Non obstructive meniscal tear of the knee

Non obstructive meniscal tear of the knee

What is a meniscus?

Meniscus is a fibrocartilaginous tissue(cartilage) present in several joints in the human body, its main function is to connect bones together.

Meniscus is C-shaped pieces of cartilage that act like a cushion, it’s basically a shock absorber.

Are present two menisci in each knee, they  disperse the weight of the body and reduce friction during movement.

Meniscal tears

Meniscal tears may occur as part of a degenerative process of the knee joint or they can be traumatic. It’s estimated that in up to 60% of people older than 50years old without knee pain.

This underline what the research is showing more and more, that imaging findings poorly correlate with patient symptoms.

Arthroscopic partial meniscectomy(APM) versus Physiotherapy

In a recent study has been compared the surgical treatment APM versus physiotherapy for Non obstructive meniscal tear of the knee. In the patient examined wasn’t present any locking, instability, severe osteoarthritis or BMI greater than 35BMI.

The physiotherapy treatment consisted of strengthening and coordination exercises  protracted for 8 weeks.

The results showed that both have a similar outcome in the knee function over two years, there were no differences in the progression of osteoarthritis and  both of them had a reduction in the pain even if more marked with APM.

Once more physiotherapy  shows to be a valuable alternative to surgical procedure.

Each patient and each case Logically need an accurate evaluation to decide the best path to follow.

References: Van de Graaf V. A. et al(2018),Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears.

doi:10.1001/jama.2018.13308

COVID-19 NOTICE

 

5 STAR CLINIC LTD has put in place several measures to assess and manage the risk of Covid-19 transmission.
Be aware that is not possible to completely eliminate this risk and that a face to face consultation will increase
the likelihood of you contracting COVID-19.

Full information here: 5 STAR CLINIC LTD COVID-19 POLICY

 

BEFORE BOOKING A FACE TO FACE APPOINTMENT:

We are following the CSP chart “Virtual first”, therefore you will be required to have
a Video Consultation at first(15min FREE), where a Triage questionnaire will be also administered.

At the end of the Video Consultation, we will decide if is deemed necessary
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CLICK: REMOTE OR FACE TO FACE CONSULTATIONS GUIDANCE

 

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    Please DO NOT ATTEND:

    1. If you have you been in close contact (<1m for at least 15 minutes without any protection) with a confirmed case of COVD-19
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      • Change or loss of taste/smell.

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      SUMMARY OF MEASURE IN PLACE TO REDUCED THE RISK OF COVID-19 TRANSMISSION:

    • We follow hand and hygiene practices throughout the meeting.
    • We provide hand sanitizing facilities and a surgical mask (Type IIR)
    • We minimise contact time closer than 2 metres and for less than 15 minutes
    • We keep at least 15min gap between patient for environment decontamination
    • We provide adequate air changes (average of 15min/hour with 4 to 6 air changes)
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      between each patient
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    • We follow safe removal and disposal of PPE in accordance with infection prevention
      and control during Covid-19 document
    • In the waiting area, a maximum of 2 people at a time at a distance>2m will be allowed.
      The patients know where to sit, as in the sitting area 2 chairs are provided only.
    • We follow Respiratory and cough hygiene – ‘Catch it, bin it, kill it’. Disposable, single-use tissues
      should be used to cover the nose and mouth when sneezing, coughing or wiping and blowing the nose,
      used tissues should be disposed of promptly in the nearest waste bin tissues. To be followed from hand hygiene.
    • We are only using disposable or washable material (such as couch covers, paper tissue, couch/pillow etc.)
      The therapist will be wearing PPE in line with government guidelines (disposable gloves, plastic apron,
      surgical mask (Type IIR), eye protection or Visor will be used if at risk of droplets)

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      WHAT DO WE REQUIRE FROM YOU?

    • To arrive on time for your appointment.
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    • On arrival will be taken a contactless temperature reading.
    • To wear a surgical type mask during the waiting and the treatment*.
      a mask will need to be purchased at the clinic if you do not bring one.
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      leaving and whenever may be needed to reduce the risk of contamination.
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      to enter only if strictly necessary (see below chaperone/translator).On the other hand, will be asked to leave and wait in the car.
    • In the case of chaperone/ translator is required will be asked to stay 2m apart of all the time from everyone, also they will need
      to complete a pre-screening questionnaire.
    • Follow Respiratory and cough hygiene – ‘Catch it, bin it, kill it’. Disposable, single-use tissues should be used to cover the nose
      and mouth when sneezing, coughing or wiping and blowing the nose, used tissues should be disposed of promptly in the nearest
      waste bin tissues. To be followed from hand hygiene.
    • Confirm contact details for the patient and each person accompanying the patient and inform them that these details may be used
      for contact tracing if required.
    • If possible, an electronic signature will be used on all of the document, if not a signature with a clean pen, after the hands have
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* Patient use of face masks

In clinical areas, common waiting areas or during face to face treatments patients is required to wear a surgical face mask.
The aim of this is to minimise the dispersal of respiratory secretions and reduce environmental contamination.
A surgical face mask should not be worn by patients if there is potential for their clinical care to be compromised (such as when receiving oxygen therapy).

 

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For more detailed information Covid-19 policy click HERE.