Cartilage injury

Cartilage injury's disease overview

Knee joint is a complex joint, a large joint and bearing the entire load of the body. Because of the complex structure, because of many components, with a large range of activity, the knee joint is very vulnerable. Whenever injury, often causes many components of the joints. Cartilage is one of the most important and most vulnerable ingredients.

The lying lined between the end of the thigh bone and the head on the tibia are two cartilage sheets with durable, tough, and elasticity called the menstrual cartilage. There are two men cartilage located in the inside and outside the joints called the inner and external menstrual cartilage.   Cartilage trauma is common in traffic accidents, sports injuries that damage one or both men cartilage. What is the torn cartilage? Cartilage torn is the most common lesions in the shocking cartilage injury. Tear of the menu of the menu has a lot of forms depending on the location, the type of torn sugar, the level of damage and each form will have different treatments appropriately.

Teriffs are very vulnerable tissue. When the menpk cartilage is damaged, especially due to the whole cut or partially cutting of the menstrual cartilage, changing the distribution of force impact on the articular cartilage, accelerating the osteoarthritis process. The 1/3 of the inner area of ​​the menstrual cartilage is the infinite area, this area is completely nourished by joint fluid and is the place to be the effect of great force because it is located in the center of the joint. So this cartilage area is often degenerated premature.

In addition, the type of menstrual cartilage lesions depend on age, manifested through the thickness and quality of the cartilage layer of the pestle and thigh surface. Young people with thick, elastic articular cartilage, good absorption should often be seen vertically. Adults over 30 years of age cartilage starts to decline, not absorbing the rotating forces, so the shape of horizontal or diagonal torn. Older cartilage is degenerated much, the cartilage layer is lost, the knee joint is narrowed, the rolling movement of the bridge on the tibial plateau is friction, so it often causes a lava tear.

Most cases of men cartilage torn if detected and treated appropriately will recover well. In young people who are often better than the elderly.

Causes of Cartilage injury's disease

When the level of injury is too large in the maximum stretching pillow position, making the tibial plateau over the excessive rotation often see the vertical tear, when the piece of torn along the shock is too large and has the shape of the handle, this strap is moving. Move into the convex defects and cause joint jams. Depending on age, specific:

  • In young people: knee cartilage tears often occur suddenly after a injury in the state of folding (squatting) and the legs are twisted, twisted, Common in sports injuries, traffic accidents.
  • in older people: Torn cartilage is often due to degeneration. The patient sat in the chair and stood up suddenly in an unfavorable position, his legs were slightly twisted, and could also cause a torn cartilage. Tearing the elderly in the elderly is often accompanied by peeling and wearing articular cartilage.

    • Symptoms of Cartilage injury's disease

    When the torn cartilage injury , the patient can still walk normally. Even, people with shocking injuries when playing sports can continue to practice and compete. The pain began to appear after 2-3 days, the knee swelled up, difficult movement and the feeling of loss of flexibility.

    Signs of the torn cartilage include:

  • There is a "explosive" sound when the torn cartilage is torn
  • Painful and swollen knees
  • The knee joint is stuck
  • When moving the feeling of a continental sound in the joint
  • Difficulties in travel, exercise
  • Hard to stretch the knee joint
  • Feeling pain when pressing on the knee slot

    • However, the symptoms of shock trauma may vary depending on the level of injury and age:

  • With small torn cartilage with mild pain and knee swelling, usually lasting from 2-3 weeks.

    • with average tear may be the cause of pain in the joint or knee joint center. Swelling appears late after 2-3 days. Can lead to hard or limited knee movement when folding the knee joint. Patients may appear pain on the knee surface when squatting. This symptom lasts from 1-2 weeks but may return if the patient has twisted or overloaded knee-twisting movements. Pain symptoms may last if not treated.

    With large tear: The torn cartilage can move into the joint, may be the cause of joint jam, the joint lock makes the patient unable to stretch the knee joint. Swelling or stiffness after injury from 2-3 days.

    For older patients, the torn cartilage may not know. Patients only know the feeling of knee pain when squatting or when twisting. Pain and slight swelling of the knee are usually the only symptom.

    People at risk for Cartilage injury's disease

  • The risk of men cartilage trauma is to perform activities that cause the knee to rotate and change the direction. This risk is particularly high for athletes - especially those who participate in team sports, such as football or activities related to rotation, such as tennis or basketball. .

    • The risk of men cartilage torn is also increasing when you get older due to the wear or tearing in your knees.

    Prevention of Cartilage injury's disease

    To prevent the menu injury needed:

  • Perform movements in labor and posture.
  • avoid rotation, sudden changing.
  • Compliance with functional treatment and rehabilitation when suffering from other injuries at the knee joint to avoid shocking injuries.
  • Sports practice wall enhances the endurance of the knee joint.

    • Diagnostic measures for Cartilage injury's disease

    To prevent the menu injury needed:

  • Perform movements in labor and posture.
  • avoid rotation, sudden changing.
  • Compliance with functional treatment and rehabilitation when suffering from other injuries at the knee joint to avoid shocking injuries.
  • Sports practice wall enhances the endurance of the knee joint.

    • Cartilage injury's disease treatments

    Choose treatments

    Select the treatment of sheping cartilage trauma based on the form, position and size of the lesion.

  • Tear at 1/3 external position: Due to good blood supply, it is easy to heal. If the tearing is small, the large torn is over endoscopy, easy to heal, for example, tearing along the position of 1/3 external.
  • torn at 2/3 in: very difficult due to poor blood supply. Especially torn 1/3 in the air. Treatment often removes the tear through the endoscopy.
  • Treatment of men cartilage lesions is also based on factors such as age, level of activity of the patient.

    • Cartilage trauma treatments:

    Conservation treatment (non -surgical):

    Small tearing cases on the periphery, clinical painless, pillow and firmly do not need surgery. Treatment immediately after injury by: applying ice, bandage, limiting movement, preferably resting, motionless, and using nonsteroidal anti -inflammatory painkillers such as Celebrex, Mobic ... reduced pills edema.

    Surgical treatment

    Cartilage surgery methods:

  • Cut the entire menstrual cartilage: The menstrual cartilage is completely cut to the endoscopy. This method is currently rarely used.
  • Cutting a part of the menstrual cartilage: The endoscopic surgery removes the damaged menstrual cartilage. Indicated when tearing the county cartilage.
  • The menpinth suture through the laparoscopy: is indicated when the location of the blood vessel is torn in the adjacent to joints; The vertical tear is about 2cm long; New tear no more than 8 weeks.

    • Rehabilitation after surgery: After surgery, the pin is immobile with a brace for 3 weeks. If the menpinchinated time, the time is immobilized for longer, it will help immediately cartilage. At the same time, exercise early to regain joint amplitude, exercise muscle atrophy.

    Treatment of sheping cartilage with platelet -rich plasma (PRP)

    In addition to using medication or surgery, patients with menn of cartilage currently have another option to treat diseases, which is to use platelet -rich plasma (PRP).

    Platelet Rich Plasma (PRP) is the finished product obtained from the patient's blood (self) with high platelet content and biological molecules many times higher than the level. normally. Platelets will increase the on -site recovery speed of cell tissue, helping to quickly heal the area of ​​the body. As a result, applying treatment with PRP will help regenerate the organization of damage quickly, safely and less painful.

    Use of platelet -rich plasma is a method of treating the torn cartilage safely because of the patient's blood so it is not likely to spread the disease, allergies or not compatible with any component in the PRP. Apply this method to help patients stop the pain quickly up to 80-90%.

    Self -rich plasma plasma use (PRP) for the treatment of men cartilage is only applied at Vinmec Hospital, which is highly effective in the treatment of car cartilage.

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