Diagnosis and treatment of the knee joint meniscus cystThe method of treatment of the knee meniscus cyst depends on the stage of severity of the disease. If you have a cyst at an early stage, it is quite possible to cure it with folk remedies. Other methods involve medication or surgery.
This pathology is not age-related, people from 14 to 40 years old are affected by knee joint damage. As a rule, these are young sportsmen or middle-aged people who face the joints on a daily basis. Thus, excessive load is considered the main cause of the onset of the disease.
The pathological zone can be located on the sides of the meniscus or inside it. There is an external meniscus - lateral, and also internal - medial. Most often, the outer part suffers, since it is the most mobile, the inner part is damaged in rare cases( ratio 5: 1).
What is the function of the internal and external meniscus
Menisci - a kind of shock absorbers that regulate the load on the knee joints and in case of excessive stress limit their mobility. In addition, menisci can reduce the friction of the joint surfaces. This prolongs their normal working capacity.
The knee joint meniscus cyst is one of the most common articular pathologies. The disease can be both hereditary and acquired character.
As a rule, the shape of the meniscus varies depending on the direction in which the movement occurs, but the mobility of the inner meniscus is much higher, consequently, this part is subject to damage of a different nature. Menisci are supplied with blood thanks to the arteries. They are located in the joint, its capsule. However, blood does not enter the inner meniscus, since there is no access. But nearby there is a special zone, which is provided with the necessary amount of blood. This area is treated faster than the internal part: the rupture fuses in a short time, if the meniscus is supplied with blood.
What the knee meniscus consists of
Treatment of the medial meniscus takes a long time, the methods of treatment are always individual. However, there may be damage to both individual menisci and their combinations. Many athletes are afraid to damage the inner area of the meniscus, the outer one heals faster and without consequences. How can I earn a knee joint meniscus cyst? Any unsuccessful movement( sharp bending of the foot, for example) entails consequences in the form of the development of such a pathology.
Cyst of lateral meniscus: symptoms of
What is a cyst? This is a kind of bubble that contains mucoid fluid. It forms in the thickness of the meniscus and fills the inside of this bubble. There is an occurrence of a cyst for various reasons, but it must be treated unambiguously.
Treatment of the lateral meniscus does not require surgical intervention, and the cyst passes relatively quickly. In case of discontinuity, treatment takes up to 2 weeks. As a rule, this disease has common signs, regardless of the location of the damage - in the inner or outer part. For example, all patients diagnosed with a cyst of the meniscus of the knee joint suffer from pain that increases during exercise. Pain can be muffled, calm, or intense, tearing.
The pathology of the lateral meniscus has, in addition, distinctive symptoms: increased temperature in the affected area, a significant increase in the joint, specific sounds when moving with the knee. Pathology progresses slowly, at the initial stages you will not be disturbed by pain in the joint, but soon you will notice the first signs of the cyst. Requires immediate medical treatment, the patient can recommend painkillers and many other drugs of a different range of activities.
Degrees of damage to the meniscus
Symptoms of damage to the medial meniscus
The cyst of the outer, or medial, meniscus is accompanied by several pronounced symptoms. First of all, it is pain in the inner part of the joint. The patient has a special sensitivity at the junction of the meniscus with ligaments. There is severe pain when flexing, it becomes difficult for a person to move his foot. Further, the weakness of the anterior muscle of the thigh is considered a distinctive symptom of damage to the medial meniscus. When a man strains his limbs, lumbago appears in the affected area.
If to speak about the lateral meniscus, its defeat causes slightly different symptoms. For example, pain occurs on the site of the peroneal ligament, and when you try to bend your leg strongly, the pain appears in the area of the collateral ligament. Just as with the pathology of the medial meniscus, the lesion of the lateral meniscus is accompanied by a weakening of the muscles, most often the anterior part of the thighs. The patient may have a synovitis.
Causes of meniscus cysts may be joint diseases: osteochondrosis, arthritis, arthrosis. In this case, treatment must begin with the elimination of the focus of the disease, and the consequence of the underlying ailment of the cyst of the meniscus will pass easily in the near future. In each of the cases under consideration, you should consult a specialist. It is not recommended to treat such a disease on your own, as it is easy to bring yourself to the operating table.
The most common place for the formation of cysts is the knee. It is there that the swelling is most often formed, which indicates a break in the meniscus.
Remember that the cyst of the outer meniscus leads to many other joint diseases. Arthrosis is considered a common pathology, which can be the cause and effect of the knee joint meniscus cyst.
Diagnosis of the disease
To begin treatment of the disease, you need to make sure of the diagnosis. To do this, you should visit a doctor and undergo the necessary examinations. First, the specialist will conduct a visual inspection, after which he will ask a few questions, and in the end will offer to pass magnetic resonance imaging( MRI).It is possible to use ultrasound diagnostics and computed tomography.
Indications MRI will decide which treatment is needed in this case. The tomogram will give precise information about the state of the meniscus( it is pinched, torn or torn).However, some often confuse the cyst with other pathologies and prescribe stretching. That the doctor has put the correct diagnosis and treatment did not cause harm, it is recommended to pass all inspections.
Do not forget, if the cyst of the knee meniscus( his joint) appears twice, then it necessarily acquires a chronic character. In this case, the symptoms change, like the treatment.
Depending on the age, severity of the pathology, its location( damage to the internal meniscus or external), the specialist chooses a treatment method: either conservative or operative. However, regardless of the method of treatment, special measures are taken: a cold compress is applied to the patient, which is fixed with a bandage. Thus, the progression of the disease slows down.
Treatment with conservative and operative methods
What to do next? If you are on an experienced doctor, he will do the following: he will put plaster on the affected area for at least 3 weeks. And then special rehabilitation procedures are prescribed, which will help to speed up the recovery process during the rehabilitation period. If we consider a conservative method of treatment, then it is necessary to make a puncture. Since some of the blood is lost, a blockage of the joint is established. After this, the doctor usually prescribes physiotherapy.
In most cases, chondroprotectors are prescribed for the treatment of the meniscus cyst of the knee joint. However, such a drug will be effective only if you start taking it in the early stages of the disease. Treatment is very long. Sometimes it takes from 1.5 to 3 years to completely restore the meniscus. Chondroprotectors have several contraindications:
- age restrictions;
- is an allergy.
Therefore, these drugs are used only on the recommendation of a doctor. To fight the disease, use special ointments and gels. Traditional medicine will also help: bee venom, which has healing properties and will be especially useful in the initial stage of the disease. If you suffer severe pain, then you should take painkillers.
The knee joint meniscus cyst is treated and physiotherapy. The patient is often prescribed curative gymnastics, massages and various procedures. If you are treated at home, then it will be useful to walk on all fours.
When is an operation necessary? First, it is necessary to resort to surgery for those with a meniscus crushed, and secondly, if its displacement is observed. It is also necessary to perform surgery for those patients who have had a hemorrhage into the joint cavity. Finally, surgery should be addressed if a meniscus tear has occurred.
Meniscus cyst is a fluid-filled cavity in the thickness of the meniscus. The disease often develops in young and middle age. It is generally believed that the cause of cystic degeneration of menisci is a constant increased load on the knee joint( with heavy physical work or playing sports).Outer meniscus is more often affected, more rarely - internal( ratio 5: 1).The main complaint of patients with a meniscus cyst is the pain that arises and intensifies with movements in the joint. When examined on the side of the knee, a swelling is found. The final diagnosis is made according to arthroscopy, ultrasound or MRI of the knee joint. Treatment consists in the complete removal of the altered meniscus.
Meniscus cyst is a fluid-filled cavity in the thickness of the meniscus. The disease often develops in young and middle age. It is generally believed that the cause of cystic degeneration of menisci is a constant increased load on the knee joint( with heavy physical work or playing sports).Outer meniscus is more often affected, more rarely - internal( ratio 5: 1).
Symptoms of the meniscus cyst
The patient has pain in the area of the joint gap, increasing with the load on the knee joint and disappearing at rest. When examining the traumatologist, a dense, painful palpation swelling of 0.5 to 3 cm across the lateral surface of the joint is revealed.
Small meniscus cysts are located at the level of the joint gap, disappear when flexed and reappear when the knee is extended, sometimes not probed. As the meniscus cyst increases, the tumor-like formation extends beyond the joint and spreads along the path of least resistance.
The cyst of the outer meniscus usually occurs in the middle third of the outer part of the meniscus, less often in the region of the anterior or posterior horn. The meniscus cyst does not connect with the capsule of the joint, which gradually becomes thinner under the pressure of a growing tumor-like formation. As a rule, protrusion is located behind the outer lateral ligament.
The cyst of the inner meniscus protrudes posteriorly or in front from the inner lateral ligament, less often through the ligament thickness.
The long-existing cyst of the meniscus causes degenerative changes in bone tissue and leads to the development of deforming arthrosis.
Diagnosis of the meniscus cyst
In traumatology, meniscus cysts are diagnosed on the basis of a clinical picture, the results of an ultrasound of the knee joint, arthroscopy or MRI of the knee joint. With the development of deforming arthrosis, the condyle of the tibia reveals characteristic changes on the radiographs( the Rauber-Tkachenko symptom).
Treatment of the meniscus cyst
The patient is recommended to reduce the load on the knee joint. In severe pain syndrome prescribe painkillers and non-steroidal anti-inflammatory drugs.
The final cure for the meniscus cyst is impossible without surgery, but the complete removal of the cystically altered meniscus leads to a rapid development of deforming arthrosis. Therefore, surgical intervention should be as gentle as possible.
Preferred option is the removal of the meniscus by endoscopic arthroscopy, which allows to reduce the traumatism of the operation and reduce the likelihood of complications. Depending on the location and size of the meniscus cyst, the cyst is dissected or the damaged part of the meniscus is removed.
Treatment and operation of knee biker knee
The knee joint knuckle is a tumor-like benign formation that is localized on the back wall of the joint and is an accumulation of joint fluid. Clinically, this phenomenon is characterized by swelling of the popliteal fossa zone. Since the cyst has a joint with the joint cavity, its protrusion is much like a hernia. The knee cyst can measure from 2 to 100 mm. Reaching a large size, education bursts.
The most distinctly knee cyst is visualized when the leg is extended, at the moment of flexion it is more difficult to detect it. The skin in the place of localization of education does not change its color, there are no adhesions.
Suffer from this disease mainly those people whose work is associated with high physical activity, weight lifting, and athletes. In children, this disease is much less common than in older people.
The knee cyst can be a secondary disease that develops against the background of diagnoses such as arthrosis, arthritis and the like.
A cyst of this kind is very labile: has the ability to resize or fade. The cystic formations themselves are single( when only one cavity is formed) and multiple( several small cysts appear).
Symptoms and symptoms of knee joint cyst
This disease has the following manifestations:
swelling of the joint area with clear boundaries, which is well palpable;
disruption of joint function of various degrees, up to immobility;
tenderness in the joint;
puffiness and numbness of nearby tissues.
In this case, the symptoms may be completely absent at the initial stage or manifest due to mild discomfort. But with increasing cyst size, the pressure on nearby nerves and blood vessels increases, which leads to numbness, tingling in the sole, painful sensations in the knee and a feeling of constant cold in the area below the knee. Movement of the leg is difficult and causes pain.
Occasionally, the pressure of the knee cyst on the popliteal vein is so intense that it contributes to the development of deep vein thrombosis or their varicose veins. This situation is accompanied by a feeling of discomfort, heaviness, swelling.
With such a complication as a rupture of the knee cyst, severe, severe pain can occur, the skin on the back of the shin become red, swells, and the temperature rises.
Causes of the knee cyst
The following factors that can be associated with the processes of the pathology of the knee joint can cause the onset of a cyst:
knee injury: strokes, subluxations, which are most often associated with exercise;
degenerative changes and meniscus lesions;
chronic stage of inflammatory processes in the knee joints;
damage, destruction of the cartilage of the joint;
, the presence of such diseases as rheumatoid arthritis, osteoarthritis, patellofemoral arthrosis, etc.
Because of these circumstances, intensified production of synovial fluid begins and its accumulation in the posterior knee part. A large amount of this substance begins to press on the end of the nerves, which leads to the appearance of characteristic symptoms.
Excess fluid in the knee joint is otherwise referred to as joint effusion or water in the knee.
The knee joint cyst can occur even when the knee is generally healthy. In this case, the bursa - sacs of synovial fluid, designed to reduce the friction of the mobile elements of the joints - forms a tunnel that connects with the shell of the joint. On it, the liquid flows down to the knee bursa, causing swelling. This clinical picture is most typical for patients-children.
Identify the exact cause of the disease allows the ultrasound of the knee joint or MRI.Less often for this purpose, the puncture of the contents of the cyst is performed.
Baker's knee joint
The Baker's cyst is a soft, but dense to the touch benign formation that develops in the popliteal fossa( the back surface of the knee joint).It has an elastic dense structure and is characterized by deformation of the synovial membrane and destructive processes in the joint capsule.
The Baker's cyst is structurally similar to a hernia, since it does not consist of individual cells but has a joint with the joint bag.
This formation is best seen with an unbent knee, when it is bent, the cyst is less convex and has a lower density.
This disease was named on behalf of the British physician William Baker, who owns the first publications with reports on synovial cysts, localized in the knee joint area.
Other types of knee joint cyst
The ganglion cyst of the knee joint is considered to be a benign formation that comes from the tendon sheath and the joint capsule. It is a spherical or oval formation, having in the middle of the duct, connecting the cyst with the tendon sheath and the joint capsule. The filling of the cyst is a clear liquid or gelatinous substance. Ganglia cyst during examination has the form of a small water sac or a tight elastic tumor. There is such a disease is rare. Determine its cause is uniquely difficult, most often it affects young women suffering from hypermobility joints. In addition, the ganglion cyst of the knee joint is sometimes a consequence of trauma.
The paramental cyst of the knee joint occurs when the meniscus cyst extends to the ligaments and the capillary zone. Tumor formation acquires large dimensions and does not disappear when the knee is unbent. Palpation and diagnosis of difficulties is not.
The paramental cyst of the knee is referred to the third stage of the cystic degeneration of the meniscus. Complex form of the disease requires surgical intervention. It can be avoided with timely access to a doctor, proper diagnosis, an integrated approach to treatment with subsequent physiotherapy. In this case, complete recovery of the knee functions can be achieved.
The synovial cyst of the knee joint can be characterized by a hernia or a change in the synovial membrane of the joint. The exact cause of this disease is not clear, but in the risk zone are people suffering from osteoarthritis, rheumatoid arthritis and injured joints. Since conservative treatment methods have a weak effect, most often resort to operational measures. During the operation, the synovial cyst is removed and the weak spot of the capsule is sewn by means of a special suture that helps to strengthen it.
Modern medicine suggests carrying out an endoscopic removal of the synovial knee cyst, since this method allows to reduce the traumatism to a minimum and accelerate, improve the efficiency of the rehabilitation process.
It is important to seek medical help in time, as the synovial cyst can break at any time and thus significantly complicate the treatment and recovery of knee functions.
The cyst of Bechterew in the knee joint of is the rarer name of Baker's cyst. It is caused by various dystrophic processes inflammation of the joint cavity with the formation of a tumor.
The subchondral cyst of the knee joint is recognized as a benign cystic lesion, characterized by a multiplicity. This formation consists of a fibrous tissue filled with myxoid content or silicone. It accompanies the course of a number of degenerative changes of the articular cartilage.
The subchondral cyst is more common in older people and most often has an asymptomatic course. The diameter of the formation can vary from 0.5 to 1.5 cm. A subchondral bone defect is observed in the examination, for which the surrounding normal bone tissues serve as walls. The outer fibrous tissue has a loose or dense consistency, and the inner lining of the subchondral cyst is not determined.
The cyst of the medial meniscus of the knee joint reveals itself as a pain localized in the inner region of the knee joint, which is felt particularly sharply with intensive flexion of the leg. Symptom is the weakness of the anterior muscles of the thigh. This cyst usually protrudes before or behind the inner side wall. The greatest effectiveness in the treatment of art is known for arthroscopy, providing a small size of the incision, and the speed of recovery without plaster bandages.
Treatment of knee joint cysts
In the presence of symptoms that indicate the appearance of benign formations, it is necessary to immediately seek the help of competent specialists. Since the treatment of cysts is always selected individually, taking into account the specific features of a particular case, only a qualified doctor can choose from the list of effective methods the most suitable. It can be conservative treatment or surgical measures. Auxiliary drugs will serve as recipes of folk medicine and physiotherapy.
In most cases, drug treatment is not very effective. Various drugs can help reduce pain, but they do not affect the cause of the disease, and therefore can not return the mobility of the joint. This method is used mainly before or after surgery. Then prescribe drugs that relieve inflammation and stop pain. They can be used in the form of ointments, tablets, injections.
One of the surgical methods is the puncture of the cyst. Carry out it as follows: a thick needle pierce the cyst and suck liquid out of it. Then, steroidal anti-inflammatory drugs( Triamcinolone, Diprospan, Berlikort, etc.) are injected into the interstitial bag. Puncture can only give a temporary result, because in the future the load on the knee joint will cause the cavity to be filled again with the joint fluid.
To treat a knee cyst with the help of folk recipes makes sense only if the disease is at the primary stage and the formation is small. In addition, such funds will serve as additional therapy at the time of drug treatment or at the stage of postoperative recovery. In this capacity, the celandine, the burdock, the golden mustache have proved themselves well. Compresses and tinctures are made from them. Any methods of treatment with the help of folk remedies must be coordinated with the attending physician without fail.
Physiotherapy is prescribed only during remission, because physical activity can cause renewal of pain and complications of the disease.
Therapeutic exercises in the knee cyst are prescribed by a physiotherapist and for the first time monitors their performance. Later the patient can practice exercise therapy at home and conduct sessions of light self-massage.
In order to reduce pain and relieve inflammation, SUF-irradiation, infrared laser therapy, and low-intensity UHF therapy are used. Hydrogen sulfide, radon baths are prescribed to improve blood flow.
Knee joint cyst removal( operation)
The following cases are indicative of surgery and cyst removal:
formation is large;
cyst is very painful;
disease is rapidly progressing;
other methods of treatment were ineffective.
During the operation, the cyst is completely removed, local anesthesia works. The operation lasts for half an hour, the patient leaves the hospital the next day, after 5 days the knee joint is ready for insignificant loads, after a week seams are removed.
Removal of the knee cyst can be recommended as a measure of treatment of the underlying problem of knee disease, for example, a meniscus rupture, since in this case the appearance of education is a secondary disease.
Author of the article: Andreev Alexander, traumatologist
Knee joint meniscus: symptoms, basic methods of diagnosis and treatment
Knee joint meniscus
Knee joint meniscus is the most important cartilage structure in the body that participates in the functioning of the musculoskeletal system.motor apparatus. Menisci serve as shock absorbers, which soften shocks and friction when walking.
Often in people experiencing great physical activity and athletes in the thickness of the meniscus, a cavity is formed, inside of which there is a semi-liquid substance - the cyst. To the emergence of cysts can lead and injuries meniscus.
Types of the cyst of the meniscus
In the knee joint there are two meniscus: the inner( medial) and the outer( lateral).Menisci connect with each other by a transverse ligament.
The cyst of the lateral meniscus is much more common than the medial, because the outer meniscus is more mobile. It is less exposed to ruptures, but it is much more often traumatized, which leads to the formation of cysts.
The cyst of the medial meniscus is less common and has a tendency to protrude forward with respect to the inner side wall or from behind.
Symptoms of the knee joint meniscus pathology
Knee joint meniscus disease is one of the most common pathologies associated with joints. Patients with this problem experience pain during walking and any stresses on the knee joint, as well as a dense swelling on the surface of the thigh.
There are three stages of cystic degeneration of the meniscus:
- Sensation of stiffness during movement and moderate pains that increase with exercise.
- Formation of swelling of a small size, which disappears when the joint is unbent.
- Education becomes more pronounced and dense, and is also permanently. Pressure on the surrounding tissues causes severe pain.
Diagnosis of the knee joint meniscus cyst
Diagnosis of the meniscus cyst is performed by an orthopedic physician and traumatologist. When establishing the diagnosis, laboratory and instrumental studies, patient complaints and medical history are taken into account. The cyst of the second and third stages is diagnosed visually, and to determine the pathology at the first stage it will be necessary to take histological samples.
As instrumental studies in diagnosis, meniscus cysts are used: