Fysiopluss

02/03/2024

Great post by :
"👀The inner 2/3 of the adult menisci is avascular and referred to as the "white zone," likely receiving nutrition through diffusion with the synovial fluid. The peripheral 1/3 of the adult menisci, or "red zone," is well-vascularized and supplied via branches of the medial and lateral genicular arteries.

👌Isolated meniscal tears occur due to rotational or shearing forces placed across the tibiofemoral joint, especially when an increased axial load is placed through the menisci.

👀Relatively less force is required to create tears in those with degenerative changes of the menisci, typically seen in adults over the age of 40y/o, often with concomitant osteoarthritis

🤗They are more likely to occur in people over 40y/o with underlying degenerative changes, in the absence of a distinct inciting event.  Longitudinal (vertical) tears run perpendicular to the tibial plateau and parallel to the long axis of the meniscus. In contrast, radial tears run perpendicular to both the tibial plateau and long axis of the meniscus, originating from the inner free edge of the meniscus.  

😭😭Complex tears involve some combination of horizontal, longitudinal, or vertical tears. In contrast, displaced tears involve either complete detachment of a piece of meniscus or flipping of a piece of the meniscus that is still attached to the rest of the meniscal body. 

🪣Bucket-handle tears are fragments of complete longitudinal tears that migrate centrally over the remaining menisci, whereas 🦜parrot-beak tears are radial tears with partially detached fragments. Flap tears are partially detached fragments of horizontal tears.  Tears within the outer 1/3 vascular zone of the menisci are "red-red" tears, whereas those with central margins extending into the inner 2/3 avascular zone are "red-white" tears.  Tears contained within the inner 2/3 avascular zone are "white-white" tears.  Tears located within the red zone have the highest potential for either spontaneous healing with conservative management or successful outcome following meniscal repair."
You can learn more about this topic from the lecture by Jonas Thorlund at www.trustme-ed.com

24/06/2022

Great visual of what happens with the nerve roots during a Straight Leg Raise (Lasegue's Test)
Do you always use this test in your exam for radiculopathy?

24/06/2019

Hva er effekten av paracetamol hos personer som har kne- eller hofteartrose sammenlignet med placebo? Ikke all verden, ifølge en Cochrane-oversikt

16/06/2019

Kan trening utsette aldring? 🏃🏼‍♂️👴🏻

Dette bildet illustrerer betydningen av trening for å bevare muskelmassen vår mens vi blir eldre ✅

Her har de tatt et bilde av låret til en inaktiv mann og en svært aktiv mann, begge i 70-årene. Her ser du forskjellen i muskelmasse og fettmasse. Utrolig, eller hva?

Legg også merke til at den aktive mannen har mye kraftigere benbygning (se den hvite runde knokkelen i midten av låret).

er medisin! Det er aldri for sent å begynne.

Forskning viser for eksempel at mennesker over 90 år, kan øke muskelmassen fra 50-200 prosent ved regelmessig styrketrening.

📷 Bildet er hentet fra denne studien: Wroblewski AP, et al. Chronic exercise preserves lean muscle mass in masters athletes. Phys Sportsmed. 2011.

04/04/2019

“SL Calf Raise Reps: Normative Values

Useful for rehab - How many can you do?

20-29yrs: Male 37, Female 30
30-39yrs: Male 32, Female 27
40-49yrs: Male 28, Female 24
50-59yrs: Male 23, Female 21
60-69yrs: Male 19, Female 19
70-79yrs: Male 14, Female 16

Herbert-Losier et al 2017”

Credit: tweet by Ash James 😊👍

Btw, Ash did a great lecture on low back pain at www.trustme-ed.com/lectures. 🤓👌

13/09/2018

19/07/2017

These words are better to use when talking to our patients.
Emphasize positive language! 👍💪
Your patients will thank you for it. 😊

13/07/2017

SWIM ENGLAND MEDIA RELEASE Swimming is uniquely placed to support people throughout their entire life. Swimming lowers the risk of early death by...

04/04/2017

Did you know that 50% of the 40 year olds have a disc bulge AND no pain? 😊
And did you know that 50% of the 60 year olds have facet degeneration AND no pain?
These changes are normal, just like wrinkles or grey hair.
So we don't have to be scared for our x-ray report. 😊
But the findings must be interpreted in the context of the patient's clinical condition ofcourse.

24/02/2017