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Damage to the saphenous nerve and its infrapatellar branch is possible during medial knee surgery, potentially causing numbness or pain over the medial knee and leg. [7] As with all surgeries, there is a risk of bleeding, wound problems, deep vein thrombosis , and infection that can complicate the outcome and rehabilitation process.
The second way to prevent a meniscus tear is to strengthen and stretch the major leg muscles. [17] Those muscles include the hamstrings, quadriceps, and calf muscles. One popular exercise used to strengthen the hamstrings is the leg curl. It is also important to properly stretch the hamstrings; doing standing toe touches can do this.
Sometimes they report weakness or decreased range of motion. The physician examines the knee in full extension, looking for tenderness in the medial knee joint and across the proximal, medial tibial region, and feels for tenderness along the medial tendons of the pes anserine when the knee is flexed at 90 degrees. [citation needed]
Knee pain is thought to be primarily associated with specific quadriceps muscle weakness or fatigue, especially in the vastus medialis obliquus (VMO).It is known that fatigue can be caused by many different mechanisms, ranging from the accumulation of metabolites within muscle fibers to the generation of an inadequate motor command in the motor cortex. [4]
A "pop" sound may be associated with this injury, followed by the loss of the ability to straighten the knee (knee extension). Pain at the medial joint line (medial to the inferior border of the patella) indicates medial compartment osteoarthritis, injury to the medial collateral ligament, or a medial meniscal tear.
Those with femoral nerve dysfunction may present problems of difficulties in movement and a loss of sensation. [medical citation needed] The patient, in terms of motor skills, may have problems such as quadriceps wasting, loss of knee extension and a lesser extent of hip flexion given the femoral nerve involvement of the iliacus and pectineus muscles. [3]
The bony shape of the posterolateral knee, with the two convex opposing surfaces of the lateral femoral condyle and the lateral tibial plateau, makes this portion of the knee inherently unstable compared to the medial aspect. Thus, it has a much higher risk of not healing properly after injury than the medial aspect of the knee.
The medial meniscus is a fibrocartilage semicircular band that spans the knee joint medially, located between the medial condyle of the femur and the medial condyle of the tibia. [1] It is also referred to as the internal semilunar fibrocartilage. The medial meniscus has more of a crescent shape while the lateral meniscus is more circular.