| Abstrakt: |
Introduction: Meniscus injuries produce pain, dysfunction, and disability for athletes and the others involved in exercise, sports, and work. Usually caused by trauma, but sometimes characterized by gradual onset, knee injuries make up 39.8% of sports injuries; 10.8% of these injuries involve medial meniscus lesions and 3.7% involve lateral lesions. Menisci function as shock absorbers, stabilizers, and proprioceptors and aid in lubrication and nutrition of cartilage. Thus even partial loss carries significant risk. Natural history remains unknown, but even routine surgical meniscectomy may cause serious degenerative joint disease and disability. Typically, meniscectomy is followed by significant rehabilitation, yet there is no consensus on appropriate rehabilitation. Therefore, it is proper to study conservative manipulative techniques for meniscus injury that might prevent the need for surgical intervention. Case Report: Two patients presented with knee pain and stiffness to Cleveland Chiropractic College Los Angeles Health Clinic (CCCHC). Based on history, physical, and regional examinations, diagnoses of meniscal injuries were made and confirmed by MRI. Each patient was treated specifically with two knee adjustments: genu-circumduction extension mobilization/for meniscus injury and axial elongation. At the third visit, exercises were prescribed. Each patient was treated up to six times and asked to return for a 1-month follow-up. Prior to treatment, and at the 1-month follow-up measurements were obtained for pain using the visual analogue scale (VAS). range of motion using digital inclinometry (DI), and dysfunction using the lower extremity function scale (LEFS). Outcome: In both cases, the patients reported positive outcomes relative to treatment. Conclusion: These outcomes suggest the possibility of benefit. Nevertheless, additional studies are needed with careful monitoring of risks and benefits before the true efficacy, safety, and effectiveness of this approach can be presentation only and does not represent a full work that has determine. [ABSTRACT FROM AUTHOR] |
