The importance of applying early rehabilitation after meniscotomy to adolescents

B. Balov ,
B. Balov
M. Milenkovic ,
M. Milenkovic
Z. Stojanovic ,
Z. Stojanovic
N. Savic
N. Savic

Published: 01.06.2015.

Volume 44, Issue 2 (2015)

pp. 89-91;

https://doi.org/10.5937/pramed1502089b

Abstract

Meniscus injuries occupy an important place among damages to the knee joint and are crucially important for athlets. Arthroscopy is a method of choice in both diagnostic as well as therapeutic treatment. After the intervention, it is necessary to start physical tretmeant as soon as possible. The study presents the treatment of 14 year old female patient, who started physical therapy five days after the removal of part of the lateral meniscus. Procedures involved electrical and kinesy therapy. Within the kinesy treatment static contractions were included, lymphatic drainage, and also passive exercises in order to increase range of motion. In the end, exercises against resistance were conducted to strengthen the musculature. After one month of therapy the treatment was completed, and patient was advised to continue strengthening the musculature at home. During the last examination the absence of swelling was noted, with painful sensitivity and limited motion in the knee. The MMT score for qvadriceps femoris was 4. The patient was advised to start with the lighter recreative activities. Arthroscopic meniscotomy is relatively rare intervention with adolescents, which was the motive for displaying this case. Applying early rehabilitation is fully exploited regenerative potential of this age and the optimal time for patients to return completely to usual activities.

Keywords

References

1.
Mintzer C, Richmond J, Taylor J. Meniscal repair the young athlete. Am J Sports Med. 1998;(26):630–3.
2.
Bonneux I, Vandekerchove B. Arthroscopic lateral meniscectomy long term in athletes. Acta ortopedica Belg. 2002;(4):356–61.
3.
Magee D. Orthopedic Physical Assessment.
4.
Dašić Ž, Radoičić D. Arthroscopic partial medial meniscectomy. Vojno sanitetski pregled. 2011;(9):774.
5.
Osti L, Liu S, Raskin A, Merlo F. Partial lateral meniscectomiy in athletes. Arthroscopy. 1994;424–30.
6.
St, Pierre D, Laforest S. Isocinetic rehabilitation after orthoscopic meniscectomy. Eur J Appl Physical. 1992;437–43.
7.
Barber F, Coons D. Midterm results of meniscal repair using the BioStinger meniscal repair device. Arthroscopy. 2006;(4):400–5.
8.
Morrissey M, Milligan P, Goodwin P. Evaluating treatment effectiveness:Benchmarrks for rehabilitation after partial meniscectomy knee arthroscopy. Am JPhyls Med Rehab. 2006;(6):490–501.
9.
Bajec. Artroskopski posegi v kolenu kat diagnostic;na in terapevtska metoda. 2004;
10.
Koutras G. A randomized trial of isokinetic versus isotonic rehabilitation program after arthroscopic meniscectomy. International journal of sports physical therapy. 2012;(1):31.
11.
Reid D, Rydwanski J, Hing ;, White ; The effectiveness of post-operative rehabilitation following partial meniscectomy of the knee. Physical Therapy Reviewes.feb. 2012;(1):45–54.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by