ÇOCUKLARDA NADİR GÖRÜLEN LATERAL DİSKOİD MENİSKÜS TEDAVİSİ VE SONUÇLARI (2 OLGU SUNUMU)

Abstract

Literatürde menisküs için çok sayıda varyasyon bildirilmiştir. Bu varyasyonların en sık görüleni diskoid menisküstür. Diskoid menisküste menisküs normal veya hilal şeklini kaybederek disk görünümü kazanmıştır. Diskoid menisküsün konjenital varyasyonları arasında lateral diskoid menisküs, medial diskoid menisküse göre daha sık görülür. (Samoto N ve ark., 2002). Tanıda çeşitli MR kriterleri öne sürülmüştür (Samoto ve ark., 2002, Kelly BT ve Green DW, 2002). Diskoid menisküs genellikle asemptomatiktir, ancak anormal klinikler eşlik edebilir (Rohren EM, 2001). Dizde hassasiyet, dizden ses gelmesi, kilitlenme gibi şikayetlere neden olabilir (Rao PS ve ark., 2001). Bu çalışmada 4 ve 6 yaşlarında iki kadın hastaya uyguladığımız artroskopik tedavi sonrası klinik ve radyolojik bulguları ile fizyoterapi ve rehabilitasyon sonuçlarını bildirmek istedi

Keywords

• diskoid menisküs
• fizyoterapi
• rehabilitasyon

TREATMENT AND RESULTS OF RARE LATERAL DİSCOİD MENİSCUS İN CHİLDREN (2 CASE REPORTS)

Abstract

Objective: In this study, we wanted to report the clinical and radiological findings of two female patients aged 4 and 6 years, and the results of physiotherapy and rehabilitation after the arthroscopic treatment we performed Methods: Partial meniscectomy was performed in both cases in the supine position under general anesthesia. She was hospitalized for 2 days after surgery. Patients were taken to physiotherapy program after surgery. While our six-year-old patient received 25 sessions of physiotherapy sessions, our 4-year-old patient received 30 sessions of physiotherapy. The physiotherapy program applied to both patients was applied for 12-15 minutes with cold application and 30 minutes of TENS. In order to gain normal joint space, passive stretching exercises at the margin of pain, isometric exercises to increase muscle strength, and then active exercises for lower extremity muscles were performed to increase muscle strength by the physiotherapist. Results: Discoid meniscus cases are rare in early ages. Our cases (4-6 years old) show that promising results are possible with arthroscopic treatment of the torn and dislocated lateral meniscus and the physiotherapy program applied for the symptoms after surgery

Keywords

• Discoid meniscus
• Physiotherapy
• Rehabilitation

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