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DOI: 10.1055/s-0040-1710333
Medial Knee Arthrosis: A Pathology with a Progressive Evolution
Article in several languages: português | English
Abstract
Medial arthrosis of the knee is an evolutionary pathology that occurs due to progressive muscle imbalance. The muscles of the knee region have a large imbalance caused by the difference of power and lever arm. With the progression of life, this imbalance manifests itself more importantly, especially due to the loss of muscle strength due to aging. Pathological postures begin to occur and determine areas of support and pressure harmful to the joint. Meniscal injury is typical in the evolution of this pathology, as well as cartilage injury. The recognition of this pathology enables good results with less aggressive treatments, such as correction of muscle imbalance and consequent reeducation of joint support. Economic and partial meniscectomy brings good results in the early stages of the degenerative process. Progressive evolution leads to knee degeneration and the consequent need for broader surgeries.
Publication History
Received: 06 January 2020
Accepted: 20 February 2020
Article published online:
22 July 2020
© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Molina RD, Sado JJ, Mendlovitz PS, Camanho GL. Avaliação da deformidade rotacional do joelho em paciente com genuvaro e osteoartrose. Rev Bras Ortop 2002; 37: 430-435
- 2 Ahlbäck S. Osteoarthrosis of the knee. A radiographic investigation. Acta RadiolDiagn (Stockh) 1968;277(Suppl.):277, 7–72
- 3 Camanho GL, Hernandez AJ, Bitar AC, Demange MK, Camanho LF. Results of meniscectomy for treatment of isolated meniscal injuries: correlation between results and etiology of injury. Clinics (São Paulo) 2006; 61 (02) 133-138
- 4 Camanho GL. Dor aguda no joelho do paciente idoso. Rev Bras Ortop 2008; 43 (09) 361-366
- 5 Norman A, Baker ND. Spontaneous osteonecrosis of the knee and medial meniscal tears. Radiology 1978; 129 (03) 653-656
- 6 Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am 2000; 82 (06) 858-866
- 7 Demange MK, Gobbi RG, Camanho GL. “Fatigue meniscal tears”: a description of the lesion and the results of arthroscopic partial meniscectomy. Int Orthop 2016; 40 (02) 399-405
- 8 Camanho GL. Lesão meniscal por fadiga. Acta Ortop Bras 2009; 17 (01) 31-34
- 9 Englund M, Guermazi A, Roemer FW. et al. Meniscal tear in knees without surgery and the development of radiographic osteoarthritis among middle-aged and elderly persons: The Multicenter Osteoarthritis Study. Arthritis Rheum 2009; 60 (03) 831-839
- 10 Higuchi H, Kimura M, Shirakura K, Terauchi M, Takagishi K. Factors affecting long-term results after arthroscopic partial meniscectomy. Clin Orthop Relat Res 2000; (377) 161-168
- 11 Schimmer RC, Brülhart KB, Duff C, Glinz W. Arthroscopic partial meniscectomy: a 12-year follow-up and two-step evaluation of the long-term course. Arthroscopy 1998; 14 (02) 136-142
- 12 Badlani JT, Borrero C, Golla S, Harner CD, Irrgang JJ. The effects of meniscus injury on the development of knee osteoarthritis: data from the osteoarthritis initiative. Am J Sports Med 2013; 41 (06) 1238-1244
- 13 Camanho GL, Viegas AC, Camanho LF, Camanho CR, Forgas A. Artroplastiaunicompartimental no tratamento da artrose medial do joelho. Rev Bras Ortop 2007; 42 (09) 285-289