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Christopher Zarembinski's Blog

By Christopher Zarembinski | Home Owner in Los Angeles, CA
  • Dr Zarembinski

    Posted Under: General Area in Los Angeles, In My Neighborhood in Los Angeles  |  May 21, 2013 1:11 AM  |  70 views  |  No comments

    Christopher Zarembinski

    Immediately below its origin is the groove for the tendon of the Popliteus.
    The greater part of its lateral surface is covered by the tendon of the Biceps femoris; the tendon, however, divides at its insertion into two parts, which are separated by the ligament.
    Deep to the ligament are the tendon of the Popliteus, and the inferior lateral genicular vessels and nerve.

    Doctor Christopher Zarembinski:For higher grade tears of the MCL with ongoing instability, the MCL can be sutured or replaced. Other non-surgical approaches for more severe MCL injuries may include prolotherapy, which has been shown by Reeves in a small RCT to reduce translation on KT-1000 arthrometer versus placebo. The future of non-surgical care for a non-healing MCL injury with laxity (partial ligament tear) is likely bioengineering. Fan et al. (2008) have demonstrated that knee ligament reconstruction is possible using mesenchymal stem cells and a silk scaffold.

    Dr Zarembinski

    The lateral meniscus is less likely to be injured or torn than the medial meniscus. Diagnosis of lateral meniscus tear is done with McMurray's test. If a tear is detected, treatment depends on the type and size of the tear. Small tears can be treated conservatively, with rest, ice, and pain medications until the pain is under control, then exercise may be started with gradually increasing intensity, to improve range of motion and decrease swelling. More severe tears of the lateral meniscus require surgical repair or removal, which can often be done arthroscopically. Swelling and stiffness of the knee can occur when you have a torn lateral meniscus.

    Dr Christopher Zarembinski:

    The lateral meniscus, also called the external semilunar fibrocartilage, is a fibrocartilaginous band that spans the lateral side of the interior of the knee joint. It is one of two menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force, as seen in contact sports.
    Dr Christopher Zarembinski
    It is fused with the tibial collateral ligament which makes it far less mobile than the lateral meniscus. The points of attachment are relatively widely separated and, because the meniscus is wider posteriorly than anteriorly, the anterior crus is considerably thinner than the posterior crus. The greatest displacement of the meniscus is caused by external rotation, while internal rotation relaxes it.

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