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Do they take you into the army with synovitis? Do they take you into the army with knee surgery? Diseases of the blood and blood-forming organs

Six months ago I had an injury knee joint, as a result of which I was diagnosed:
1) Combined gap medial meniscus, synovitis of the left knee joint. A small contusion lesion in the medial condyle of the femur (diagnosed by a doctor at the 1st regional hospital).
2) Old breakup internal meniscus, damage to the front cruciate ligament left knee joint. Synovitis (diagnosed by a doctor at city hospital No. 41).
Results of MRI examinations on the hands.

Will they take you into the army?

You can get free if there is dislocation/instability of the knee joint as a result of moderate physical activity. Or, if there is persistent contracture of the knee joint.

These knee joint problems are regulated in Article 65 of the Schedule of Diseases. The mere presence of a torn meniscus is not a basis for exemption from conscription, however, it may well be a basis for referral for an operation, in connection with which a deferment from conscription will have to be granted in accordance with Article 86 of the Schedule of Diseases - temporarily unfit (fitness category " G").

To be exempt from conscription, there must be a dysfunction of a large joint (knee joint). We look at paragraphs “b” and “c” of Article 65 of the Schedule of Diseases.

Point “b” includes:

Frequent (3 or more times a year) dislocations of large joints, resulting from minor physical exertion, with severe instability (looseness) or recurrent synovitis of the joint, accompanied by moderate atrophy of the muscles of the limbs;

Point “c” includes:

Rare (less than 3 times a year) dislocations of the shoulder joint, instability and synovitis of the joints due to moderate physical activity;

Osteomyelitis with rare (every 2-3 years) exacerbations in the absence of sequestral cavities and sequestra;

If your problems fall under at least one of the points of the article, you are subject to exemption from conscription (fitness category “B” - limited fit), enrollment in the reserves, and you must be given a military ID.

From the above special attention should be given:

Persistent contractures of one of the large joints with slight limitation of range of motion.

Deforming arthrosis in one of the large joints (the width of the joint space on an x-ray is 2-4 mm) with pain;

What is meant by persistent contracture of the knee joint with slight limitation of range of motion?

Contracture is a condition in which a limb cannot be fully flexed or straightened.

A minor limitation in the range of motion is determined in Table 3 of the Schedule of Diseases - called “Table for assessing the range of motion in the joints (in degrees)” (located under the main tables with the list of diseases).

For the knee joint, a slight limitation in range of motion is (in degrees):

Flexion - 60;

Extension - 175;

To determine the dysfunction of the knee joint, I advise you to consult an orthopedist.

Good afternoon

These knee joint problems are regulated in Article 65 of the Schedule of Diseases. The mere presence of a meniscus tear is not a basis for exemption from conscription, however, after the operation is performed, it is a basis for which a deferment from conscription will have to be granted in accordance with Article 86 of the Schedule of Illnesses - temporarily unfit (fitness category “G”). To be exempt from conscription, there must be a dysfunction of a large joint (knee joint). We look at paragraphs “b” and “c” of Article 65 of the Schedule of Diseases. Point “b” includes: - frequent (3 or more times a year) dislocations of large joints, resulting from minor physical exertion, with severe instability (looseness) or recurrent synovitis of the joint, accompanied by moderate atrophy of the muscles of the limbs; - deforming arthrosis in one of the large joints (the width of the joint space on an x-ray is 2-4 mm) with pain; Point “c” includes: - rare (less than 3 times a year) dislocations of the shoulder joint, instability and synovitis of the joints due to moderate physical activity; - osteomyelitis with rare (every 2-3 years) exacerbations in the absence of sequestral cavities and sequestration; - persistent contractures of one of the large joints with a slight limitation of range of motion. If your problems fall under at least one of the points of the article - you are subject to exemption from conscription (fitness category “B” - limited fit), enrollment in the reserve, you must be given a military ID. Of the above, special attention should be paid to: - persistent contractures of one of the large joints with a slight limitation of range of motion. - deforming arthrosis in one of the large joints (the width of the joint space on an x-ray is 2-4 mm) with pain;

What is meant by persistent contracture of the knee joint with slight limitation of range of motion?

Contracture is a condition in which a limb cannot be fully flexed or straightened. A slight limitation in the range of motion is determined in Table 3 of the Schedule of Diseases - called “Table for assessing the range of motion in the joints (in degrees)” (located under the main tables with the list of diseases). For the knee joint, a slight limitation in the range of motion is (in degrees): Flexion - 60; Extension - 175; To determine the dysfunction of the knee joint, I advise you to consult an orthopedist.

Deforming osteoarthritis of the knee joint and the army.

The requirements for arthrosis of the knee joint are regulated in Article 65 of the Schedule of Diseases. Point “b” includes: - deforming arthrosis in one of the large joints (the width of the joint space on the radiograph is 2-4 mm) with pain; Thus, to be exempt from conscription with arthrosis of the knee joint, the following must be present: - the width of the joint space on an x-ray is 2-4 mm (this is indicated by an orthopedist based on x-ray results); - presence of pain syndrome (presence of pain in the knee joint); In this case, the conscript is exempt from conscription, fitness category “B” - limited fit, enlisted in the reserve, and issued a military ID.

The meniscus is a layer of cartilage in the cavity of the knee joints, which acts as shock absorption and stabilization. There are two such layers in the knee joint - internal and external.

A meniscus tear usually occurs due to an indirect or combined injury, which is accompanied by external or external rotation of the tibia. inner side. The meniscus can also be damaged during excessive flexion and extension of the joints, abduction and adduction of the lower leg. IN in rare cases The cause is a direct blow to the kneecap.

With repeated injury, the disease can become chronic, which can cause a meniscus tear when squatting or turning sharply. Degenerative change meniscus often develop due to the presence of chronic microtraumas, rheumatism, chronic intoxication, gout.

This knee joint problem is regulated by Article 65 of the Schedule of Diseases. A violation in itself is not considered grounds for releasing a conscript from prison. military service. Meanwhile, if the meniscus ruptures, doctors give directions for surgery.

The operation, in turn, provides a deferment from conscription into the army on the basis of Article 86 of the Schedule of Sicknesses. The conscript is considered temporarily unfit for military service and belongs to fitness category “G”.

They can be completely exempt from military service if a conscript has a large knee joint damaged. This is specified in Article 65 Schedule of Diseases. Thus, the young man falls under point “B” or “C”.

Point "B" includes:

  • Frequent cases of dislocation of a large joint (more than three times throughout the year), which occur with little physical activity. Such joints are loose or have synovitis, which leads to atrophy of the muscles of the lower extremities.
  • on large joints, which is accompanied severe pain. Joint space at x-ray examination should show dimensions of 2-4 mm or more.

Point "B" includes:

  1. Rare, no more than three cases per year, dislocation shoulder joints. Such joints become loose and synovitis forms with little physical exertion.
  2. Osteomyelitis, which worsens no more than three times a year. In this case, sequestral cavities and sequestra are absent.
  3. Persistent contracture of one or another large joint, which has minor limitations in range of motion.

If the case of a conscript falls under at least one of the points described above, the young man is exempt from military service. The conscript is enlisted in the reserves and is issued a military ID.

What points should you pay special attention to?

It is especially necessary to pay attention if the patient has:

  • Persistent contracture of one or another large joint, which has minor limitations in range of motion.
  • Deforming arthrosis on large joints, which are accompanied by severe pain. An x-ray examination of the joint space should show dimensions of 2-4 mm or more.

Persistent implies a phenomenon in which the joints cannot fully bend and unbend. The table for assessing the range of motion of joints in degrees indicates the restrictions under which a conscript may not be accepted into the army. This table is located among the main tables, which contains a list of diseases for which military service is contraindicated.

According to this data, which is based on medical commission, the limitation of the range of motion of the knee joint during flexion is 60 degrees, and during extension – 175 degrees. To determine whether the knee joint has abnormalities, you need to seek the help of an orthopedic doctor.

With deforming osteoarthritis of the knee joints, you may be exempt from military service if:

  1. The width of the gap at the joint is 2-4 mm or more. The dimensions are indicated by the orthopedist based on the x-ray image.
  2. The patient feels strong pain syndrome in the area of ​​the knee joint.

The conscript is exempt from conscription into the army and assigned category “B”, as a result of which the young man is considered partially fit for service. The conscript is enlisted in the reserves and given a military ID.

Refusal of operation

Despite the fact that in the case of a meniscus tear, doctors give directions for surgery, the patient has every right give up surgical intervention. To do this, the conscript must write an application to the military commissariat.

The application is drawn up in free form and addressed to the doctor who supervises the medical examination of citizens subject to conscription. Also, the second application is sent to the head of the department of the military commissariat, who acts as the deputy chairman of the conscription commission.

As is known, the operation provides a deferment from conscription into the army on the basis of Article 86 of the Schedule of Sicknesses. In this regard, the conscript is considered temporarily unfit for military service and is awarded fitness category “G”.

The basis for refusing to carry out an operation may be the paragraph of the article federal law“On the basics of protecting the health of citizens in the Russian Federation.” Based on paragraph 3 of Article 20, a conscript has every right to refuse medical intervention.

If a young person is referred for surgery, this indicates the presence of any serious violations in the functioning of joints. For this reason, even if a conscript refuses surgical intervention, he is in any case given a deferment from military service and is awarded fitness category “G”.

According to Article 85 of the Schedule of Diseases, a conscript who has suffered an acute inflammatory disease joint is considered temporarily unsuitable for military service for six months from the date of completion of treatment.

If after this time the signs of inflammation after a serious joint disease have disappeared, the young man is considered fit for military service. If the operation is not performed, the conscript is assessed for suitability for the army based on the available data on the patient's condition at the time of the examination.

Any injury may cause a conscript to be released from the army if it leads to disruption of any bodily functions. Damage to the meniscus is no exception, but in order to receive a military ID with a similar basis, young man It is necessary to take into account several important nuances.

What you need to know about the meniscus

The meniscus is an elastic cartilage layer in the knee joint that performs several functions at once important functions: Reduces shock loads on the knee joints and reduces friction during movement. Therefore, it may seem that injury to such an important element of the knee leads to limited mobility of the joint, up to complete immobilization. In some cases this is true, but in most situations, even after removal of the cartilage layer, the young person can continue to engage in physical activity.

Loss of tissue integrity ranks number one among the causes of knee injuries. Athletes are especially susceptible to pathology. But with timely and proper treatment After rehabilitation, the patient can return to their previous lifestyle: already on the first day after surgery to remove the meniscus, a person can walk, and after 3-4 weeks the joints are completely restored. Therefore, the main nuance that needs to be taken into account when assessing your chances of enlisting in the reserve due to illness is your state of health at the time of conscription.

How will the injury affect your service?

If a young man injured his knee before or during recruitment, he is entitled to a deferment for a period of up to 6 months. The right to temporary release from the army is secured. The deferment is provided for the duration of the drug treatment or surgery and postoperative rehabilitation– up to full recovery functionality of the knee joint.

If the rehabilitation period is completed, members of the military medical commission make a decision on conscription based on current state young man's health. First of all, the answer to the question “whether someone with a torn meniscus is accepted into the army” is related to whether the pathology prevents the patient from leading a normal lifestyle.

In the practice of lawyers of the Conscript Assistance Service, we often encounter young people who can receive a military ID due to a knee injury. The fact is that removal of the meniscus can lead to the development of If the injury itself cartilage tissue is not considered by the Regulations on Military Medical Examination as a reason for exemption from military duty, then arthrosis of the knee joint is a serious reason for enlisting in the reserves. In this case, the conscript’s situation falls under Article 65 of the Schedule of Illnesses. Young men with deformed arthrosis, in which the width of the joint space is 2-4 mm, will not be accepted into the army.

Expert opinion

Conscripts who want to receive a military ID due to their health either do not know whether it is possible not to serve with their illness, or do not understand how to be exempt from conscription due to their diagnosis. Real stories conscripts who received a military ID, read in the "" section

Ekaterina Mikheeva, head of the legal department of the Assistance Service for Conscripts

In some cases, trauma can also lead to improper treatment or refusal to apply for medical care. In this situation, the citizen will also be examined under Article 65, but the conditions for obtaining a military ID will be different:

  • Instability of the knee joint II-III degree;
  • Instability with dislocations less than 3 times a year;
  • Instability, determined clinically and by radiology diagnostics.

If enough time has passed since the injury for complete rehabilitation, members of the draft commission recognize the young man as fit for service. With a completely healed meniscus tear, they are recruited into the army.

How to get a military ID?

When working with clients, the lawyers of the Conscript Assistance Service always adhere to one rule: in order to obtain a military ID, you need careful preparation for a medical examination. Take it into account and prepare medical documents confirming your right to enlist in the reserve due to illness. The first thing that must be presented to the members of the medical commission is: medical card with records confirming contact with a traumatologist or surgeon.

If the operation took place before the start of conscription activities, medical examination It is also necessary to take an extract confirming the fact of seeking medical help, photographs ultrasound examination knee and MRI.

With the development of gonarthrosis, a non-referral diagnosis can be confirmed by presenting X-rays, computed tomography or magnetic resonance imaging to the surgeon who is part of the medical commission.

The presence of instability is confirmed x-rays in lateral projection or by radiological diagnostic methods according to one of the following signs:

  • separation of the labrum;
  • bone defect articular surface shoulder blades;
  • bone defect of the head of the humerus;
  • displacement of articular surfaces.

The last caveat is that it is important to consider that the presence medical documents does not guarantee immediate enrollment. They are needed to familiarize the doctor with the health problems the young man has. Before setting the fitness category, the conscript will definitely be sent to additional examination from the military registration and enlistment office, where you will have to go through everything again necessary research. Only after completing the additional examination will it be clear whether they will take you into the army with a meniscus or enlist in the reserves.

With respect to you, Ekaterina Mikheeva, head of the legal department of the Assistance Service for Conscripts.

Scheuermann Mau spinal disease is one of the most common types of osteochondropathy. It is characterized by pathological kyphosis (curvature of the upper back). The disease develops in people under 35-40 years of age; the risk group is adolescents during puberty.

According to statistics, 5-10% of the world's population have pure Scheuermann Mau disease.

Doctors often confuse cervical syndrome and typical youthful stoop. The reason for this is the physiological similarity in symptoms, but in reality these are two different diseases.

Causes and symptoms

Scheuermann Mau back disease has a number of causes. The accuracy of their appearance is determined by the orthopedist.
One of the most common is postural incontinence and stooping, which cause sprains in the spinal ligaments.

During the period of intensive growth in adolescents, muscle weakness and strength exercises pumping them up only contributes to this.

Experts also do not exclude genetically congenital deformities, various injuries, paralysis and spinal infections.

For more information about Scheuermann Mau disease, watch the video:

In addition to stooping, Scheuermann Mau syndrome is characterized by:

  • Feeling of heaviness in the back. Over time, tingling pain in the vertebrae and shoulder blades may be added to the feeling of fatigue;
  • After a couple of years of “presence” of the disease, limited mobility is noticeable due to the fact that the thoracic spine is deformed and the vertebrae take on a “wedge” shape;
  • Displacement of joints, poor circulation (noticeable during physical activity);
  • In the worst cases, hunchback appears, which provokes a decrease in tidal volumes lungs.

Stages (degrees) of the disease

Doctors distinguish several levels of the disease, according to which they diagnose accurate diagnosis and forecast.

  1. Latent
    Adolescents aged 7 to 12 years are susceptible. It passes without noticeable symptoms; mild pain in the back is periodically felt. There are faint hints of stooping.
  2. Florida
    Develops in people between 12 and 20 years of age. Characterized by intense pain in the lumbar region, shoulder blades and thoracic. The spine may noticeably “fall out” backwards.
  3. Residual
    It occurs exclusively in adults and long-term carriers of the disease. Due to the fact that the spinal discs continue to shift, complete inelasticity in movements and structural kyphosis are possible. It is considered the most serious degree of the disease, as it is difficult to cure.

To determine the stage and complexity of the disease, the doctor conducts a series of examinations and x-rays.

Typically, the examination of the patient consists of tilt tests, during which the orthopedist can study the specifics of the curvature and the angle of kyphosis, then visualization of the spinal column using X-rays is prescribed.

The latter provides a final picture with all the information about problems and forecasts.

In rare cases, the doctor may perform a sensitivity test and examination respiratory functions(in severe cases) if the disease has caused a number of breathing problems.

Treatment

After the orthopedist confirms the presence of postural disorders and muscle tension, a course of treatment is prescribed. According to classification, it can be conservative or with surgical intervention. Unfortunately, therapy is not easy or quick.
In addition to the appointment medicines, like vitamin D, homeopathic medicines and chondroprotectors (ineffective if the cartilage is intact), the first type of treatment includes various types of massages and exercises.
For more information about the treatment of Scheuermann Mau disease, watch the video:

The doctor may recommend a corset or bandage, but expert reviews of the Scheuermann Mau treatment say that they are ineffective (the back muscles are not used and continue to atrophy).

The most effective techniques in conservative treatment Scheuermann's Mau disease is considered to be exercises to support the spinal muscles, designed to fix posture (you should consult your doctor or a qualified rehabilitation trainer about this), sleeping “on boards” (hard surface), in some cases it is permissible to use painkillers to relieve discomfort.

  • massages;
  • manual therapy;
  • attending physiotherapeutic events (outdoor yoga, exercise therapy sections);
  • gymnastics for post-isometric muscle relaxation.

In extreme cases (tumor, curvature at a sharp obtuse angle, resulting breathing problems and heartbeat), doctors resort to surgery. The intervention consists of installing metal structures made of rods and plates on the spine.

This type of implant allows you to correct critical condition spinal column to healthy.

Injections of maintenance medications and vitamin supplements are possible both during the hospitalization period (on average 8–11 days) and postoperatively.

Prevention, further forecasts

To prevent the occurrence or recurrence of Scheuermann syndrome, Mau is prescribed therapeutic exercises. The purpose of the exercises is to strengthen the muscles of the trunk, minimize harmful effects on the spine and maintain posture. To avoid osteochondropathy, you should not practice sports that involve significant physical activity. Intense running – including.

Swimming, light cycling, yoga, and race walking are safe options to keep your body in shape.
It is important to choose quality food natural food, avoid harmful additives. Very important element prevention is considered to be present in the diet sufficient quantity calcium, protein and vitamin-amino acid complexes.

Most patients are interested in the following questions: “Do people with Scheuermann’s disease take Mau into the army?” and “Does Scheuermann’s kyphosis threaten Mau with disability?”

  1. Are they joining the army? Yes, if provided timely treatment and the pathology has disappeared, the person can be considered fit for service. Otherwise, he is not allowed to participate in military exercises. Also, if the diagnosis is confirmed, the patient may be contraindicated for admission to maritime and flight schools.
    For information on the legal intricacies of conscripting young people suffering from Scheuermann-Mau disease, watch the video:
  2. There is no exact information regarding disability. Associations of doctors write that this disease cannot become a basis for assigning the status of “disabled person.” On the other hand, the disease affects the full range of movements, and if the operation is performed incorrectly, the outcome of Scheuermann Mau for an adult or child can be sad.

Remember that 80% of success depends on how timely you consult and begin to fight back the course of the disease!