nursing diagnosis for meniscus tear
In addition to exercise, what treatment ultimately led to this patient's return to normal activities of daily living without continued knee symptoms? [Stage-based treatment by partial meniscectomy, meniscal refixation and transplantation]. Select appropriate treatment choices for a patient with a meniscus tear. As this is performed, the doctor lightly touches, or palpates, the knee. Our forums do not include medical advice and are for emotional support only. All rights reserved. b. instability with ligamentous testing of the affected knee. 2005 Aug;130(4):314-20. doi: 10.1055/s-2005-836815.

 |  A doctor will usually consider and discuss the individual’s medical history before making recommendations for treatment. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to: 1. Imaging techniques such as magnetic resonance imaging may be warranted but are no substitute for thorough clinical history and examination. Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. Magnetic resonance imaging (MRI) and clinical examination are tools commonly used in the diagnosis of meniscus tears. 520 Lake Cook Road, Suite 350, MRI scans allow for deeper viewing of the soft tissues in the knee joint, which can be integral in determining the location and severity of the tear. 2. eCollection 2019 May. Epub 2011 Feb 5. Shin D, Youn K, Lee E, Lee M, Chung H, Kim D. Ann Occup Environ Med. – Terms & Conditions – Privacy Policy – Disclaimer -- v7.7.5, Calming the COVID-19 Storm - Q&A Podcast Series, Improving Health through Board Leadership, Profiles in Nursing Leadership: Pathways to Board Membership, Nurses Month May 2020: Week 4 – Community Engagement, Trust and Spheres of Influence: An Interview with Karen Cox, PhD, RN, FACHE, FAAN, Uniting Technology & Clinicians: An Interview with Molly McCarthy, MBA, RN-BC, Where are our N95s? Diagnosing meniscal tears of any size, location or severity will typically center on three primary methods: A doctor will first assess if a tear has occurred by asking questions about the onset. c. paresthesia in the lower leg or foot. Typical meniscus tears may be described as: Understanding the type and severity of mensicus tear will help guide treatment decisions. 5. , the MRI’s accuracy for diagnosing lateral meniscus tears is 77 percent. * Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. b. In the event of an injury being present, these palpations will produce a thud or click. After determining the medical history of the patient, the physical exam will typically include determining whether leg locking is present and indicative of a torn piece of cartilage locked in the knee joint, and whether the tear is of the lateral or medial meniscus. For example, patients who have suffered several meni… © Veritas Health, LLC, Epub 2006 Sep 7. 1999-2020 Veritas Health, LLC. Diagnostic processes for meniscal tears aim to determine first and foremost whether a tear is present, or whether the knee symptoms are caused by something else. Which of the following was a positive finding in this patient? Get the latest public health information from CDC: Practitioners should have a high degree of suspicion for meniscus pathology if the patient reports a typical mechanism of injury and. Guidance for PPE use in the COVID-19 pandemic. What Is the Difference Between Tendonitis, Tendinosis, and Tendinopathy? If you fail, you have the option of taking the test again at no additional cost. * If you pass, you will receive a certificate of earned contact hours and answer key. Radiol Case Rep. 2019 Feb 25;14(5):548-550. doi: 10.1016/j.radcr.2019.01.013. We performed a PubMed and Cochrane database literature search to identify all English-language studies evaluating the use of physical examination maneuvers and imaging studies for the diagnosis of meniscus tears. Meniscal tears can be assessed arthroscopically for stability and vascularity. Downward force will be applied to the foot by the physician while the foot is rotated to the outside. If pain presents itself in the inner section of the knee joint, a medial meniscal tear may be present. Please enable it to take advantage of the complete set of features! Bedi A, Kelly NH, Baad M, Fox AJ, Brophy RH, Warren RF, Maher SA. GENERAL PURPOSE: To provide information on meniscus tears in the knee. Arthroscopy . Send in 6 tests together and the least expensive one is free; send in 12 tests and the 2 least expensive ones are free, etc. * If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test. [Medline] . * Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results. The patient lies on his or her stomach, bending the knee at an even 90 degree angle. Results of arthroscopic all-inside repair for lateral meniscus root tear in patients undergoing concomitant anterior cruciate ligament reconstruction. Get Veritas Health eNewsletters delivered to your inbox. J Orthop Res. 2010 Jan. 26(1):67-75. 2013 Aug;31(8):1208-17. doi: 10.1002/jor.22358. Practitioners should have a high degree of suspicion for meniscus pathology if the patient reports a typical mechanism of injury and a. a significant hematoma over the painful area. The patient in the case presented in this article complained of increased pain with. First of two parts on diagnosis and management of meniscal injury, this reviews common tear patterns and elements of history, physical examination and imaging that lead to correct diagnosis. For example, if the knee is swollen or retaining fluid, an MRI will be necessary as the physician will be able to garner less from physical examination alone. * We offer special discounts. J Bone Joint Surg Am. 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 |  Magnetic resonance imaging can confirm clinical concern for meniscal tear, review intra- and extra-articular anatomical structures and exclude alternative diagnoses. 6.

The diagnosis of meniscus tear should be confirmed with, 13. Visit for immediate results, other CE activities, and your personalized CE planner tool. eCollection 2016.

Deerfield, HHS This article has been approved by the Orthopaedic Nurses Certification Board for Category A credit toward recertification as an ONC. Contact Lippincott Professional Development: 800-787-8985. 10. LPD is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice.


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