Runny nose

Will they take me into the army if I have a combined tear of the medial meniscus and synovitis of the left knee joint? Causes and methods of treating synovitis of the knee joint What points should you pay special attention to?

Today we offer an article on the topic: “Do people with arthritis join the army?” We tried to describe everything clearly and in detail. If you have any questions, ask at the end of the article.

Exemption from the army is determined according to the Schedule of Diseases, which includes arthritis, but with the caveat: “Chronic forms reactive arthritis in the absence of exacerbation of the disease for more than 5 years and without dysfunction of the joints, do not constitute a basis for the application of this article, do not interfere with the passage of military service, admission to military educational institutions and schools,” that is, from this Schedule it follows that if there are no exacerbations for 5 years, and the functions of the joints are not impaired, then you can serve. The specified Schedule of Diseases is established in the annex to the Regulations on Military Medical Examination, approved by Government Resolution Russian Federation dated February 25, 2003 No. 123 HEALTH REQUIREMENTS FOR CITIZENS SUBJECT TO INITIAL MILITARY REGISTRATION, CITIZENS SUBJECT TO CALL-UP FOR MILITARY SERVICE (MILITARY TRAINING), CITIZENS ENTERING FOR MILITARY SERVICE

CONTRACT SERVICE

CITIZENS ENTERING SCHOOLS, MILITARY EDUCATIONAL INSTITUTIONS, MILITARY SERVANTS, CITIZENS STAYING IN THE RESERVE OF THE ARMED FORCES OF THE RUSSIAN FEDERATION (as amended by Decree of the Government of the Russian Federation of December 31, 2004 No. 886)

Good day, I have had 2 operations on the knee joint, during the first operation a fragment of the meniscus was removed, a year later I split the patella, which was then fastened with 3 bolts, they are not visible on the X-ray, but they are distinguishable visually, the knee is completely does not bend, periodically aches, I have kept the hospital discharge notes, am I fit for duty?

Collapse

Victoria Dymova

Support employee Pravoved.ru

“Schedule of diseases” in the new edition

The list of diseases that are not allowed into the army is constantly updated by the country's military leadership. Started operating in 2014 new edition, which also applies to the next years 2015-2017.
Diseases classified as category D are those in which the conscript is completely and completely released from the army.

The official document, which lists all the diseases, is called the “Schedule of Diseases,” of which there are more than two thousand. WITH full list Diseases for which you can receive an exemption or temporary deferment can be found below.

In particular, category D includes:

Diseases of the musculoskeletal system – severe scoliosis, grade 3 flat feet and others;

Gastrointestinal diseases - all types of ulcers, polyps, etc.; - heart disease; - neurological diseases– epilepsy, consequences of severe injuries, paralysis; - diseases of the urinary system – nephritis, pyelonephritis, urolithiasis; - tuberculosis; - endocrine diseases– diabetes, obesity; - pathologies of the organs of vision; - insufficient physical development; - enuresis; - food allergy.

Having found his illness in the “Schedule”, the conscript can determine whether he will have complete freedom from performing “civic duty” or whether he can receive a deferment.

Below is a more detailed consideration of each item on the illness schedule for conscripts. So, below are broken down into subsections the diseases for which the conscript will either be given a deferment until cured and re-examined, or will not be accepted into the army at all. This is already decided by a medical commission depending on the severity of the disease.

Infectious diseases

tuberculosis of the respiratory system and other systems;
leprosy;
HIV infection;
syphilis and other sexually transmitted infections;
mycoses.

Neoplasms

malignant neoplasms;
benign formations that interfere with the proper functioning of organs.

Diseases of the blood and blood-forming organs

all types of anemia;
disturbances in the structure of red blood cells or hemoglobin;
dysfunction of platelet leukocytes;
hemostasis disorders with increased bleeding;
leukopenia;
thrombophilia;
hemophilia;
hereditary fragility of capillaries;
vascular pseudohemophilia;
granulomatosis;

and other blood diseases and circulatory organs, involving the immune mechanism.

Endocrine system diseases, nutritional disorders and metabolic disorders

euthyroid goiter;
obesity 3 and 4 degrees;
diabetes mellitus;
gout;
diseases thyroid gland;
diseases of the pituitary gland and adrenal glands;
diseases of the parathyroid and gonads;
eating disorders;
hypovitaminosis;
body weight deficiency.

Mental disorders

schizophrenia;
psychoses;
addiction;
alcoholism;
substance abuse;
disorders related to sexual orientation;
disorders of psychological development;
reactive depression;
mental retardation;
personality disorders

and others mental disorders due to injuries, brain tumors, encephalitis, meningitis and so on.

Nervous system diseases

epilepsy;
hydrocephalus;
multiple sclerosis;
paralysis;
encephalitis;
meningitis;
injuries and diseases of the brain and spinal cord with dysfunction;
hereditary diseases of the central nervous system (cerebral palsy, Parkinson's disease, etc.);
traumatic arachnoiditis;
aphasia;
agnosia;
polyneuritis;
plexite

and other diseases associated with damage to the nervous system.

Eye diseases

fusion of the eyelids between each other or the eyeball;
inversion and eversion of the eyelids;
ulcerative blepharitis;
chronic conjunctivitis;
diseases of the lacrimal ducts;
severe pathology of the eyelids;
retinal detachment and rupture;
optic nerve atrophy;
taperetinal abiotrophies;
strabismus in the absence of binocular vision;
persistent lagophthalmos;
availability foreign body inside the eye,
aphakia;
pseudophakia;
glaucoma;
severe myopia or farsightedness;
blindness

and other eye diseases, as well as outcomes of injuries and burns of the sclera, cornea, iris, ciliary body, lens, vitreous, choroid, retina, optic nerve.

Ear diseases

congenital absence of the auricle;
bilateral microtia;
chronic otitis;
bilateral persistent perforation of the eardrum;
persistent hearing loss;
deafness;
vestibular disorders.

Diseases of the circulatory system

heart failure grades 2,3,4;
rheumatic heart disease;
congenital and acquired heart defects;
atrial septal defect;
prolapse of the mitral or other heart valves;
myocardial cardiosclerosis;
hypertrophic cardiomyopathy;
atrioventricular block of the first degree;
hypertension with dysfunction of target organs;
coronary heart disease with dysfunction;
angina pectoris;
atherosclerosis and thrombosis;
neurocirculatory asthenia;
hemorrhoids with prolapse of nodes stage 2-3

and other diseases of the circulatory system.

Respiratory diseases

foul runny nose (ozena);
chronic purulent sinusitis;
persistent respiratory failure with respiratory failure;
congenital abnormalities of the respiratory system;
mycoses of the lungs;
sarcoidosis grade III;
bronchial asthma of any degree;
damage to the larynx and trachea;
alveolar proteinosis;
chronic diseases of the bronchopulmonary apparatus and pleura.

Diseases of the digestive system, jaw and teeth

periodontitis, periodontal disease;
diseases of the oral mucosa, salivary glands and language;
actinomycosis of the maxillofacial region;
absence of 10 teeth or more in one jaw;
defects in the upper or mandible with functional impairments;
severe forms of ulcerative enteritis and colitis;
esophageal-bronchial fistulas;
congenital anomalies of the digestive organs;
stomach and duodenal ulcers;
cirrhosis;
chronic hepatitis;
chronic gastritis, pancreatitis and cholecystitis with frequent exacerbations;
biliary dyskinesia;
hernias with dysfunction of organs.

Skin diseases

chronic eczema;
psoriasis, atopic dermatitis;
bullous dermatitis;
systemic lupus erythematosus;
common forms of alopecia or vitiligo;
chronic urticaria;
photodermatitis;
scleroderma;
ichthyosis, lichen;
ulcerative pyoderma,
multiple conglobate acne

and other recurrent skin diseases, depending on the severity.

Diseases of the musculoskeletal system

chronic rheumatoid and reactive arthritis;
seronegative spondyloarthritis;
psoriatic arthropathy;
systemic vasculitis;
giant cell arteritis;
polyarteritis nodosa;
Kawasaki disease;
Wegener's granulomatosis;
microscopic polyangiitis;
eosinophilic angiitis;
cryoglobulinemic vasculitis;
bone defects with dysfunction;
Kümmel's disease;
spondylolisthesis I - IV degrees with pain syndrome;
scoliosis of degree II or more;
flat feet III and IV degrees;
shortening of the arm by 2 centimeters or more;
shortening of the leg by 5 centimeters or more;
missing limb

and other diseases and lesions of bones, joints, cartilage, depending on the complexity of the disease. With severe impairments that interfere with the normal functioning of organs, a conscript will most likely be sent to the reserves.

Diseases of the genitourinary system

chronic kidney disease;
chronic pyelonephritis;
hydronephrosis;
urolithiasis;
cystitis and urethritis with frequent exacerbations;
chronic glomerulonephritis;
shriveled kidney, renal amyloidosis and absent kidney;
bilateral nephroptosis stage III;
diseases of the male genital organs with dysfunction;
chronic inflammatory diseases female genital organs;
endometriosis;
genital prolapse;
urinary incontinence;
disorders of ovarian-menstrual function

and other diseases genitourinary system that interfere with normal service in the army.

List of additional diseases and conditions

defects and deformations of the maxillofacial area;
ankylosis of the temporomandibular joints;
consequences of fractures of the spine, trunk bones, upper and lower extremities;
injuries internal organs chest cavity, abdominal cavity and pelvis;
aneurysm of the heart or aorta;
consequences of skin injuries and subcutaneous tissue(burns, frostbite, etc.);
radiation sickness;
insufficient physical development (body weight less than 45 kg, height less than 150 cm);
enuresis;
speech disorders, stuttering;
abnormalities of various organs, causing disturbance organ functions;
food allergies (to foods that will be given to the army).

If you " happy owner“an illness that will not allow you to enjoy combat service, take care to document the diagnosis in advance at the clinic at your place of residence. Collect all documents: medical card, tests, x-rays, reports from hospitals and sanatoriums. All this must be presented during a medical examination at the military registration and enlistment office.

A little trick: present only copies - the originals can disappear without a trace in the deft hands of military registration and enlistment doctors, and it is almost impossible to restore them. And your disease may simply not be noticed. This is advice from life. Many sick guys were sent to serve precisely because of the “loss” of medical documents. You don't want to come back disabled, do you?

From April 1 to July 15, the 2015 spring conscription into the armed forces of the Russian Federation takes place.

Which ones exist? medical contraindications for military service?

As a rule, only people with obvious and severe pathologies, such as mental retardation, schizophrenia, blindness, deafness, missing limbs, etc., are completely unfit for the army.

In other cases, the question is either about treatment (then a delay is given and then a re-examination is required), or about the degree of dysfunction of certain organs.

Severe dysfunction (slurred speech, urinary and fecal incontinence, heart failure, etc.) is a reason for transfer to the reserve. In controversial cases, the decision remains with the medical commission.

1. Severe infections

Active pulmonary and extrapulmonary tuberculosis, HIV infection, leprosy - people with such diagnoses are not accepted into the army. Tuberculosis and syphilis can be cured, after which additional examination will be required.

Intestinal infections, bacterial and viral diseases, transmitted by arthropods, rickettsioses, gonococcal, chlamydial infections, some mycoses (diseases caused by fungi) and other infections with initial detection at the medical examination will serve as the reason for sending for treatment. If the infection cannot be treated, the conscript is considered unfit for service.

2. Neoplasms

Malignant and benign neoplasms serve as a contraindication to military service if the tumor cannot be radically removed, there are metastases or significant dysfunction of any organs.

In addition, those who refused therapy for a tumor will not be accepted into the army. Persons undergoing treatment for neoplasms will be given a deferment and will be subject to re-examination in the future.

3. Obesity

Persons with obesity of 3 and 4 degrees are not suitable for military service. They are asked to undergo treatment, during which they are given a deferment. If treatment does not help, upon re-examination a conclusion is made about unfitness for service.

4. Diabetes mellitus

WITH diabetes mellitus of any form and any degree of severity, even in the absence of complications, are not accepted into the army. The disease cannot be cured, and it is not possible to correct metabolic disorders during military service.

5. Other endocrine diseases

Diseases of the thyroid gland, pituitary gland, adrenal glands, parathyroid and gonads, nutritional disorders, hypovitaminosis, gout are also contraindications for military service if they are accompanied by dysfunction of the relevant organs and cannot be treated replacement therapy. If thyroid disease (goiter) prevents you from wearing military uniform, the conscript is also declared unfit for service.

Underweight (BMI)

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 problem knee joint regulated by Article 65 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 damaged large knee joint. 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 by severe pain. Joint space at X-ray examination should show dimensions of 2-4 mm or more.

Point "B" includes:

Rare, no more than three cases per year, dislocation of the shoulder joints. Such joints become loose and synovitis forms with little physical exertion.
Osteomyelitis, which worsens no more than three times a year. In this case, sequestral cavities and sequestra are absent.
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:

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.
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 you know, the operation provides a deferment from military conscription 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 refusal 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 young man are sent 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 unfit 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.

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 large joints arising as a result of minor physical activity 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 shoulder joint, instability and synovitis of 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. From the above special attention 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 a slight limitation of range of motion?

Contracture is a condition in which a limb cannot be fully flexed or straightened. A minor limitation in range of motion is determined in Table 3 of the Disease Schedule - called “Table for assessing the range of motion in joints (in degrees)” (located under the main tables with a 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.

Synovitis of the knee joint - inflammatory lesion synovial membrane, resulting in excessively synthesized exudate. The altered tissue becomes infected and severe complications develop. The patients' ability to work decreases.

Factors leading to knee synovitis, many. Common reason- past traumas, infectious processes in the body. Most often, microbes enter the joint cavity through the blood or lymph flow. Imbalance in immune system is a trigger factor. Rheumatologists name the following provocateurs of synovitis of the knee joint:

injuries: bruises, fractures, dislocations;
introduction of infection;
arthritis;
osteoarthritis;
autoimmune disorders;
impaired metabolism;
hypothermia;
endocrine pathology;
allergic reactions;
stress;
salt deposition.

A child may develop synovitis mainly after an injury or infection.

Video “Treatment of synovitis of the knee joint (puncture)”

From this video you will learn how, after fluid has been evacuated, an anti-inflammatory drug (Diprospan, Kenalog) is injected into the joint.

Symptoms

The clinical picture of synovitis depends on the severity of the inflammatory process, as well as the form of the course. Initial stage manifests itself moderate symptoms, pain appears after exercise, redness and swelling are mild. Damage to the right joint occurs more often than the left, since for most this is the pushing leg.

At acute version Symptoms appear quickly and progress sharply. The patient complains of pain in the knee area, which appears at rest, but increases significantly when trying to flex and extend the joint.

A swelling forms in the affected area due to significant fluid production and the exudative process. Movement in the joint is limited and, as it progresses, becomes impossible due to pain. If infectious pathogens are attached, fever and symptoms of general intoxication appear. The diagnosis is confirmed using the following studies:

X-ray;
puncture.

Classification

Primary synovitis is one of the symptoms of general inflammatory or autoimmune process in the body. Secondary occurs against the background of the following injuries to the knee area:

meniscus injuries;
ligament rupture;
introduction of infection.

IN clinical practice synovitis is classified based on various indicators. Depending on the causative factors, the disease is divided into the following types:

post-traumatic;
infectious;
non-infectious.

A detailed classification of knee synovitis is given in the table:

By causal factor			Downstream	Special rare forms
Post-traumatic	Infectious	Non-infectious		Migratory
	Staphylococcal	Reactive		Migratory
Microfracture	Pneumococcal	Rheumatoid	Chronic	Vilonodular
Flip flop	Streptococcal	Autoimmune		Villous nodular
	Brucellosis	Psoriatic		Pigmentary

In addition, a suprapatellar type is distinguished, in which the process involves exclusively upper part knee joint. According to the degree of severity, a moderate form is distinguished, which, despite unexpressed symptoms, has poor prognosis due to the tendency to frequent relapses. Exudative-proliferative synovitis combines the process of excessive secretion joint fluid and proliferation of the synovial membrane epithelium.

Forms

Main feature acute form- rapid onset and progression of symptoms. The patient is worried severe pain. It is characterized by:

spread to the entire articular area;
aching, nagging character;
sharp increase in the morning and weakening in the evening;
slight decrease at rest.

Local signs are bright; in the knee area, redness, swelling, smoothness of the shape and a local increase in temperature are clearly visible.

In chronic synovitis, manifestations during remission are minimal. During the acute stage, pain syndrome manifests itself sharp pain, local symptoms of inflammation, general intoxication syndrome is not expressed. The temperature does not rise above 37 °C.

As it progresses, the cartilage is destroyed and weakened ligamentous apparatus, joint capsule is damaged. Variety chronic form is hypertrophic synovitis, which is characterized by many overgrown villi. Because of this, the patient experiences increased pain, sharply reduced mobility in the joint, decreased ability to work, and frequent dislocations are possible.

Patient prognosis

With late diagnosis, various adverse consequences: frequent relapses, damage to extra-articular soft tissues, pronounced destructive changes. The probability of chronicity is 40-60%. After surgery, the risk of exacerbations is small, only 4-5%

Introduction of pneumococcal staphylococcal infection fraught purulent inflammation. Because of which phlegmon can appear, joint tissues are destroyed, turning into pus. That is why, if symptoms persist, you should urgently contact an arthrologist or surgeon.

The disease tends to recur frequently. An aggressive course with frequent exacerbations leads to impaired ability to work and increases the risk of disability.

Treatment

Treatment of synovitis of the knee joint depends on the characteristics of the course and severity of the process. The main goal is to transfer acute inflammation into remission and prevent complications. Main approaches: suppression of the inflammatory reaction in the articular membrane, prevention of destructive complications.

To cure knee synovitis, doctors prescribe complex treatment. It includes pharmacological preparations, herbal medicine, physiotherapy, massage, exercise therapy, folk remedies. In severe cases, surgery is required.

Drug treatment includes the following effective and safe medications:

	Examples of drugs	Therapeutic effect
Broad spectrum antibiotics	"Amikacin"	Destroy pathogenic flora
	"Netymicin"
	"Ceftriaxone"
	"Augmentin"
	"Movalis"	Eliminate inflammation, relieve pain attacks
	"Indomethacin"

	"Diclofenac"
Corticosteroids	"Diprospan"	Effectively suppress inflammatory processes, relieve swelling
	"Metypred"
	"Hydrocortisone"
Analgesics		Relieve pain syndrome
	"Analgin"
	"Tramadol"
Chondroprotectors	"Teraflex"	Regenerate articular cartilaginous elements
	"Aflutop"
	"Glucosamine"
	"Artradol"

To achieve faster positive effect, antibiotics and anti-inflammatory drugs are prescribed in the form of injections. For a child when choosing antibacterial agents the choice is made in favor of the macrolide group - these are the drugs “Macropen”, “Josamycin”, “Rulid”.

Has a good effect physical therapy. The doctor prescribes smooth, gentle exercises to develop the knee joint. Physiotherapy procedures begin to be used effectively at the calming stage acute inflammation. They help to significantly improve local microcirculation, moderately restore range of motion in the knee, and reduce pain and discomfort.

Indications for surgical intervention are tumor-like forms of pathology - vilnonodular and villous, purulent process.

To remove the tumor, arthroscopy is performed:

for this purpose, 1 cm incisions are made;
a video device and an electric knife are inserted into the cavity;
tumor and destructive tissues are excised.

Many patients are interested in how long it lasts postoperative period. For full recovery may take 1 to 3 months. Arthroscopy brings good result, allowing you to get rid of the tumor forever in 98% of cases. In case of complete destruction of the articular elements during surgery, they are removed and prosthetics are performed at the same time.

At the subsiding stage, use at home traditional methods. For this purpose, ointments, compresses, and herbal tinctures with an anti-inflammatory effect are used.

Prevention

Timely prevention of synovitis of the knee joint is always better than subsequent treatment. The rules that must be followed in order not to contract the disease, as well as to prevent an unfavorable course, are as follows:

eat well, include in your diet fresh vegetables and fruits, herbs and cereal sprouts;
use complex vitamins;
stop smoking;
maintain normal weight;
consult a doctor in time for help;
do not overload the knee joints;
treat infections promptly.

Gap knee meniscus is a pathology that requires special attention from conscripts. Many young guys need to know whether they are being drafted into the army with a torn meniscus or whether they are able to get a guaranteed exemption from military service. Severe pathology guarantees elimination of the need for military service.

Features of the pathology of a knee meniscus tear

Meniscus tear

Not every meniscus tear guarantees exemption from military service. The guy should know the features of the pathology, since damage and removal of the meniscus has different effects on his health and future life.

The meniscus is an elastic cartilage layer in the knees, necessary to reduce shock loads on the knee joints and reduce friction during movement. Severe injury threatens to limit the mobility of the knee joint and completely immobilize it. In most situations after surgical removal cartilage layer, you can still lead an active lifestyle.

A torn meniscus is one of the most common knee injuries. Athletes are usually susceptible to pathology. Proper rehabilitation allows you to return to your previous lifestyle almost immediately, since on the first day after surgical intervention you can walk, and after a month the functions of your knees are completely restored. The most important thing is to take into account the health status of the young man at the time of conscription into the army.

How a knee injury will affect military service

In situations where a guy injured his knee before or during the draft, a 6-month deferment is allowed. The right to exemption from the army is secured by Article 85 of the Schedule of Diseases. A deferment is provided for treatment: medication, surgery, rehabilitation period. The main goal is to restore the functionality of the knees.

After completion rehabilitation period carried out comprehensive examination guy. Members of the military medical commission make a decision on conscription, focusing on the guy’s health condition.

Gonarthrosis

Removal of the meniscus threatens the development of gonarthrosis. Injury cartilage tissue is not considered by the Regulations on Military Medical Examination, so the guy can still be drafted into the army. However, arthrosis of the knees is a reason for subsequent enlistment in the reserve. The greatest risks are associated with deformed arthrosis, in which the width of the joint space increases to 2–4 millimeters.

Knee injuries can lead to joint instability. This complication is due improper treatment or refusal to see a doctor.

The following reasons lead to exemption from the army:

knee instability 2 – 3 degrees;
instability with dislocations less than 3 times a year;
instability of the knees, diagnosed by special methods.

If enough time has passed after the injury to the knee meniscus and the young man has rehabilitated, he can be recruited. Required for military service complete cure meniscus tear.

Opportunities for obtaining a military ID

To obtain a military ID you will need medical documents, confirming the possibility of enlisting in the reserves without military service. Members of the medical commission must receive and study an up-to-date medical record with records confirming an appointment with a traumatologist or surgeon.

If the operation was carried out before the start of the conscription, on medical examination You will need to take an extract from the hospital, ultrasound images and MRI. Menisci that remain untreated and have not returned to their previous functionality are guaranteed exemption from upcoming military service.

If gonarthrosis develops, you will need to present X-rays, CT, and MRI. The main task is to confirm the non-conscription diagnosis.

Meniscus tear

Knee instability confirmed x-rays or radiation diagnostics.

The following serious injuries are considered:

separation of the labrum;
articular surface defect;
head defect;
displacement of the knee joints.

Before making a final decision, the conscript goes through additional examination from the military registration and enlistment office. After additional diagnostics the final decision is made.

Consequences of refusing surgery

As we have already guessed, the delay is due to the need for treatment for the subsequent restoration of the functions of the knee joint. The conscript must visit an orthopedist for diagnosis accurate diagnosis and subsequent effective treatment. In severe cases, surgery is required. Subsequently, the patient may refuse treatment at his own risk, but a re-examination is required after 6 to 12 months. If the knee joint continues to have limited movement and function, you may be eligible for a draft exemption.

A meniscal tear is serious defeat large knee joint with subsequent limitation in movement, therefore, with such a pathology, service is impossible. Conscripts who have restored the functionality of their knees and meniscus serve in the army on a general basis and cannot count on concessions while serving their homeland.

Knee surgery

A knee meniscus tear requires a referral for surgery, but the patient has the right to refuse surgery. This will require a special application to the military commissariat. The application must be drawn up in free form and addressed to the doctor and the head of the department of the military commissariat.

A sore leg often requires surgery to restore the functionality of the knee joint. The operation allows you to obtain a deferment from military conscription, after which a repeat examination is required to evaluate functional state knee joint. If a conscript refuses to undergo surgery for any reason, he has the right to receive a deferment from service.

It is difficult to serve in the army with torn menisci of the knee joint, so after 6 months a re-examination is carried out to determine the possibility of serving in the army.