{"id":559,"date":"2019-01-06T15:54:58","date_gmt":"2019-01-06T14:54:58","guid":{"rendered":"https:\/\/drpinar.fr\/?p=559"},"modified":"2023-04-20T14:47:40","modified_gmt":"2023-04-20T12:47:40","slug":"menisques-dechires","status":"publish","type":"post","link":"https:\/\/drpinar.fr\/index.php\/2019\/01\/06\/menisques-dechires\/","title":{"rendered":"Faut-il op\u00e9rer les m\u00e9nisques d\u00e9chir\u00e9s?"},"content":{"rendered":"[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n

Le m\u00e9nisque normal<\/h4>\n\n\n\n

Les m\u00e9nisques sont des fibrocartilage, il ont une consistance molle. ils sont pos\u00e9s sur la partie sup\u00e9rieure du tibia (os de la jambe). Ils sont situ\u00e9 dans l’articulation du genou. Leurs surfaces sup\u00e9rieurs moulent la forme du tibia pour augmenter la congruence articulaire. Ils servent dont \u00e0 mieux repartir la pression sur le cartilage articulaire et \u00e0 le prot\u00e9ger. Un m\u00e9nisque us\u00e9 ou d\u00e9chir\u00e9 va perdre ces propri\u00e9t\u00e9s \u00ab\u00a0d’amortisseur\u00a0\u00bb du genou.<\/p>\n\n\n\n

Le m\u00e9nisque us\u00e9<\/h4>\n\n\n\n

Tout comme le cartilage articulaire, les m\u00e9nisques du genou peuvent s’user<\/a>. Bien que cette usure est normale \u00e0 un \u00e2ge avanc\u00e9, elle peut appara\u00eetre plus pr\u00e9cocement, favoris\u00e9e par la pratique intensive du sport ou certains m\u00e9tiers. Un m\u00e9nisque us\u00e9 pr\u00e9sente des fissures internes, son aspect est \u00ab\u00a0frang\u00e9\u00a0\u00bb. Dans la plupart des cas, les fissures sont stable. Dans ce cas il n’existe pas de fragment libres dans le genou. Dans ce cas il faut privil\u00e9gier un traitement non chirurgical comprenant infiltration du genou et kin\u00e9. En effet, il faut consid\u00e9rer le traitement global de l’arthrose du genou<\/a>.<\/p>\n\n\n\n

Les d\u00e9chirures du m\u00e9nisque<\/h4>\n\n\n\n

Lors d’accidents sportifs, le m\u00e9nisque peut se d\u00e9chirer brutalement<\/a>. Ces d\u00e9chirures concernent g\u00e9n\u00e9ralement des patients plus jeunes. Elles ne rentrent pas dans le cadre d’une usure chronique du genou. Ces d\u00e9chirures brutales peuvent \u00eatre isol\u00e9es ou \u00eatres associ\u00e9es \u00e0 une rupture du ligament crois\u00e9. Elle se manifestent par une douleur brutale, un gonflement du genou voire une impossibilit\u00e9 d’\u00e9tendre compl\u00e8tement la jambe. Dans ce cas, une consultation doit \u00eatre rapidement envisag\u00e9e avec un chirurgien orthop\u00e9diste. Le diagnostic sera confirm\u00e9e dans tous les cas par une IRM. Cette imagerie va localiser la d\u00e9chirure, son importance et \u00e9valuer la stabilit\u00e9 de la d\u00e9chirure. Si la d\u00e9chirure est r\u00e9cente il est g\u00e9n\u00e9ral possible de la r\u00e9parer par une suture. Dans certains cas, il faudra enlever le fragment de m\u00e9nisque. L’intervention se passe sous arthroscopie c’est \u00e0 dire sans ouvrir le genou.<\/p>\n\n\n\n

Conclusion<\/h4>\n\n\n\n

Les m\u00e9nisques peuvent s’user avec l’\u00e2ge et pr\u00e9senter des petites fissures, dans ce cas, il faut privil\u00e9gier le traitement m\u00e9dical comprenant infiltrations, port de semelles et kin\u00e9. En effet la r\u00e9paration du m\u00e9nisque n’est pas possible dans cas et l’ablation d’un fragment us\u00e9 ne soulage g\u00e9n\u00e9ralement pas les patients car il n’apporte pas de solution \u00e0 l’usure globale du genou arthrose).<\/p>\n\n\n\n

Dans le cas d’un d\u00e9chirure soudaine et r\u00e9cente chez un patient jeune, une consultation doit \u00eatre rapidement envisag\u00e9e avec un orthop\u00e9diste. Apr\u00e8s confirmation du diagnostic par un IRM, on privil\u00e9giera la r\u00e9paration du m\u00e9nisque sous arthroscopie si c’est possible.<\/p>\n\n\n\n

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\u00a0L’auteur<\/h1>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbStatistics Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

Le Dr Nicolas Pinar<\/a> est un chirurgien orthop\u00e9diste<\/strong>. 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Le m\u00e9nisque normal Les m\u00e9nisques sont des fibrocartilage, il ont une consistance molle. ils sont pos\u00e9s sur la partie sup\u00e9rieure du tibia (os de la jambe). Ils sont situ\u00e9 dans l’articulation du genou. Leurs surfaces sup\u00e9rieurs moulent la forme du tibia pour augmenter la congruence articulaire. Ils servent dont \u00e0 mieux repartir la pression sur […]<\/p>\n","protected":false},"author":1,"featured_media":562,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"\r\n

Le m\u00e9nisque normal<\/h4>\r\n\r\n\r\n\r\n

Les m\u00e9nisques sont des fibrocartilage, il ont une consistance molle. ils sont pos\u00e9s sur la partie sup\u00e9rieure du tibia (os de la jambe). Ils sont situ\u00e9 dans l'articulation du genou. Leurs surfaces sup\u00e9rieurs moulent la forme du tibia pour augmenter la congruence articulaire. Ils servent dont \u00e0 mieux repartir la pression sur le cartilage articulaire et \u00e0 le prot\u00e9ger. Un m\u00e9nisque us\u00e9 ou d\u00e9chir\u00e9 va perdre ces propri\u00e9t\u00e9s \"d'amortisseur\" du genou.<\/p>\r\n\r\n\r\n\r\n

Le m\u00e9nisque us\u00e9<\/h4>\r\n\r\n\r\n\r\n

Tout comme le cartilage articulaire, les m\u00e9nisques du genou peuvent s'user<\/a>. Bien que cette usure est normale \u00e0 un \u00e2ge avanc\u00e9, elle peut appara\u00eetre plus pr\u00e9cocement, favoris\u00e9e par la pratique intensive du sport ou certains m\u00e9tiers. Un m\u00e9nisque us\u00e9 pr\u00e9sente des fissures internes, son aspect est \"frang\u00e9\". Dans la plupart des cas, les fissures sont stable. Dans ce cas il n'existe pas de fragment libres dans le genou. Dans ce cas il faut privil\u00e9gier un traitement non chirurgical comprenant infiltration du genou et kin\u00e9. En effet, il faut consid\u00e9rer le traitement global de l'arthrose du genou<\/a>.<\/p>\r\n\r\n\r\n\r\n

Les d\u00e9chirures du m\u00e9nisque<\/h4>\r\n\r\n\r\n\r\n

Lors d'accidents sportifs, le m\u00e9nisque peut se d\u00e9chirer brutalement<\/a>. Ces d\u00e9chirures concernent g\u00e9n\u00e9ralement des patients plus jeunes. Elles ne rentrent pas dans le cadre d'une usure chronique du genou. Ces d\u00e9chirures brutales peuvent \u00eatre isol\u00e9es ou \u00eatres associ\u00e9es \u00e0 une rupture du ligament crois\u00e9. Elle se manifestent par une douleur brutale, un gonflement du genou voire une impossibilit\u00e9 d'\u00e9tendre compl\u00e8tement la jambe. Dans ce cas, une consultation doit \u00eatre rapidement envisag\u00e9e avec un chirurgien orthop\u00e9diste. Le diagnostic sera confirm\u00e9e dans tous les cas par une IRM. Cette imagerie va localiser la d\u00e9chirure, son importance et \u00e9valuer la stabilit\u00e9 de la d\u00e9chirure. Si la d\u00e9chirure est r\u00e9cente il est g\u00e9n\u00e9ral possible de la r\u00e9parer par une suture. Dans certains cas, il faudra enlever le fragment de m\u00e9nisque. L'intervention se passe sous arthroscopie c'est \u00e0 dire sans ouvrir le genou.<\/p>\r\n\r\n\r\n\r\n

Conclusion<\/h4>\r\n\r\n\r\n\r\n

Les m\u00e9nisques peuvent s'user avec l'\u00e2ge et pr\u00e9senter des petites fissures, dans ce cas, il faut privil\u00e9gier le traitement m\u00e9dical comprenant infiltrations, port de semelles et kin\u00e9. En effet la r\u00e9paration du m\u00e9nisque n'est pas possible dans cas et l'ablation d'un fragment us\u00e9 ne soulage g\u00e9n\u00e9ralement pas les patients car il n'apporte pas de solution \u00e0 l'usure globale du genou arthrose).<\/p>\r\n\r\n\r\n\r\n

Dans le cas d'un d\u00e9chirure soudaine et r\u00e9cente chez un patient jeune, une consultation doit \u00eatre rapidement envisag\u00e9e avec un orthop\u00e9diste. Apr\u00e8s confirmation du diagnostic par un IRM, on privil\u00e9giera la r\u00e9paration du m\u00e9nisque sous arthroscopie si c'est possible.<\/p>\r\n\r\n\r\n\r\n

<\/p>\r\n","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-559","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie-du-genou"],"yoast_head":"\nFaut-il op\u00e9rer les m\u00e9nisques d\u00e9chir\u00e9s? - Dr Nicolas Pinar<\/title>\n<meta name=\"description\" content=\"La d\u00e9chirure des m\u00e9nisques du genou est une pathologie tr\u00e8s fr\u00e9quente. 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