tailieunhanh - Các tổn thương meniscal

Các bệnh nhân với các tổn thương meniscal có thể biểu hiện đau, sưng, hoặc các triệu chứng cơ khí và thường đòi hỏi phải can thiệp phẫu thuật để giải quyết triệu chứng. Điều trị các thương tích như vậy dựa trên sự hiểu biết tổng các tính năng và microanatomic của khum rất quan trọng trong việc duy trì chức năng meniscal. | Meniscal Injury I. Basic Science and Evaluation Patrick E. Greis MD Davide D. Bardana MD FRCSC Michael C. Holmstrom MD and Robert T. Burks MD Abstract The patient with meniscal injury may present with pain swelling or mechanical symptoms and often requires surgical intervention for symptom resolution. Treatment of such injuries relies on understanding the gross and microanatom-ic features of the meniscus that are important in maintaining meniscal function. The ability of the meniscus to participate in load bearing shock absorption joint lubrication and joint stability depends on the maintenance of its structural integrity. The diagnosis of meniscal injury often can be made by clinical evaluation utilizing the history physical examination and plain radiographs. Magnetic resonance imaging can be useful in confirming the diagnosis when clinical findings are inconclusive. Treatment depends on tear pattern vascularity and an assessment of tissue quality. Surgical decision making for the treatment of meniscal injury is based on patient factors and understanding of the meniscal structure function and pathology. J Am Acad Orthop Surg 2002 10 168-176 Injury to the meniscus from both athletic events and activities of daily living is common. Occurring in isolation or in association with ligamentous injury meniscal tears can result in marked physical impairment. The presence of clinical symptoms of pain swelling locking catching and loss of motion often require surgical intervention. Arthroscopic treatment of meniscal injuries has become one of the most common orthopaedic surgical procedures in the United States in many centers it constitutes 10 to 20 of all To adequately evaluate and treat such injuries understanding of meniscal anatomy and function is necessary. In addition appreciation of the types of tears and their significance in regard to treatment options is needed. Finally accurate preoperative diagnosis of these injuries allows more effective patient .

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