthrosis.
REFERENCES
Insall J, Scott N. Surgery of the knee. 5th ed. Churchill Livingstone: 2011.
Kim SJ, Hwang BY, Choi DH, Mei Y. The paradoxical McMurray test for the detection of meniscal tears: an arthroscopic study of mechanisms, types, and accuracy. J Bone Joint Surg Am. 2012; 94 (16): e1181-1187.
Rinonapoli G, Carraro A. The clinical diagnosis of meniscal tear is not easy. Reliability of two clinical meniscal tests and magnetic resonance imaging. Int J Immunopathol Pharmacol. 2011; 24 (1 Suppl. 2): 39-44.
Petty CA, Lubowitz JH. Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy. 2011; 27 (3): 419-424.
Fabricant PD, Jokl P. Surgical outcomes after arthroscopic partial meniscectomy. J Am Acad Orthop Surg. 2007; 15 (11): 647-653.
Hegedus EJ, Cook C, Hasselblad V. Physical examination tests for assessing a torn meniscus in the knee: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2007; 37 (9): 541-550.
Giuliani JR, Burns TC. Treatment of meniscal injuries in young athletes. J Knee Surg. 2011; 24 (2): 93-100.
Peña E, Calvo B, Martínez MA. Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study. J Orthop Res. 2006; 24 (5): 1001-1010.
Zeichen J, Hankemeier S. Arthroscopic partial meniscectomy. Oper Orthop Traumatol. 2006; 18 (5-6): 380-392.
Greis PE, Holmstrom MC, Bardana DD. Meniscal injury: II. Management. J Am Acad Orthop Surg. 2002; 10 (3): 177-187.
Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy. 2011; 27 (9): 1275-1288.
Ericsson YB, Roos EM, Dahlberg L. Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients. Arthritis Rheum. 2006; 55 (6): 946-952.
Pyne SW. Current progress in meniscal repair and postoperative rehabilitation. Curr Sports Med Rep. 2002; 1 (5): 265-271.
Ericsson YB, Dahlberg LE, Roos EM. Effects of functional exercise training on performance and muscle strength after meniscectomy: a randomized trial. Scand J Med Sci Sports. 2009; 19 (2): 156-165.