Question

Meniscectomy vs. Meniscus Repair Meniscectomy is showing or removal of the tear, Meniscus Repair is stitching together the torn meniscus. In general, recovery from Meniscectomy is much quicker than Meniscus Repair. This rehab protocol is for Meniscus Repair. General recovery from Meniscectomy is 4-6 weeks for an athletes while Meniscus Repair may be 4-6 Months! Answer the following questions and upload to Wilder Weh. Phase 1 1. Where is the meniscus located? Describe the difference between Medial and lateral Meniscus 2. How would you as a clinician decrease Pain and Inflammation? 3. Define NWB 4. Describe how to perform, and paste a picture of Quadriceps sets and Straight Leg Raises, 5. Define FWB. 6. One of the goals is to "Restore Patellofemoral Joint Mobility." Research "Patellofemoral Joint Mobilization, and paste a picture of what these look like. Phase 2 7. In your own words, describe what it means to "Normalize Galt." 8. Define "Ambulation." 9. What is an ROM exercise or technique to "Ensure Full Extension." 10. List and describe an exercise which may be performed that is a light closed-chain kinetic with no greater than 60 degrees of flexion 11. List and describe a light open kinetic chain exercise for the hamstring Phase 3 12. Define "Effusion." 13. Where is the Joint Line" located in the knee? 14. Define Contralateral." 15. In Phase 3, what does Dr. Schwartzberg mean by Mastery of Diverse Functional Activities?

Answer 1

1. A meniscus is a crescent shaped fibrocartilagenious anatomical structure which partly divides a joint cavity. Meniscus is present in knee, wrist, acromioclavicular,sternoclavicular,and temperomandibular joints

Difference between medial meniscus and later meniscus

Medial meniscus

• c- shaped structure, it is in the inner side of the knee joint
• anterior horn:attached to tibia anterior to the intercondylar eminence to the ACL
• posterior horn: anchored immediately infront of the attachement of pcl posterior to the intercondylar eminence
• tears of medial meniscus occures more with degenerative tears
• associated with bakers cyst
• medial meniscus is fixed, causing more tears to occur

Lateral meniscus

• circular shaped
• anterior and posterior horns are closer to each other and near insertion of ACL
• anterior horn: attached to the tibia infront of the intercondylar eminence
• posterior horn : attached to the posterior aspect of the intercondylareminence in front of posterior attachment of medila meniscus
• lateral meniscus is mobile
• associated withdiscoid meniscus and meniscal cysts
• lateral meniscus is associated with acute injury to ACL

2. treatment for pain and inflammation

rest - rest is necessary for healing and limit weight bearing on your knee

ice- ice your knee atleast 2 hrly for 20 min at a time

compression- wrap elastic bandage or compression wrap around your knee

elevation- lie down with yourknee propped up on pillows

3.NWB( non weight bearing) you cant put any weight on your injured lower limb for a period of time,which can be from weeks to months.this is most restrictive of all weight bearing limitations.since you are not able to bear any weight on the leg , an assistive device ,such as walker or crutches, will be necessary for you to walk.

4. straight leg raise - it is one of the first excercises done after hip or knee replacement surgeries, these are aimed at strengthening the leg and and restoring its full range of motion. it is easy to perform and gently stresses the hip joint as the rom is gradually increased

• lie on your back with your hips square and your legs laid out comfortably on the floor
• bend the knee of your non injured leg at 90 degree angle , planting the foot flatly on the floor
• stabilize the muscles on your straight leg by contracting your quadriceps
• inhaling slowly , lift the straight leg 6 inches off the ground
• hold for 3 sec
• exhaling slowly, lower the leg to the floor with control
• relax and repeat 10 times more

Quadricep sets- it can be done lying flat, sitting in a recliner , or leaning against a wall. you should feel your thigh and gluteus muscles during this excercise

• place a pillow lenghthwise under your knee
• pull your toe back and push your leg down to squash the pillow
• hold for 10 sec
• repeat upto 20 times

5.FWB (full weight bearing)- FWB is allowed and accomplished after 6 th wks of surgery