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MRI signs of a rupture of the posterior horn of the internal meniscus. Damage to the horns of the medial meniscus

Damage to the posterior horn of the 2nd degree according to Stoller is a frightening and incomprehensible formulation of the diagnosis, which hides a common type of knee injury. There is one encouraging truth in such a diagnosis: joints can always be treated at any age.

Where is the meniscus and its posterior horn located?

The knee joint is the largest and most complex of all joints. The menisci, also known as interarticular cartilage, are located inside the articular capsule and connect the femur and tibia to each other. When walking or other movement, interarticular cartilage acts as a shock absorber and softens shock loads transferred to the body and in particular to the spine.

There are only two types of menisci in the knee joints: internal (scientifically medial) and external (lateral). The interarticular cartilage is divided into the body and the horn: anterior and posterior.

Important! Playing a shock-absorbing role, the menisci are not fixed and shift when the joint is flexed and extended in the required direction. Only the internal meniscus has impaired mobility, and therefore it is most often damaged.

The results (of the posterior horn of the medial meniscus) are irreversible in terms of regeneration, since these tissues do not have their own circulatory system and, therefore, do not have this ability.

How is the meniscus damaged?

Injury to the interarticular cartilage can occur in a variety of ways. Conventionally, damage is divided into two types.

Attention! Signs of knee damage may be similar across different illnesses or injuries. To make a more accurate diagnosis, you should consult a doctor; you should not self-medicate.

Degenerative damage to the internal meniscus

The meniscus is damaged as a result of the following factors:

Chronic microtraumas are mainly characteristic of athletes and people with physically difficult work.
Age-related wear of cartilage plates.
Getting injured two or more times.
Chronic diseases.

Diseases leading to degenerative damage to the internal meniscus:

rheumatism;
arthritis;
chronic intoxication of the body.

A distinctive signal of this type of injury is the age of patients over 40 years old, excluding athletes.

Symptoms

The clinical picture of damage to the posterior horn of the meniscus has the following features:

Injury can occur spontaneously from any sudden movement.
Persistent, continuous aching pain that increases with joint movement.
Slow increase in swelling above the kneecap.
Locking of the knee joint is possible, resulting from a sudden movement, that is, flexion-extension.

The symptoms are expressed rather weakly, and the degree of degenerative changes in the cervical tumor according to Stoller can only be determined after an X-ray or MRI image.

Traumatic damage to the MRMM

Based on the name, it is not difficult to understand that the cornerstone is a knee joint injury. This type of injury is typical for the younger age category of people, that is, under 40 years of age. occur in the following cases:

when jumping from high;
when landing sharply on your knees;
torsion on one leg leads to rupture;
running on uneven surfaces;
subluxation of the knee joint.

You can independently determine the injury of the cervical mucosa, regardless of the level of the pain symptom, using the following techniques together:

Bazhov's technique. During extension of the joint and when pressing on the back side of the kneecap, the pain intensifies.
Land's sign. In a supine position, the palm of the hand should pass under the injured knee with gaps - freely.
Turner's sign. The sensitivity of the skin around the knee increases.

Painful sensations come in three degrees of severity, with accompanying symptoms.

Mild 1st degree. There is no obvious pain, no restrictions in movement are felt, only with certain loads a slight increase in pain is felt, for example when squats. There is slight swelling above the kneecap.
Moderate 2nd degree of severity. Accompanied by severe pain. The patient walks with a limp, with periodic blocking of the knee joint. The position of the leg is only in a half-bent state; it is impossible to straighten the leg even with help. The swelling intensifies, the skin takes on a blue tint.
3rd degree of severity. The pain is unbearable and sharp. The leg is bent and motionless, there is severe swelling of a purple-violet color.

Even with a detailed description of complaints and symptoms, the patient is sent for an image. It is possible to assign a Stoller grade to a meniscus injury only with the help of an MRI machine. This is due to the impossibility of direct inspection.

Degree of damage to ZRMM and Stoller classification

A tomographic examination using an MRI machine according to Stoller does not require special preparation. Despite the rather high cost, the method is informative, and this irreplaceable research cannot be neglected.

Important! MRI cannot be performed if you have a pacemaker or a metal artificial implant. All metal objects (piercings, rings) must be removed before the study. Otherwise, the magnetic field will force them out of the body.

Damage is classified into 3 degrees of change according to Stoller.

First degree. It is characterized by the appearance of a point signal in the interarticular cartilaginous plate. A slight violation in the structure of the meniscus.
The second degree includes a linear formation that has not yet reached the edge of the meniscus. ZRMM crack.
Third degree. Stage 3 is characterized by a tearing signal reaching the very edge of the meniscus, in other words it.

The accuracy of MRI data in diagnosing rupture of the spinal cord is 90-95%.

Treatment of damaged MRMM

Basically, temporary disability occurs during the treatment period. The sick leave period can last from several weeks to four months.
Basically, if the MRMM ruptures, it cannot be done without surgical intervention; treatment is carried out using the whole or a broken part of it. This operation is called meniscectomy. Only a few small incisions are made on the knee; open manipulation is performed in extremely rare cases.

In case of minor damage to the MRMM, the treatment cycle will look approximately as follows:

Long rest using elastic bandages and various compresses.
Surgery that corrects the functions of tissues and organs.
Physiotherapy.

The rehabilitation period is reduced to the relief of pain symptoms with an emphasis on reducing swelling and normalizing the motor activity of the injured organ. For a complete recovery, you need to be patient, since the rehabilitation period can last quite a long time.

Injury to the medial meniscus of the knee, the treatment of which will depend on the severity, is a common injury. The cartilage layer that is located inside the knee is called the meniscus, there are 2 types - medial (internal) and lateral (external). They perform shock-absorbing and stabilizing functions.

The knee joint is one of the most complex and bears the greatest load. Therefore, meniscus damage is a very common occurrence. According to statistics, more than 70% of damage occurs precisely there. Athletes involved in athletics, skiing and speed skating are at risk. However, a similar injury can be obtained at home by performing simple exercises.

The most common and dangerous type of injury to the medial meniscus of the knee joint is a tear. There are 3 forms of it:

Rupture of cartilage tissue itself.
Rupture of the fixing ligaments.
Rupture of a pathologically altered meniscus.

When the medial meniscus is damaged, not only unpleasant sensations appear, but also severe pain, especially when extending the knee. This symptom also appears when the body of the medial meniscus is torn. In addition, the patient may notice unexpected shooting sensations in the injured knee.

Dorsal horn ruptures are a complex injury that involves locking, buckling, and slipping of the knee. By type, such breaks can be radial, horizontal or combined.

With a horizontal rupture of the posterior horn of the medial meniscus, the mobility of the knee joint is blocked due to the separation of its tissues. Radial rupture is characterized by the formation of oblique and transverse tears of cartilage tissue. A combined rupture of the posterior horn combines signs of radial and horizontal injury.

A rupture of the posterior horn of the medial meniscus of the knee joint is accompanied by certain symptoms, which depend on the form of the injury and have the following characteristics:

acute pain;
interstitial hemorrhage;
redness and swelling;
blocking of the knee joint.

If an acute injury becomes chronic, the pain syndrome manifests itself only with significant physical exertion, and during any movement a cracking sound is heard in the joint. An additional symptom is the accumulation of synovial fluid in the cavity of the damaged joint. In this case, the cartilage tissue of the joint exfoliates and resembles a porous sponge. Injuries to the anterior horn of the medial meniscus or its posterior part occur much less frequently. This is due to its least mobility.

Experts identify the following as reasons leading to rupture of the cartilage tissue of the posterior horn:

acute injury;
congenital weakness of ligaments and joints;
active walking;
frequent and prolonged squatting;
excessively active sports;
degenerative changes in the posterior horn of the medial meniscus.

Degenerative changes in the medial meniscus often occur in older people. In addition, if acute injuries are not treated, they become degenerative. The signs of such changes are different - these are the formation of cysts filled with fluid, and the development of meniscopathy, as well as cartilage separation and ligament rupture.

Diagnosis and treatment

To diagnose knee joint injuries, instrumental methods are used such as:

Ultrasound can reveal signs of damage to the medial meniscus, determine the presence of torn fragments, and see whether there is blood in the cavity of the knee joint.
X-ray with contrast allows you to identify all possible defects from the inside.
MRI reliably reveals all damage associated with rupture of the cartilage layer of the knee joint.

After diagnosis, optimal treatment methods for the posterior horn of the medial meniscus are selected. Treatment for a medial meniscus injury depends on where the tear occurs and its severity. Based on this criterion, there are 2 types of treatment: conservative and surgical. It is advisable to use conservative or therapeutic methods of treatment in cases where there are minor injuries and ruptures. If such treatment measures are carried out in time, they turn out to be quite effective.

The first step is to provide care for an injury, which includes resting the injured person, applying a cold compress to the injury site, providing pain relief with an injection, and applying a plaster cast. Conservative treatment takes a long period of time and involves the use of painkillers and anti-inflammatory drugs, as well as physiotherapy and manual therapy.

If the damage and tear are severe, the medial meniscus must be treated through surgery. If possible, surgeons try to preserve the damaged meniscus using various manipulations. There are the following types of operations for the treatment of a tear of the medial meniscus of the knee joint:

The most suitable method is selected by the surgeon.

Rehabilitation period

An important stage in the treatment of such injuries is the restoration of normal functioning of the joint. The rehabilitation process should be supervised by an orthopedist or rehabilitation specialist. During the recovery process, the victim is shown a set of the following procedures:

physical therapy;
physiotherapeutic procedures;
massage;
hardware methods for joint development.

Rehabilitation activities can be carried out both at home and in a hospital. However, being in a hospital would be preferable. The duration of the rehabilitation course is determined by the degree of damage and the type of treatment performed. Typically complete recovery occurs after 3 months.

During the rehabilitation process, it is important to relieve the swelling that forms inside the joint as a result of surgery. Swelling can persist for a long time and interfere with the complete recovery of the joint. To eliminate it, the use of lymphatic drainage massage will be effective.

A tear of the posterior horn of the medial meniscus, despite its severity, has a favorable prognosis if the main condition is met - timely treatment.

The prognosis becomes less favorable if a horizontal tear of the medial meniscus is accompanied by concomitant severe injuries.

A rupture of the posterior horn of the medial meniscus is a consequence of an injury that occurs both in athletes or those who lead an active lifestyle, as well as in elderly people suffering from other concomitant diseases (for example, arthrosis).

To find out what the features of such damage are, you need to understand what the meniscus actually is. This concept refers to a specific cartilage layer in the knee joint that performs shock-absorbing functions. It includes the posterior horn, the anterior horn, the body, and is not only medial (internal), but also lateral (external). But an injury to the medial meniscus (more specifically its posterior horn) is the most dangerous, as it is fraught with serious complications and serious consequences.

Both cartilaginous layers - external and internal - are C-shaped and differ significantly from each other. Thus, the lateral meniscus has an increased density, it is quite mobile, due to which it is not injured so often. As for the inner inlay, it is rigid, therefore, rupture (or other injuries) of the medial meniscus are much more common.

Part of the meniscus includes a capillary network that forms the “red zone”. This part, located on the edge, is characterized by high density. In the center there is the thinnest area (the “white zone”), in which there are no vessels at all. When a person injures the meniscus, the first thing to do is determine which element was torn. By the way, the “living” area of the meniscus recovers better.

Pay attention! Doctors once believed that removing a torn meniscus could save a person from all troubles. But now it has been proven that both menisci play a very important role in the joint - they protect it, absorb shocks, and complete removal of one of them leads to early arthrosis.

The main reasons for the appearance

Now experts point to only one reason for the rupture – acute injury. This is explained by the fact that no other impact on the joint can cause damage to the cartilage responsible for shock absorption.

It is also worth noting that the following risk factors predispose to rupture:

congenital joint weakness;
regular jumping, running on uneven surfaces;
injuries resulting from degenerative diseases;
rotational movements performed on one leg without lifting it off the ground;
long-term squatting;
intense walking.

The posterior horn of the medial meniscus can be damaged for reasons other than acute trauma.

Symptoms of damage

Treatment of the described injury can be conservative or surgical. Let's look at the features of each of them.

Conservative treatment

Primary meniscus damage is treated with therapeutic methods. Of course, in some cases after injury, patients require emergency surgery, but often conservative therapy is sufficient. The treatment procedure itself in this case consists of several stages (we repeat - if the gap is not chronic).

Stage 1. Reposition. If a joint is blocked, it must be realigned. Here, manual therapy or, alternatively, hardware traction is especially effective.

Stage 2. Elimination of edema. For this, doctors prescribe a course of anti-inflammatory medications.

Stage 3. Rehabilitation. The rehabilitation course includes massages, physical therapy and physiotherapy.

Rehabilitation course

Stage 4. Recovery. The most important, but also the longest stage of treatment. Often, chondroprotectors and hyaluronic acid are prescribed to restore the meniscus. The long course can last from three to six months, it is carried out once a year.

Pay attention! A rupture of the posterior horn is accompanied by acute pain, so the patient is also prescribed painkillers. There are quite a lot of them - ibuprofen, paracetamol and others. As for the dosage, it should be prescribed exclusively by the attending physician!

In some cases, a cast is applied to the injured knee. The need for plaster is determined by the doctor in each specific case. After realignment of the knee joint, immobilization is carried out for a long time at the required angle, and rigid fixation in this case helps to maintain the correct position.

Surgical methods of treatment

During surgical treatment, specialists are guided by one principle - we are talking about the safety of the organ and its functionality. Surgery is performed only when other treatment methods are ineffective. First, the organ is tested to see if it can be sutured (this is often relevant in cases of “red zone” injury).

Table. Types of operations used for meniscal tears

Name	Description
Arthrotomy	A rather complex procedure aimed at removing the meniscus. If possible, it is advisable to avoid arthrotomy, especially since many modern doctors have abandoned it altogether. This surgery is actually necessary if the patient has extensive damage to the knee.
Cartilage stitching	The operation is performed using a miniature video camera (arthroscope), which is inserted through a puncture in the knee. An effective outcome is possible only in a thick “living” area, i.e. where the probability of fusion is high. We also note that this operation is performed only on “fresh” injuries.
Partial meniscectomy	Removal of the damaged area of the cartilage layer, as well as restoration of the remaining part. The meniscus is trimmed to an even state.
Transfer	There is nothing special to explain here - the patient is transplanted with an artificial or donor meniscus.
	The most modern treatment method, characterized by low trauma. The procedure consists of making two small punctures in the knee, through one of which the above-mentioned arthroscope is inserted (at the same time, saline solution is injected). Using the second hole, the required manipulations with the knee joint are performed.

Video – Arthroscopy of the medial meniscus

Rehabilitation

One of the most important stages of treatment is the restoration of joint functionality. You need to know that rehabilitation should take place exclusively under medical supervision. A doctor - an orthopedist or a rehabilitation specialist - individually prescribes a set of measures to promote faster restoration of damaged tissues.

Pay attention! The rehabilitation course can take place at home, but it is advisable to do it in a hospital setting, where there is equipment for physical therapy.

In addition to exercises, during the rehabilitation period massages and hardware recovery methods are prescribed, associated with dosed loads on the joint. This helps stimulate muscle tissue and develop the limb. As a rule, functionality is restored within a few months after surgery, and you can return to your previous life even earlier (even a month later).

The main difficulty of the rehabilitation period is considered to be intra-articular swelling, due to which rapid restoration of functions is impossible. Swelling is eliminated with lymphatic drainage massage.

Pay attention! As a result, we note that with proper and, more importantly, timely treatment, the prognosis for rupture of the posterior horn is very favorable. And this is not surprising, because in modern orthopedics there are many effective methods.

The most common knee injury is a meniscal injury. The meniscus can be damaged due to combined or indirect knee injury. Typically, a meniscus injury is accompanied by an outward rotation of the tibia (the internal meniscus suffers), a sharp extension of the bent joint, as well as a sharp change in the position (adduction or abduction) of the tibia. One of the most difficult knee injuries is a rupture of the posterior horn of the internal (medial) meniscus.

Between the tibia and femur in the knee joint there are crescent-shaped cartilaginous layers - menisci. They are designed to increase stability in the joint by increasing the contact area of the bones. There is an internal (so-called medial) meniscus and an external (lateral) meniscus. Conventionally, they are divided into three parts: anterior, middle, posterior (anterior horn, body, posterior horn, respectively).

The back of the meniscus does not have its own blood supply; it is nourished by synovial fluid, which constantly circulates. Therefore, if a tear occurs, the back of the inner meniscus is not capable of healing on its own. Since this injury is very painful, it requires immediate treatment.

In order to correctly diagnose a meniscal tear, having previously accurately determined the severity and degree of complication, an MRI or X-ray examination of the knee with contrast is used.

Symptoms of a meniscus tear

Traumatic ruptures. After the rupture occurs, pain appears and the knee swells. If pain occurs when descending stairs, then most likely there is a tear in the back of the meniscus.

When the meniscus ruptures, part of it comes off, begins to dangle and interferes with movements in the knee joint. If the tears are small, they usually cause a feeling of difficulty moving or painful clicking. In the case of a large tear, the joint is often blocked. This occurs because the torn and loose portion of the meniscus, which is relatively large in size, moves toward the center of the joint and interferes with some movements. If the posterior horn of the meniscus is torn, knee flexion is usually limited.

When a meniscus ruptures, the pain can be so severe that a person cannot step on his leg, and sometimes the rupture only makes itself felt by pain during certain movements, for example, when climbing stairs. In this case, the descent may not cause pain at all.

If it happened sharp rupture with simultaneous damage to the ligament, the swelling usually develops faster and is more pronounced.

Degenerative (or chronic) tears usually occur in people after forty years of age. Increased pain and swelling cannot always be detected, since they develop gradually. It is not always possible to find evidence of injury in the health history, and sometimes a rupture may appear after simply getting up from a chair. Also at this moment, blockade of the joint may occur, but usually chronic ruptures manifest themselves only in the form of pain. It is worth noting that with such a rupture of the meniscus, the adjacent cartilage that covers the femur or tibia is often damaged.

Like acute tears, chronic tears can manifest themselves in completely different ways: sometimes the pain appears only with a certain movement, and sometimes the pain makes it impossible to even step on your foot.

Treatment of meniscus tears

If it is definitely established that a meniscus tear has occurred in the knee, then treatment for such an injury is carried out in a medical hospital. Treatment is prescribed by a doctor depending on the nature of the injury and its severity. If the meniscus is slightly damaged, then conservative treatment methods are usually used - physiotherapy or manual therapy, medications (painkillers and anti-inflammatory drugs).

If the rupture is severe, causes severe pain, or leads to joint blockade, then surgery is necessary to suture the meniscus (if serious irreversible damage has occurred) or remove it (meniscectomy). They try to perform surgical intervention using an arthroscope using a minimally invasive technique.

Orthopedic traumatologist of the first category, specialist in foot surgery, RUDN University, 2008.

A rupture of the posterior horn of the medial meniscus of the knee joint is an injury that can occur in any person, regardless of lifestyle, gender or age. Typically, such damage occurs due to excessive stress on the kneecap.

When a rupture occurs, conservative therapy or surgical intervention is required, depending on the degree of injury. Alternative medicine is also used to restore cartilage tissue. Any treatment should be used only as prescribed by a specialist. Independent measures will lead to a worsening of the condition and a change in the nature of the pathology to chronic.

The meniscus is the articular tissue of the kneecap. It is located between two bones and ensures their smooth sliding. Thanks to this tissue, a person can flex and extend the knee. Any damage to the joint tissue can lead to blocking the motor function of the cup.

There are two types of meniscus:

Lateral. Another name is external. This tissue is the most mobile. For this reason, lateral meniscus injuries are the least common.
Medial. Another name is internal. It is a cartilaginous layer that is connected to the bones of the patella by ligaments. It is located on the side of the inside. The medial meniscus is injured much more often than the lateral one. Usually its damage is accompanied by injury to the corresponding ligaments, in particular, the posterior horn is often affected. Therapy is prescribed by a doctor only after examining the patient and determining the nature of the damage.

Dorsal horn rupture

Damage of this kind is most often observed in athletes. However, this injury can also occur in people who are not involved in sports. Any person can receive damage of this kind in certain situations, for example, when trying to bend someone from a place in length or when falling from their own height.

People over 40 years of age are at risk, since at this age joint tissue begins to deteriorate.

There are several forms of rupture. It is important to determine the type of injury, as well as where exactly the injury occurred. The therapeutic measures prescribed by the doctor depend on this.

Forms of rupture:

Depending on the nature of the damage, the doctor may prescribe a cast, realignment of the joint, drug therapy or surgery.

Reasons for the breakup

Dorsal horn rupture usually occurs due to trauma. Damage occurs for many reasons - a blow, a fall, a sudden movement. However, experts also identify other factors that cause a gap:

Weakness of the joints, which accompanies a person from birth and cannot be corrected or restored;
Damage due to degenerative pathologies;
Playing sports, in particular, leads to rupture by running, especially on uneven roads, as well as jumping, especially from a standing position;
Fast walking;
Habit of squatting;
Rotations on one leg.

Symptoms of a posterior horn rupture

The rupture is accompanied by the following symptoms:

Acute pain in the injured area that does not go away even when the person does not move;
Bleeding inside the injured tissue;
Lack of knee mobility;
Swelling of soft tissues in the damaged area;

In the absence of qualified therapy, the injury becomes protracted. In particularly advanced situations, the disease becomes chronic.

Signs of damage to the rupture of the posterior horn of the medial meniscus in this case will be as follows:

Pain syndrome during physical activity;
A characteristic sound when the knee moves;
Swelling of soft tissues in the damaged area.

When performing the study, the specialist will see tissue delamination and a change in structure - it becomes more porous.

Trauma therapy

Only timely, qualified therapy will help prevent the occurrence of a chronic form of pathology. Lack of treatment leads to an irreversible change in the structure of the joint, as a result of which it is completely blocked and arthrosis develops. For this reason, when the first symptoms of a rupture occur, it is not recommended to solve the problem yourself, but should consult a specialist.

The doctor prescribes therapy only after conducting appropriate research and determining the nature of the pathology.

There are three types of treatment for this injury: conservative therapy, surgery and alternative medicine, but the latter method is usually prescribed as a concomitant therapy that accelerates the process of restoration of cartilage tissue. Only a specialist can decide which method is most appropriate.

Conservative treatment method

At the early stage of an acute rupture of the posterior horn of the medial meniscus, the doctor usually prescribes drug therapy. The patient is prescribed the following medications:

If an injury has caused your knee to lose mobility, your doctor may prescribe manual therapy to realign the joint. To solve the problem, 3-4 procedures are usually required.

At the doctor's discretion, the patient may be given a cast. This will help fix the knee in one position, which helps restore cartilage tissue.

During therapy, the patient is prescribed complete rest. At first, any movements are contraindicated. It can take up to 2 months for an injured joint to recover. However, therapeutic exercises are recommended to be done on the 7th day from the start of treatment.

In a month to a month and a half, the joint tissue grows together. However, the full recovery period takes much longer. Rehabilitation may take six months. During this time, any excessive physical activity is contraindicated for the patient.

There are other conservative methods for treating a rupture of the posterior horn of the medial meniscus, but they are prescribed after the main therapeutic course:

Physiotherapy;
Therapeutic massage;

Traditional methods of therapy

Treatment of a rupture of the posterior horn of the medial meniscus of the knee joint can be carried out using alternative medicine. However, it is advisable to use such products only in conjunction with traditional medications to increase the effectiveness of therapy.

Experts advise the use of compresses and rubbing, which help restore cartilage tissue, reduce swelling and have anti-inflammatory and analgesic agents.

Fresh burdock leaves – 1 pc.;
Elastic bandage – 1 pc.

Burdock leaves are applied to the affected joint and secured with an elastic bandage. The compress is kept for 4 hours. The procedure is performed daily until recovery. As an alternative to fresh burdock leaves, you can use the dried plant.

It is recommended to soak the leaves in hot water for a few minutes before use. After this, the plant is laid out on a piece of gauze. The compress is fixed on the damaged area for 8 hours. The procedure is also carried out daily until the condition improves.

Required components:

Bee honey – 1 part;
Alcohol – 1 part.

The products are mixed until smooth and kept over the steam of boiling water until the preparation becomes warm. The mass is placed on the problem area, wrapped in natural wool material on top and the compress is fixed with an elastic bandage. The product is kept for 2 hours.

To prepare the product you will need:

Chopped wormwood – 1 large spoon;
Water – 1 glass.

The plant is poured with boiling water and left to infuse for 60 minutes. After this, the product is filtered and soaked in a piece of gauze. The compress is fixed on the problematic knee and kept for half an hour. The manipulation is repeated daily until recovery.

Surgery

Sometimes, when the posterior horn of the medial meniscus is torn, surgery is prescribed. This is true if the injury is accompanied by separation of the joint capsule.

Most often, the patient is prescribed arthroscopic surgery. With this type of surgery, healthy tissues receive minimal trauma. The operation is carried out behind closed doors. The surgeon makes two punctures and inserts a device into the knee joint to determine the nature of the injury.

Depending on the degree of damage, the joint capsule is amputated completely or partially. If a severe rupture occurs, the patient may be prescribed suturing. After surgery, the doctor prescribes appropriate anti-inflammatory and restorative drugs.

When the operation is performed, the patient is left in the hospital for 4 days. Such a short period of the patient’s stay in a clinical setting is due to the fact that the surgical intervention practically does not damage healthy tissue and quickly solves the existing problem.

Only a doctor can understand whether surgery is required or not, and also determine what kind of surgical intervention will be required. The decision is made depending on the type of injury, the severity of the injury, age and other subjective characteristics of the patient.

After surgery there is a recovery period. It usually takes 4-6 weeks. During this time, the patient is transferred to an outpatient setting and appropriate medications are prescribed. After a week, you can start physical therapy. The exercises are prescribed by the doctor.

Any injury to the musculoskeletal system requires treatment. The first thing that is recommended to do when damage is detected is to consult a doctor.