Meniscal Repair: Difference between revisions
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== Description == | == Description == | ||
An arthroscopic meniscectomy is a surgical procedure to cut out part or all of the knee meniscus via keyhole surgery. A complete meniscectomy is where all of the meniscs right up to and including the meniscal rim is removed. Partial meniscectomy describes the procedure where not all of the meniscus is removed which may vary from minor trimming of a frayed edge to anything short of removing the rim. This is a minimally invasive procedure often undergone as an outpatient.<br> | An arthroscopic meniscectomy is a surgical procedure to cut out part or all of the knee meniscus via keyhole surgery. A complete meniscectomy is where all of the meniscs right up to and including the meniscal rim is removed. Partial meniscectomy describes the procedure where not all of the meniscus is removed which may vary from minor trimming of a frayed edge to anything short of removing the rim. This is a minimally invasive procedure often undergone as an outpatient.<br> | ||
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| Arthroscopic partial lateral meniscectomy knee cartilage removal from the Bone and Joint Clinic of Houston<ref>Bone and Joint Clinic of Houston, http://www.youtube.com/watch?v=VElp9SpGS-Q, last accessed 1/9/8</ref> | | Arthroscopic partial lateral meniscectomy knee cartilage removal from the Bone and Joint Clinic of Houston<ref>Bone and Joint Clinic of Houston, http://www.youtube.com/watch?v=VElp9SpGS-Q, last accessed 1/9/8</ref> | ||
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== Indication<br> == | == Indication<br> == | ||
[[Meniscal Lesions|Meniscal tears]] that are not suitable for [[ | [[Meniscal Lesions|Meniscal tears]] that are not suitable for [[Meniscal Repair|meniscal repair]].<br> | ||
== Clinical Presentation == | == Clinical Presentation == | ||
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add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== References<br> == | |||
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Revision as of 15:32, 1 September 2008
Description[edit | edit source]
An arthroscopic meniscectomy is a surgical procedure to cut out part or all of the knee meniscus via keyhole surgery. A complete meniscectomy is where all of the meniscs right up to and including the meniscal rim is removed. Partial meniscectomy describes the procedure where not all of the meniscus is removed which may vary from minor trimming of a frayed edge to anything short of removing the rim. This is a minimally invasive procedure often undergone as an outpatient.
| Arthroscopic partial lateral meniscectomy knee cartilage removal from the Bone and Joint Clinic of Houston[1] |
Indication
[edit | edit source]
Meniscal tears that are not suitable for meniscal repair.
Clinical Presentation[edit | edit source]
- joint line tenderness and effusion
- symptoms are frequently worsened by flexing and loading the knee, activities such as squatting and kneeling are poorly tolerated.
- complaints of 'clicking', 'locking' and 'giving way' are common
Diagnostic Tests[edit | edit source]
- Joint line tenderness has been reported to be the best common test for meniscal injury[2].
- McMurray's test positive if a pop or a snap at the joint line occurs while flexing and rotating the patient's knee.
- Appley's test performed with the patient prone, and with the examiner hyperflexing the knee and rotating the tibial plateau on the condyles.
- Steinman's test performed on a supine patient by bringing the knee into flexion and rotating.
- Ege's Test is performed with the patient squatting, an audible and palpable click is heard/felt over the area of the meniscus tear. The patient's feet are turned outwards to detect a medial meniscus tear, and turned inwards to detect a lateral meniscus tear.
- Imaging
Pre-Op[edit | edit source]
add text here relating to the pre-operative advice
Post-Op[edit | edit source]
add text here relating to post-operative rehabilitation
Special Considerations[edit | edit source]
add text here for any special considerations that might be related to this procedure
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
[edit | edit source]
add appropriate resources here
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
References
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- ↑ Bone and Joint Clinic of Houston, http://www.youtube.com/watch?v=VElp9SpGS-Q, last accessed 1/9/8
- ↑ Meserve BB, Cleland JA, Boucher TR. (2008) A meta-analysis examining clinical test utilities for assessing meniscal injury. Clinical Rehabilitation, 22(2), 143-61.
