Meniscus tears

master's thesis

• Title (croatian): Ozljeda meniska koljena
• Author: Stav Dotan
• Mentor: Mislav Jelić (mentor)
• Committee member: Mislav Jelić (predsjednik povjerenstva)
• Committee member: Domagoj Delimar (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

The meniscus is an important component of the knee joint. His function is to helps prevent articular cartilage degeneration and the onset of osteoarthritis.

It serves a unique role in load bearing, load transmission, shock absorption, lubrication, and nutrition of articular cartilage. It can bear various forces such as shear, tension, and compression.

Meniscus injury is a common knee injury which requiring proper diagnosis to diagnose the type of tear and its location for appropriate treatment. Diagnosis is usually made by clinical history, physical examination, and imaging studies, with all those sources the physician can chose the best treatment option based on the specific condition. Various repair techniques are available today, ranging from non-surgical to total meniscectomy, but most are only effective for lesions located in the peripheral vascularized region of the meniscus. The demanding mechanical environment can make healing lesions in the inner avascular region challenging. This challenge has spurred interest in biomaterials and bioengineering to address meniscal deterioration through tissue engineering.

This thesis paper aims to review the different types of meniscus tears, the diagnostic process with an explanation of the different clinical tests, and the range of possible treatment techniques.

Abstract (croatian)

Menisk je esencijalna komponenta zgloba koljena koja prevenira degenerativne promjene hrskavice, te razvoj osteoartritisa.

Ima ključnu ulogu u prijenosu opterećenja, apsorpciji udaraca, lubrikaciji i prehrani hrskavice zgloba, kao i sposobnost podnošenja raznolikih opterećenja kao što su smicanje, pritisak i kompresija.

Ozljeda meniska je učestao oblik ozljede koljena koja zahtijeva ispravni dijagnostički postupak s ciljem određivanja vrste i lokacije ozlijede, kako bi se mogla odrediti ispravna terapija. Dijagnoza se postavlja na temelju anamneze, kliničkog pregleda i radiološke dijagnostike, a potom kliničar određuje najbolju metodu liječenja za karakteristični tip ozljede. Danas su dostupne mnoge metode popravka oštećenja, varirajući od neoperativnih metoda do kompletne meniscektomije. Unatoč tomu, metode su uglavnom djelotvorne samo za oštećenja locirana na perifernoj vaskulariziranoj regiji meniska. Liječenje ozljeda unutarnje, avaskularne regije je problematično zbog zahtjevnog mehaničkog okruženja. Navedeno je potaknulo interes za rješavanjem problema ozljeda meniska tkivnim injženjerstvom, pomoću biomaterijala i bioinjženjerstva.

Cilj ovog diplomskog rada je dati osvrt na različite ozljede meniska, dijagnostički postupak sa objašnjenjem postupaka kliničkih testova te osvrt na raspon dostupnih metoda liječenja.

• Keywords: Knee; meniscus; meniscus tear
• Keywords (croatian): koljeno; menisk; ozljede meniska
• Language: english
• URN:NBN: urn:nbn:hr:105:602470
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-09-01 10:15:20