Sports Injuries, Arthroscopy and Knee Surgery

Sports Injuries, Arthroscopy and Knee Surgery
Knee injuries are common during sports activities. Knee injuries are more common, especially in competitive team sports (such as football, basketball, volleyball).

Index
- Sports Injuries
- What is a Meniscus Tear?
- What is Anterior Cruciate Ligament Injuries (ACL)?
- What are Cartilage Injuries?
- What are the New Treatment Methods?
- Pain and Acupuncture due to Sports Traumas

Sports Injuries

Knee injuries are common during sports activities. Knee injuries are more common, especially in competitive team sports (such as football, basketball, volleyball). Although various levels of deterioration can be seen in all structures that make up the structure of the knee in traumatic knee injuries, in our daily practice, we most frequently see meniscus tears , anterior-posterior cruciate ligament tears, inner-outer lateral ligament tears and cartilage injuries.

What is a Meniscus Tear?

There are 2 meniscus tissues, internal and external meniscu, in the knee structure. 

· Meniscus is an important tissue that ensures the proper distribution of the pressure on the joint during knee joint movements, joint lubricity, and provides absorption of the pressure by the cartilage tissue. 
· Menisci are usually torn as a result of sudden-traumatic events in young people, while the tissue quality of the menisci is degraded (degeneration) at later ages due to adverse movements in daily life. 
· When the meniscus is torn during sports, the symptoms are pain and swelling. · In the later period, additional complaints such as sticking, noise, limitation of movement, and locking may be added. 
· It has been scientifically proven that meniscal tears that are not treated properly cause additional problems in the knee joint, especially arthrosis (calcification). Therefore, sports injuries should be taken seriously.

What is Anterior Cruciate Ligament Injuries (ACL)?

· ACL is one of the 4 important ligaments that provide the balance of the knee (the others are posterior cruciate, inner and outer lateral ligaments). 

· The role of the ACL that is located in the mid-inner part of the knee is to prevent the knee joint from protruding forward. 

· ACL usually occurs with an sports injury. Although it is seen in people who are engaged in personal or  team sports, it most often occurs with a sudden rotational movement on a fixed leg during competitive sports competitions. In anterior cruciate ligament injuries,  the knee swells and pain starts, after that the person usually can not continue the physical activity. Since ACL ruptures are high-energy injuries, they should be expected in addition to meniscus tears and cartilage injuries.

The balance of the knee will be impaired in the chronic period and frequent knee joint shifts will be seen, the structures within the knee will gradually deteriorate. This situation will appear as arthritis in the knee joint in the future. It has been scientifically shown that ACL ruptures cause 50% calcification after 10 years if not treated. Therefore, diagnosis and treatment of ACL injuries require expertise.

What are Cartilage Injuries?

· Joint cartilage tissue can be considered as a kind of surface covering,  located at the ends of the bones forming the joint. 
· Cartilage tissue is a slippery, shiny, smooth structure with its own unique feature. Thanks to this unique cartilage tissue, we do our daily activities without pain and can take part in heavy sports activities without any problems. 

· Cartilage problems of various degrees are seen in one-third of meniscus tears and anterior cruciate ligament injuries caused by sports injuries. 

· Early treatment of joint cartilage lesions after diagnosis is very important in terms of protecting joint functions, relieving patient's pain and preventing early osteoarthritis development.

· Treatment of cartilage injuries is one of the most controversial issues among orthopedic diseases worldwide. Due to the fact that the healing ability of joint cartilage is almost nonexistent. 

· Unlike other tissues in the body, articular cartilage can not regenerate itself after injuries. · Surgical interventions are absolutely necessary to create a healing response in the cartilage. 

· Various treatments are applied depending on the joint where the cartilage lesion is seen, the degree of damage, the presence of ligament injury and the physical activity of the patient. 

· Surgical treatments can usually be done arthroscopically (closed) or open surgery if necessary. Treatment options such as lavage, chondral shaving, debridement, microfracture with the arthroscopic method are successfully applied in patients with appropriate indications.

What are the New Treatment Methods?

As newer treatments, promising results are accomplished with PRP-STEM CELL applications and chondrocyte cartilage cell transplants.

We are able to apply these modern treatment methods both with our arthroscopic surgical experience and thanks to the 'FlorenCELL tissue and cell center, established within Florence Nightingale.

As Florence Nightingale Atasehir Hospital Orthopedics and Traumatology department, we frequently perform arthroscopic surgeries (closed method) in other joint injuries (shoulder-hip-ankle-wrist) as well as knee injuries, with our professional team in our sports health center. In the postoperative period, we provide a faster and healthier return to sports by applying the physio therapy and rehabilitation programs required by modern medicine, applied by Orthopedics and Physical Therapy specialists.

Pain and Acupuncture due to Sports Traumas

The use of acupuncture in the treatment of trauma and injuries began thousands of years ago with the aim of treating war trauma and injuries. In 2003, WHO (World Health Organization) approved the effectiveness and the use of acupuncture in sports traumas. Acupuncture is used in sports traumas in the following areas.

· Treatment of sports injuries (muscle-tendon-ligament trauma). It reduces the treatment time by half and provides a healthy recovery by reducing muscle spasm, edema, inflammation and pain in sports injuries, by increasing regional blood flow and accelerating tissue healing.

· Prevention of sports injuries (preventive treatment): Western medicine generally focuses on treating injuries. However, eastern medicine pays great importance to preventing the occurrence of injuries in addition to treating them. Musculoskeletal balance is very important in injuries. Muscle tone and agonist-antagonist (muscle groups working against each other) play a major role in maintaining musculoskeletal balance. When these break down, the risk of injury increases. With acupuncture, it is possible to prevent various injuries by early diagnosis and treatment of this imbalance.

· Increasing sports performance: sports performance, does not depend on good fitness and good training methods. It also depends on the stability of the person's mental balance and proper nutrition. Acupuncture aims to stabilize the balance of the musculoskeletal system and the body-brain relationship, and by doing so aims to provide the person with maximum performance. 

Appropriate diet and acupuncture treatment   increases the endurance of the athlete. The diet followed here is a diet to strengthen the tissues, not diet that deals with calorie, protein, fat and carbohydrate intake, like in Western medicine. 

You can ask the expert team of Florence Nightingale Hospital Groups about the topics you are interested in knee joint and sports injuries, and can also ask for suggestions on your questions. You can call 444 0 436 to reach us.

Sports Injuries, Arthroscopy and Knee Surgery
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