What is the medial meniscus and meniscus? Questions and answers about meniscus disorders in general will be in this writing.
The meniscus, which we all know as words but I think we do not know the importance exactly, is that the bones fit together in the knee joint. C-shaped pillows that help to avoid damage during movement are 2 pillow cartridges, one inside and one outside.
Thanks to them, it is possible that the two bones forming the knee joint are in harmony with each other and can move without harm.
What happens to the meniscus tear, how is the meniscus tear?
The most common complaints in the series are meniscus related problems. Sudden sprains in the knee, tears can occur in meniscus on the back during rotation. Meniscus ruptured in the patient; Dizziness, stabbing, stabbing pain, cramping pain, occasionally locking in the joint.
The diagnosis of meniscus tear is made by the examination of the orthopedic physician and the MR film taken afterwards. Arthroscopy, which is a modern treatment method, is currently used in the treatment of meniscus tears. During arthroscopy, the patient is first anesthetized (general, spinal or local).
The knee joint is inserted into a tube connected to an optical system with a diameter of about 0.5 cm. The image of the knee is reflected on the screen. In this way meniscus, ligament and other structures in the knee are examined. Then a second hole of 0.5 cm diameter is opened and the torn meniscus part is seen on the screen by means of special tools released from this hole and it is intervened. Removing the torn part of the meniscus tears is sufficient for treatment. In meniscus external healing tears, meniscus is arthroscopically erected and recovery is expected.
What is the medial meniscus, is there any treatment?
The meniscus can be torn in different forms depending on the mechanism of both age and injury; Tears in longitudinal, transverse and parallel to each other are the tears we usually encounter.
An accidental or punctured knee can be torn in a sturdy meniscus as a structure with a different direction of movement due to normal movement. A poorly structured meniscus, for example due to old age or repetitive minor wear, can be torn more easily. In the ages, these tears are faded over time.
Younger patients are often confronted with sports injuries. Especially carpet areas are widespread in our country and most of us are faced with many injuries including meniscus rupture when unconscious, not warm enough to start the match before most of them are not done in suitable conditions. In the elderly, over time, there are negative changes in the meniscus texture, as well as tearing due to calcification and overweight and dizziness.
What are Meniscus Symptoms?
It is doubtful whether this is the case, although there are no definite findings. When you kneel, when you stand for a long time or when you step on the stairs, pain should bring to mind the meniscus tear. If the tear is free from one side to the other, it can also cause stabbing and locking.
Of course, as technology advances, many technical entities are emerging, but the most important diagnostic tool is the hands and experience of the physician. With a thorough examination, the diagnosis can be reached to a great extent. To arrive at a more accurate conclusion, we use an advanced examination showing magnetic waves and soft tissues by Magnetic Resonance or MR in short.
Occasionally, the MR may not be the main cause of pain despite meniscal rupture. Even if one has no pain, the meniscus can rupture if the MR is removed. That is, if arthroscopy is performed immediately without examination because of the tear in the MR of the patient who is suffering from a series of painful patients, and if the cause of the pain is another disease, of course the patient will not benefit from the operation. For this reason, a detailed examination should be made.
Treatment Methods Used in Meniscal Tears
There are two pathway combinations in meniscus tears; Surgery or “drug-exercise-rest” combination. In meniscal tears with mechanical indications such as stabbing and lock-ups detected by MR, it would be right to make a closed-surgery decision called direct arthroscopy.
If the patient is not fully segregated low grade rupture, pain and other complaints can be treated with medications and special exercises given by the doctor. Surgery may be considered if there is no reduction in complaints after at least 1.5 months of well-tolerated treatment.
Today, there are significant developments in treatment. The most important of these is “arthroscopy”. When open surgery is performed for meniscus tears, it is now possible to successfully treat these diseases with the closed method called arthroscopy. With the age of the torn meniscus and the type of rupture taken into account, the surgeon’s decision and the torn part can be taken or erected during the operation.
Meniscuses provide compatibility with the bones. If the meniscus is forced to be removed, the bones become deteriorated and calcification is happening at an earlier age than men who are healthy meniscus. In order to delay this, it is necessary to keep the load on the string low, that is, not to lose weight and not to be lifted too fast.
Exercise should become a lifestyle. The use of age appropriate sport, spore suit (shoe etc.) will also reduce sports injuries the most.
Although there is not a very high possibility, there is the same risk as how a normal meniscus is torn. Patients need to avoid compulsive movements, pay attention to their weight and give weight to the exerciser.
In the meantime, I want to emphasize once again the benefits of meniscus. When the knee is torn meniscus or surgically removed, the load and friction of the bones in the row increases because the shock absorption capacity is significantly reduced. This increases the risk of wear and arthritis in joint cartilages. If the meniscus is repaired, long-term results can be very good.
If the meniscuses are partially removed arthroscopically, good results are obtained in very large proportions. However, especially if the meniscus is preferred in open surgery, the results are not good and it may be necessary to change the life style of the patient. Weight loss, long road walking, heavy load carrying are some of these changes.
Questions and Answers Regarding Medial Meniscus and Meniscus
Question: 5 months ago when I was playing football I am writing down the result part of mr result.
Coronal, axial, sagittal plane T1, T2, PDA weighted.
– Femur lateral and medial condyle, widespread in the lateral condyle at the lateral condyle and medial condyle, edematous signal increases in the subchondral contusion of the tibia platoda
Massive intraarticular effusion with suprapatellar extension.
-ACL proximal is ruptured at the level of insertion.
-Lateral meniscus anteriorly, horizontally, slightly subluxed to the outside of the joint, and posterior hornda grade I degeneration.
-Liquid intensities in the linear style between the biceps and the lateral head of the gastrocnemius lateral to the plastic area and lateral to the knee. (Sprain?)
Mr Result said that a part of the doctrine crossover was broken so he gave mr again 3 months later he said he applied ice and exercise until mr.
Is it absolutely necessary for you to have surgery?
Answer: According to the findings you wrote, there is a partial tear, not partial. Surgery is necessary for someone of your age.
Question: I am a 19 year old man at 1.77 pounds. 4 months ago I went to the doctor on the carpet sahada left dizimbulktim nothing came out from the voyage MR sektirdim;
Mr end result:
– Intraarticular fluid has increased.
– Subchondral trabecular contusion was observed in posterolateral part of lateral femoral condyle and tibial plateau.
– Degenerative grade 1 degeneration in the posterior horn of the male, lateral bone fragment retinacular inserjioda avulsion fracture of the separate bone fragment and inserjioda heterogeneous signal increase.
-Tibiofemoral joint space width and joint relation is of course.
-Tibial and femoral articular cartilage thicknesses and cartilage signal intensities are natural.
-Lateral meniscus morphology and signal intensities are natural.
The anterior cruciate, the posterior cruciate ligaments, the medial and lateral collateral ligaments,
Signal intensities are subject.
– Formal fossa occurrences are natural.
-Quadriceps and patellar tendons are subject to trace, contour and signal intensities.
I wrote Voltaren cream, painkiller pills and bandages. This time I use flexo gel, cataflam and wool knee prints.
My medications are about to end, but I still do not see any effect what I need to do is to be helpful.
Answer: MR is sometimes mistaken. Examination findings are very important. After examination, anterior cruciate ligament rupture or patella (knee cap) dislocations can be demonstrated
Question regarding Meniscus Grade 1 and Grade 2 Treatment
Question: I went to the doctor with his belly button, of course. He made a few moves and did not say anything.
I have pain from the bottom of my knees. I have pain, numbness and burning in the back of my lids, my thighs and my feet.
I gave right and left mr and we had blood test (normal blood tests)
I wanted to ask you a little before I showed up. I do not write the normal part of the MR command.
Right knee mr result;
In the 1-tibia femoral joint, minimal effusion is observed in the patella femoral joint.
In the anterior and posterior horns of the medial meniscus, intense increase of interameniscal signal is observed in favor of grade 2 degeneration.
A grade 1 degeneration is observed in the lateral meniscus posterior horn.
Anterior cruciate thick- ness, and signal sprain pattern and partial rupture.
Left knee mr end;
1-tibia femoral joint shows effusion in the patellafemoral joint.
There is grade 2 degeneration in medial meniscus anterior and posterior horns
Grade 1 degeneration is observed in the anterior and posterior horns of the 3-lateral meniscus
Answer: Grade 1 and 2 degenerations are small, non-tearable changes. I think your situation will improve with a good exercise program. Get well soon.
Question: What is paramenischeal cyst? Stage 2 degeneration in the posterior neck of the medial meniscus and lateral meniscus and rupture of three oblique views were observed.
A paramenischeal cyst of 7 mm in diameter was observed in the lateral meniscus.
I had a meniscus operation. My husband, these are the mr. I am currently 20 days in operation but I am a referee, and I will start the race in 25 days
Is it possible for me to get physical therapy or not? Tskler hocam
Answer: This question can best be answered by our colleague who has surgery. Generally speaking; Enough time, if the meniscus surgery is done, the spore can be started.
However, if an operation has been performed for parameniscal cyst, the sport allowed by the procedure can be delayed by your doctor.
Question: I entered mr because I dropped it on 05.07.2012. The doctor recommended ice and bandage and rest, I applied them to my age 15.
I entered control mr on 06.08.2012 and I am writing you the comparison below
Edema defined in the lateral condyle of the femur and intense effusion seen in the joint space is regrese in appearance.
Deformation in the posterolateral part of the capsule is regulated. There is slight regression in the size of the baker’s cyst (45 mm extension and the largest apical capillary cyst measuring 16 mm)
The medial meniscus posterior hornda is an additional finding of mild intrameniscal degenerative signal increase.
I play in a basketball club today when I ask my doctor, you can play basketball in 2 weeks. Do you feel better in 1 month?
Thank you very much for your reply.
Answer: I agree with what your doctor said. You’re likely to play. Do force exercises, pain limit.
Medial meniscus questions and meniscus treatment
MEDICAL MENISCUS BREYS
Medial meniscus questions
Question: If you answer will be a liability satisfied. My mother was 47 years old and suffered from left knee.
Last week when we went to the holiday, the pain increased more there. Could it be the effect of nemin and sea?
Yesterday we went to orthopedic, x-rays were taken, the doctor told me that meniscus was torn .. today the results will be out in 10 days ..
Do you want to ask this doctor meniscus is dangerous to rupture what will result?
Is the only solution in meniscus rupture surgery, and is this meniscus operation easy?
Answer: Stabil meniscus tears (not painful, just do not lock) can be treated with muscle strengthening, meniscus exercises.
If there is not enough reduction in the pain in the follow-up, the operation decision can be made later.
Grade 1 degeneration in the posterior aspect of the medial meniscus
Question: The left knee arthroplasty performed 2 months ago revealed grade 1 degeneration in the posterior medial meniscus, ACL rupture. Because my age is 17, the doctor said he could not do the surgery.
He exercised but did not reduce my pain. Can I use knee braces for meniscus?
Answer: MR can sometimes be tripped (depending on the comment error or the shooting quality).
If you really have cross ligaments, you should have anterior cruciate ligament surgery without delay. Because your age is 17, your surgery is even more important to me.
Question: Hi, my husband. I am playing amateur football. I applied to the doctor because of the pain and numbness in my neck. Mr result:
-Device degenerative signal changes are observed in the posterior horn of the medial meniscus.
-The formula liquid is minimally increased.
What do you suggest I do, when can I play football again? Thank you, respectful
Answer: Mr ‘I can be considered normal, nothing important. In this case, clinical findings for pain are very important.
You need to follow the advice of the examining doctor.
Question: About Grade 2 degeneration
It is about 2 sen in the left sequence, especially in cold periods, there is tingling, cold and light burning.
Last week I went to a private hospital doctor and I requested an MR. Afterwards, the doctor said there was meniscal tear and said that I had to undergo surgery.
I went to a second doctor to make sure that he did not have an operating condition for now, looking at the MR result.
Because there is no complaint other than my complaints that I wrote in the serial. Why can not you evaluate my results as my husband?
– Horizantal high-signal lesion is observed in both menstruas (grade II degeneration)
– Minimal fluid increase is observed in the equation range.
-Not: The other results in the test are normal.
I wish you a good day again.
Answer: MR findings have no place in my decisions. Clinical findings are more important. If you do not complain, what do you say to the MR?