Division 1 Sports Physical Therapy Fellowship United States Military Academy, Baylor University-Keller Army Community Hospital, West Point, NY.
Sports Med Arthrosc Rev. 2021 Sep 1;29(3):173-179. doi: 10.1097/JSA.0000000000000303.
Injuries to the meniscus, particularly tears, can have significant negative impacts on pain, function, and quality of life. Preservation of the meniscus is favorable, especially in the athletic and active populations. While first line treatment is often nonoperative in nature, recalcitrant, and more complex tears, typically require surgery. Meniscus repair rates have increased significantly during the last 2 decades as surgical techniques and postoperative outcomes have improved. Longer postoperative timeframes are to be expected when compared with menisectomy, however, accelerated programs have demonstrated favorable outcomes. Rehabilitation and return to play guidelines should reflect the intricacies of the tear type and repair procedure. Close communication with the surgeon is a vital component to optimize patient outcomes. Further, the patient's goals and expected level of return to function, or sport, must be taken into account for a rehabilitation program to be fully successful.
半月板损伤，特别是撕裂，会对疼痛、功能和生活质量产生重大负面影响。半月板的保留是有利的，特别是在运动和活跃人群中。虽然一线治疗通常是非手术性质的，但顽固和更复杂的撕裂通常需要手术。随着手术技术和术后结果的改善，过去 20 年来，半月板修复的比率显著增加。与半月板切除术相比，术后时间会更长，但加速康复方案已经显示出良好的效果。康复和重返赛场的指南应该反映撕裂类型和修复程序的复杂性。与外科医生密切沟通是优化患者结果的重要组成部分。此外，必须考虑患者的目标和预期的恢复功能或运动水平，以使康复计划取得圆满成功。
