| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.28 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: Os meniscos são estruturas anatómicas essenciais na biomecânica
do joelho; estes desempenham funções essenciais na locomoção, bem como na prática
de atividade física. A absorção do choque, a lubrificação articular, a proprioceção e a
estabilidade que proporcionam ao ser humano são essenciais na função locomotora.
A rotura meniscal, devido à sua crescente incidência e limitação funcional
associada, assume-se atualmente como uma patologia relevante do joelho. O prognóstico
depende do tipo de rotura, lesões associadas e tratamento realizado
Objetivos: Esta revisão bibliográfica pretende sistematizar o conhecimento
existente na Literatura sobre rotura meniscal, incidindo sobre epidemiologia, fatores de
risco, métodos de diagnóstico e estratificação da gravidade, bem como reunir os
consensos atuais existentes no que concerne ao tratamento.
Metodologia: Para a realização desta dissertação foi efetuada pesquisa
bibliográfica, contemplando revisão de literatura científica acerca de Roturas Meniscais
do joelho através da plataforma PubMed. Não obstante, foram também consultados
livros de Ortopedia, bem como outras publicações consideradas pertinentes. Foi dada
primazia a artigos publicados desde 2010.
Conclusão: A meniscectomia parcial artroscópica é um procedimento cirúrgico
que não deve ser utilizado como primeira linha na maioria das roturas meniscais. Ao
invés, a reparação meniscal, através de técnicas de sutura, demonstra ter resultados
otimistas no seguimento dos doentes intervencionados, devendo ser privilegiada. A
evolução da impressão 3D guiada por imagens de Ressonância Magnética Nuclear fará
parte da solução, num futuro a curto prazo, na construção de próteses eficazes.
Introduction: Menisci are essential anatomical structures in the biomechanics of the knee; these perform essential functions in locomotion, as well as in the practice of physical activity. Shock absorption, joint lubrification, proprioception and stability are essential in locomotion. Meniscal tears, due to its increasing incidence and associated functional limitation, is currently considered a relevant knee pathology. Prognosis depends of the type of tear, associated injuries and treatment involved. Objectives: This systematic review intends to gather the existing knowledgein the Literature about meniscal tears, focusing on epidemiology, risk factors, methods of diagnosis and severity stratification, as well as to reunite the current consensus, regarding treatment. Materials and Methods: To develop this dissertation, a bibliographic search was carried out, contemplating a scientific knowledge review of Meniscal tears through the PubMed platform. Besides, orthopedics books were consulted, as well as other publications considered relevant. Priority was given to articles published since 2010. Conclusion: Arthroscopic partial meniscectomy should not be used as the first line treatment in most meniscal tears. On the contrary, meniscal repair, using suture-based techniques, has shown optimistic results in the follow up of patients and should be privileged. The evolution of 3D printing guided by Magnetic Ressonance Imaging will be part of the solution in the short term, in order to fabricate effective scaffolds.
Introduction: Menisci are essential anatomical structures in the biomechanics of the knee; these perform essential functions in locomotion, as well as in the practice of physical activity. Shock absorption, joint lubrification, proprioception and stability are essential in locomotion. Meniscal tears, due to its increasing incidence and associated functional limitation, is currently considered a relevant knee pathology. Prognosis depends of the type of tear, associated injuries and treatment involved. Objectives: This systematic review intends to gather the existing knowledgein the Literature about meniscal tears, focusing on epidemiology, risk factors, methods of diagnosis and severity stratification, as well as to reunite the current consensus, regarding treatment. Materials and Methods: To develop this dissertation, a bibliographic search was carried out, contemplating a scientific knowledge review of Meniscal tears through the PubMed platform. Besides, orthopedics books were consulted, as well as other publications considered relevant. Priority was given to articles published since 2010. Conclusion: Arthroscopic partial meniscectomy should not be used as the first line treatment in most meniscal tears. On the contrary, meniscal repair, using suture-based techniques, has shown optimistic results in the follow up of patients and should be privileged. The evolution of 3D printing guided by Magnetic Ressonance Imaging will be part of the solution in the short term, in order to fabricate effective scaffolds.
Description
Keywords
Menicus Repair Meniscectomy Meniscus Meniscus Tear