Sunday, July 8, 2012

KNEE INJURY: EVERY FOOTBALLER’S NIGHTMARE

The menisci are two crescent-shaped pieces of cartilage present in the knee, one in the inner compartment (medial meniscus) and the other in the outer (lateral meniscus). They act in four different ways to improve knee function: Transmit load across the joint. Improves joint congruency or stability
They help to circulate synovial fluid around the knee.
Shock absorption while doing active sports like football, running, etc. Meniscus comprise specialised type of fibrocartilage with high water content which resist forces on the knee. The healing rate is very limited since it has a limited blood supply.
HOW IT HAPPENS 
The meniscus is most commonly injured due to the twisting of knee on a foot that is anchored to the ground. In football players it occurs mainly due to a hard tackle or sudden turning with a fixed foot during a football match. A sign of the injury is an audible pop,swelling in the knee area and restricted range of motion of the
knee joint. The meniscus can tear in four ways horizontal, radial, longitudinal and oblique as shown in the figure above.

INJURY MANAGEMENT 
The severity of meniscus tear is diagnosed by the help of a CT scan or MRI if there is a small tear in red vascular region (shown in fig 1), then conservative management can be initiated. In the initial phase of treatment rest from all sporting activities, compression bandage, ice packs, elevation of the leg for drainage and also antiinflammatory medicines can be prescribes as per Sports physicians. If the tear is significant and outside the red zone then a partial or a complete removal of meniscus is done under arthroscopy.

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