{"id":1282,"date":"2024-04-11T04:36:22","date_gmt":"2024-04-11T04:36:22","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1282"},"modified":"2024-04-11T04:36:22","modified_gmt":"2024-04-11T04:36:22","slug":"ijpr-2024-105","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2024-105","title":{"rendered":"IJPR.2024.105"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.12.2\/IJPR.2024.105.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol12_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Case Report<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 12; Issue 2 (April 2024)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 4689-4695<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2024.105<\/h3>\n<h3 style=\"text-align: justify;\">Rehabilitation following Medial Meniscus tear and Lateral Tibial Plateau fracture managed conservatively: A Case Report<\/h3>\n<p style=\"text-align: justify;\"><strong>Priya S <sup>1<\/sup>, Harish S Krishna <sup>2<\/sup>, Komal R Gupta *<sup>3<\/sup><\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1 <\/sup>Associate Professor, Laxmi Memorial College of Physiotherapy, Mangalore, Rajiv Gandhi University of Health Sciences, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Professor, Laxmi Memorial College of Physiotherapy, Mangalore, Rajiv Gandhi University of Health Sciences, Karnataka, India.<\/p>\n<p><sup>*3<\/sup> Post graduate student, Laxmi Memorial College of Physiotherapy, Mangalore, Rajiv Gandhi University of Health Sciences, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: <\/strong>Dr. Komal R Gupta PT., Laxmi Memorial College of Physiotherapy, Mangalore, Rajiv Gandhi University of Health Sciences, Karnataka, India. <strong>E-Mail:<\/strong> komal6111995@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><em>Background and purpose:<\/em><\/strong> Dashboard injuries with forced lateral rotation of the leg can cause tibial plateau fractures with medial meniscus and ACL injuries. Tibial plateau fractures are difficult to treat and can have devastating effects such as discomfort, deformity, restricted ROM causing early degenerative changes in the knee joint. The purpose of this case report is to explain the physiotherapy intervention options and to assess their success in the conservative management of such injury.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Case description:<\/em><\/strong> 33-year-old female presented to physical therapy with severe pain over the right knee while standing, unable to bend or straighten the knee and had a feeling of giving away of knee while walking since the time patient experienced a fall from her motorcycle. The condition was managed with supervised and unsupervised physiotherapy for 8 weeks. Intervention consisted of patient\u2019s education about the condition, immobilization, electrotherapeutic modalities, exercise therapy, posture, gait, balance and proprioception training and counselling for 8 weeks, six days a week, for 45\u201360 minutes each day.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Outcome:<\/em><\/strong> The patient gained the knee ROM and strength in the lower extremities while achieving all short-term goals. She began ambulating independently and was mobile and autonomous in most situations. Her Oxford knee score improved by 75%.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Discussion:<\/em><\/strong> It has been demonstrated that physical therapy interventions are helpful in reducing patients&#8217; functional limitations. Due to a lack of supporting data, this case report describes specific procedures that were used to reduce functional restrictions caused by a medial meniscus rupture and a lateral tibial plateau fracture.<\/p>\n<p><strong>KEYWORDS: <\/strong>Meniscal cartilage, intra-articular fracture, physical therapy, ambulation, functional status.<\/p>\n<p style=\"text-align: justify;\">\u00a0<strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Ruiz-Iban MA, Diaz-Heredia J, Elias-Martin E, Moros-Marco S, Cebreiro Martinez Del Val I 2012 Repair of meniscal tears associated with tibial plateau fractures: a review of 15 cases. Am J Sports Med 40(10):2289-95.<br \/>https:\/\/doi.org\/10.1177\/0363546512457552<br \/>PMid:22962298<br \/>[2]. Yim JH, Seon JK, Song EK, Choi JI, Kim MC, Lee KB, Seo HY 2013 A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Am J Sports Med 41(7):1565-70.<br \/>https:\/\/doi.org\/10.1177\/0363546513488518<br \/>PMid:23703915<br \/>[3]. Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM 2014 Treatment of meniscal tears: An evidence-based approach. World J Orthop 5(3):233-41.<br \/>https:\/\/doi.org\/10.5312\/wjo.v5.i3.233<br \/>PMid:25035825 PMCid:PMC4095015<br \/>[4]. Roos H, Adalberth T, Dahlberg L, Lohmander LS. Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and age. Osteoarthritis Cartilage 1995; 3(4):261-7.<br \/>https:\/\/doi.org\/10.1016\/S1063-4584(05)80017-2<br \/>PMid:8689461<br \/>[5]. Clement ND, Afzal I, Liu P, Phoon KM, Asopa V, Sochart DH, Kader DF 2022 The Oxford Knee Score is a reliable predictor of patients in a health state worse than death and awaiting total knee arthroplasty. Arthroplasty 4(1):33.<br \/>https:\/\/doi.org\/10.1186\/s42836-022-00132-9<br \/>PMid:35918759 PMCid:PMC9345743<br \/>[6]. 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Bakar Y, Ozdemir OC, Sevim S, Duygu E, Tugral A, Surmeli M 2017 Intra-observer and inter-observer reliability of leg circumference measurement among six observers: a single blinded randomized trial. J Med Life 10(3):176-181.<br \/>[12]. Brunnekreef JJ, Van Uden CJ, Van Moorsel S, Kooloos JG 2005 Reliability of videotaped observational gait analysis in patients with orthopedic impairments. BMC Musculoskelet Disord 6:17.<br \/>https:\/\/doi.org\/10.1186\/1471-2474-6-17<br \/>PMid:15774012 PMCid:PMC555760<br \/>[13]. Snoeker BA, Zwinderman AH, Lucas C, Lindeboom R 2015 A clinical prediction rule for meniscal tears in primary care: development and internal validation using a multicentre study. Br J Gen Pract 65(637): e523-9.<br \/>https:\/\/doi.org\/10.3399\/bjgp15X686089<br \/>PMid:26212848 PMCid:PMC4513740<br \/>[14]. Taradaj J, Halski T, Kucharzewski M. The effect of Neuromuscular electrical stimulation on quadriceps strength and knee function in professional soccer players: Return to sport after ACL reconstruction. BioMed Res Int. 2013;1-9.<br \/>https:\/\/doi.org\/10.1155\/2013\/802534<br \/>PMid:24381943 PMCid:PMC3870113<br \/>[15]. Eitzen I, Grindem H, Nilstad A, Moksnes H, Risberg MA 2016 Quantifying Quadriceps Muscle Strength in Patients with ACL Injury, Focal Cartilage Lesions, and Degenerative Meniscus Tears: Differences and Clinical Implications. Orthop J Sports Med 4(10).<br \/>https:\/\/doi.org\/10.1177\/2325967116667717<br \/>PMid:27766275 PMCid:PMC5063093<br \/>[16]. Hart JM, Kuenze CM, Diduch DR, Ingersoll CD. Quadriceps muscle function after rehabilitation with cryotherapy in patients with anterior cruciate ligament reconstruction. J Athl Train 2014;49(6):733-739.<br \/>https:\/\/doi.org\/10.4085\/1062-6050-49.3.39<br \/>PMid:25299442 PMCid:PMC4264644<br \/>[17]. Hart JM, Pietrosimone B, Hertel J, Ingersoll CD. Quadriceps activation following knee injuries: a systematic review. J Athl Train 2010;45(1):87-97.<br \/>https:\/\/doi.org\/10.4085\/1062-6050-45.1.87<br \/>PMid:20064053 PMCid:PMC2808760<br \/>[18]. Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomized trial. Knee Surg Sports Traumatol Arthrosc 2007;15(4):393-401.<br \/>https:\/\/doi.org\/10.1007\/s00167-006-0243-2<br \/>PMid:17216272<br \/>[19]. Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ. Orthopedic Section of the American Physical Therapy Association. Knee pain and mobility impairments: meniscal and articular cartilage lesions. J Orthop Sports Phys Ther 2010;40(6): A1-A35.<br \/>https:\/\/doi.org\/10.2519\/jospt.2010.0304<br \/>PMid:20511698 PMCid:PMC3204363<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Priya S, Harish S Krishna, Komal R Gupta. Rehabilitation following Medial Meniscus tear and Lateral Tibial Plateau fracture managed conservatively: A Case Report. Int J Physiother Res 2024;12(2):4689-4695. DOI: 10.16965\/ijpr.2024.105 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Case Report Volume 12; Issue 2 (April 2024) Page No.: 4689-4695 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2024.105 Rehabilitation following Medial Meniscus tear and Lateral Tibial Plateau fracture managed conservatively: A Case Report Priya S 1, Harish S Krishna 2, Komal R Gupta *3 1 Associate Professor, Laxmi Memorial College of Physiotherapy, Mangalore, Rajiv Gandhi University of Health<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2024-105\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1282","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1282"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=1282"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1282\/revisions"}],"predecessor-version":[{"id":1287,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1282\/revisions\/1287"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=1282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}