Title Liječenje ozljeda meniska u sportaša
Title (english) Treatment of meniscus injuries in athletes
Author Suzana Šimek
Mentor Željko Jeleč (mentor)
Committee member Pavao Vlahek (predsjednik povjerenstva)
Committee member Željko Jeleč (član povjerenstva)
Committee member Jasminka Potočnjak (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2021-09-09, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Ozljede meniska često se događaju u sportovima kao što su nogomet i ragbi. Ozljedama je najpodložniji medijalni menisk. Naime, do kidanja meniska dolazi kada se gornji dio trupa sportaša rotira s koljenom u položaju fleksije, pri čemu stopalo stoji čvrsto oslonjeno na tlo. Povredu prate trenutna bol i slabost koljena. Hematom nastupa postepeno u narednih 12 – 24 sata. Povremeni izuzetak od tog pravila je pucanje dobro vaskularizirane vanjske strane meniska, uslijed kojeg dolazi do krvarenja u zglobu. Prilikom izvođenja fleksije pod vanjskim opterećenjem javljaju se kolaps i bol, uz moguću blokadu zgloba koja se dešava relativno rijetko. Tada se zahtjeva hitna kirurška intervencija. Ispitivanjem se utvrđuju mali do umjereni izljev u koljenu uz osjetljivost u predjelu povrede. Ta osjetljivost je obično lokalizirana u predjelu zadnje središnje linije zgloba. Bol obično izaziva pasivno pregibanje koljena a simptomi se dodatno pogoršavaju pri vanjskoj rotaciji potkoljenice. Nelagodu također stvara prekomjerna ekstenzija. Ozljeda se najbolje utvrđuje magnetskom rezonancijom. Liječenje meniska može se provoditi konzervativno i operativno. Operativno se može provoditi šivanjem ili djelomičnim odstranjenjem ozlijeđenog meniska. Konzervativno se može liječiti fizikalnom terapijom, primjenom ultrazvuka, magneta, interferentnih struja, elektrostimulacije, krioterapijom i sl. Također se koristimo i kineziterapijskim procedurama u konzervativnom liječenju. Rehabilitacija nakon operacije, koja se sastoji od vježbi jačanja i povećanja opsega pokreta započinje u postoperativnom periodu nakon prestanka boli. Ovisno o kirurškoj intervenciji, nošenje opterećenja se kreće od nenošenja nikakvog tereta do potpunog nošenja tereta u periodu do 6 tjedana. U slučaju šivanja meniska, opterećenje se ne smije nositi prvih 6 tjedana.
Abstract (english) Meniscus injuries often occur in sports like soccer and rugby. The medial meniscus is most susceptible for injury. Namely, the meniscus ruptures when the upper part of the athlete's torso rotates with the knee in na flexion position and the foot standing firmly on the ground. The injury is accompanied by momentary pain and weakness of the knee. Hematoma occurs gradually over the next 12 to 24 hours. An occasional exception to this rule is rupture of the well vascularized outside of the meniscus which resulting with bleeding in the joint. When the athlete is performing flexion under external load, collapse and pain occur, with possible joint blockage which is occuring relatively infrequently. Then urgent surgical intervention is required. Examination reveals a small to moderate effusion in the knee with sensitivity in the area of the injury. This sensitivity is usually localized in the area of the posterior midline of the joint. The pain is usually caused by passive bending of the knee and the symptoms are further aggravated by external rotation of the lower leg. Discomfort is also created by excessive extension. Injury is best determinated by magnetic resonance imaging. Meniscus treatment can be performed conservatively and surgically. It can be surgically performed by suturing or partial removal of the injured meniscus. Conservatively, it can be treated with physical therapy, aplication of ultrasound, magnets, interference currents, electrostimulation, cryotherapy, etc. We also use kinesitherapy procedures in conservative treatment. Rehabilitation after surgery, which consists of strengthening excersises and increasing the range of motion, begins in the postoperative period after the pain has stopped. Depending on the surgical intervetion, carrying the load ranges from not carrying any load to fully carrying the load in a period of up to 6 weeks. In case of meniscus suturing, the load should not be worn for the first 6 weeks.
Keywords
menisk
rehabilitacija
sport
ozljeda
Keywords (english)
meniscus
rehabilitation
sport
injury
Language croatian
URN:NBN urn:nbn:hr:122:052319
Study programme Title: physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije (stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2021-10-26 09:14:23