Contact us

Make an appointment

our specialists

 

  01 40 79 40 36

 

secretariat

@chirurgiedusport.com

 

SOS KNEE

 

Sports Clinic

36 bd St Marcel

75005 PARIS

Sports clinic Paris

Metro: Saint Marcel

Parking 6 rue test


sur

'Pages chirurgiedusport :

HONCode

Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Santé (HAS).
Check here

QRCode

Youtube video

13:54
Docteur GEROMETTA Antoine - Retour au sp ...
244 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
190 views


09:05
Docteur Nicolas LEFEVRE - LCA de l’enf ...
117 views


10:55
Docteur BOHU Yoann - 1ère luxation d’ ...
97 views


41:09
Surgical management 's knee osteoar ...
2143 views


10:06
Ligamentoplastie du ligament croisé an ...
17466 views


09:53
TKA MyKnee PTG Dr. Nicolas Lefevre
669453 views


00:41
Cracked meniscus bucket handle dislocate ...
26623 views


09:33
Arthroscopic knee surgery for fracture o ...
85503 views


07:39
Total knee replacement (TKR), descriptio ...
52613 views


11:04
DIDT TLS: surgery of the anterior crucia ...
367566 views


10:21
Surgery sport, hamstring: surgery of the ...
432491 views


05:12
Zapping meniscus
17193 views


03:37
Combing the patellar tendon under arthro ...
27391 views


05:10
Surgery sport, PIP Prevention of knee in ...
12170 views


00:08
bucket handle meniscal 3D movie
17364 views


05:44
Suture of the lateral meniscus injury ra ...
15844 views


05:18
partial tear of the anterior cruciate li ...
10201 views


02:01
Levy for the hamstring ACL reconstructio ...
30176 views


06:25
partial ACL tear, technical anatomical r ...
11331 views


10:02
Complete rupture hamstring tendon repair ...
18039 views


04:09
Surgery sport, endoscopic treatment of c ...
5144 views


06:18
compartment syndrome 's efforts
38877 views


09:01
Rupture du tendon d'achille chirurgie du ...
4302 views


03:23
greffe de me?nisque Dr Alain myer Dr Yoa ...
1013 views


09:05
Docteur Nicolas LEFEVRE - LCA de l’enf ...
117 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
190 views


13:54
Docteur GEROMETTA Antoine - Retour au sp ...
244 views


The meniscal tear the sport: the crack or meniscus tear

Print Article

What is a meniscus?

The meniscus is semilunar fibrocartilage (orange area) triangular cut.
Each knee has two menisci, a medial meniscus and a lateral meniscus.
They are "shock absorbers" of the knee: they have a role in the transmission and distribution constraints. They increase joint congruency and stabilization of the knee. They allow shock absorption and protection of cartilage.
The preservation of capital is fundamental meniscal and prevent joint destruction.

What is the harm?

Among the young athlete, most meniscal lesions are secondary to significant trauma on a healthy meniscus. This is in compression trauma, bending or torsion. They may be associated with damage to the anterior cruciate ligament (ACL). The most common injuries or meniscal tears are: vertical or radial cracks, the tongue or the bucket handle.

In the older sports, the concept of trauma is rare. This is most often repetitive strain injury by (jogging) on ??degenerative meniscus. This lack of risk triggering factor to ignore the diagnosis. Knee pain and / or synovial effusion should suggest the diagnosis. These meniscal lesions (complex crack and tongue) induced by their irregularities impaired wearer cartilage.

How to diagnose?

A meniscal lesion is often very painful, with swelling (joint effusion), and sometimes a knee lock,
Diagnosis is by examination and clinical examination, the diagnosis is confirmed by MRI.

What is the treatement ?

Among the young athlete, it must favor the meniscal economy: repair by suture arthroscopic meniscus is often possible. If the anterior cruciate ligament injury ligamentoplasty is performed at the same time.
The prognosis of a meniscal repair depends on several factors:
• patient age (better in children than adults)
• the age of the lesion (more favorable if <3 months)
• stability of the knee (ACL repair associated)
• the location of the lesion (peripheral meniscus)

In the older patient, meniscal suture is not indicated.
Medical treatment with anti-inflammatory and analgesic should be prescribed. It relieves many patients. If persistent or worsening symptoms, arthroscopic surgery is required and gives excellent results.
This is to regulate the minimum meniscal tear (partial meniscectomy) using small instruments inserted into the knee under video control (arthroscopy).

Question: Many patients wonder if warranted removing the meniscus is not it necessary?

Indeed, the meniscus plays an important role in the knee. Nevertheless a meniscal lesion reduces the properties of it (broken shock absorber). In addition, complex cracks, bucket handle tongue and induce their irregularities impaired cartilage carrier: today, one no longer withdraw the entire meniscus but partial removal is carried out.
Arthroscopy (suture or partial meniscectomy) is the preferred treatment of these lesions.
 

Doctor Nicolas LEFEVRE, Doctor Serge HERMAN, Doctor Yoann BOHU. - 13 février 2012.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

News

Read also ...

Anatomie_cheville_ligament_lateral_externe ASTRAGALE calcaneus

Anatomy of the ankle: lateral collateral ligament.

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Stéphane Cascua .

There are two primary ligaments at the ankle, a lateral collateral ligament (LCL) and a medial collateral ligament (MCL) on each side of the ankle, they are stretched between the tibia / fibula top ....

The most read articles

Technical cruciate ligament

By Dr. Nicolas Lefevre

More videos

Last publications

Feature: knee prosthesis

total knee replacement

Feature: knee ligaments

Dossier: Ambulatory Surgery ACL

Dossier: meniscus

MENISCUS 3D CRACK MENISCUS TEAR SURGERY SPORTS

Feature: Shoulder sportsman

Folder: hip prosthesis

Dossier: break hamstring

Dr. Lefevre proximal anatomie_ischio_jambier_rupture chirurgiedusport

Dossier: prosthetic and sports

hip replacement and knee and sports

Dossier: PRP

Chirurgiedusport - Who are we - Contact us - Legal Notice - Web design Digitaline - EMC2 Studio development - Clinique du Sport