Page 52 - 2021 IDMT Digital

MENISCAL INJURY
Introduction:
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• ,QMXU\ WR WKH PHQLVFXV FDQ EH HLWKHU PHGLDO RU ODWHUDO DQG RIWHQ RFFXUV ZLWK WUDXPDWLF
LQMXULHV LQ WKH \RXQJHU SRSXODWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ ZLWK ZDONLQJ
o 3DLQ ZLWK VTXDWWLQJ
o &DWFKLQJ RU ORFNLQJ
o 3DLQ DORQJ WKH MRLQW OLQH
• )RFXVHG +LVWRU\
o 7UDXPD
o 0HFKDQLVP RI LQMXU\
o 7URXEOH VTXDWWLQJ
o $EOH WR H[WHQG NQHH IXOO\
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ DORQJ WKH PHGLDO DQG RU ODWHUDO MRLQW OLQH
o 2FFDVLRQDOO\ VZHOOLQJ ZLOO EH QRWHG
o 3RVLWLYH 0F0XUUD\ SRVLWLYH 7KHVVDO\ SRVLWLYH $SOH\
o 0XVW GHWHUPLQH LI SDWLHQW FDQ VWUDLJKWHQ OHJ
• 7RROV
o ; UD\V LI DYDLODEOH PD\ KHOS UXOH RXW IUDFWXUH EXW PD\ QRW EH QHFHVVDU\
Assessment:
• 'LIIHUHQWLDO
o %XFNHW KDQGOH PHQLVFDO WHDU XQDEOH WR IXOO\ H[WHQG OHJ
o $&/ ,QMXU\ HIIXVLRQ RI WKH NQHH
o )UDFWXUH WHQGHUQHVV WR SDOSDWLRQ RYHU ERQH
o 3DWHOODU VXEOX[DWLRQ SRVLWLYH DSSUHKHQVLRQ VLJQ
o 3&/ WHDU SRVLWLYH VDJ WHVW SRVWHULRU GUDZHU WHVW
Plan:
• 5,&(
• &UXWFKHV DV QHHGHG
• 16$,'V IRU SDLQ
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as there
is clinical benefit and no worsening of the patient’s condition
• 520 H[HUFLVHV ZKHQ SDLQ VXEVLGHV
• ,I SDWLHQW LV XQDEOH WR VWUDLJKWHQ OHJ (9$& RUWKRSHGLFV FRQVXOW WKLV OLNHO\ UHSUHVHQWV
D EXFNHW KDQGOH WHDU

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