Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
Arthroscopic knee surgery is the gold standard of meniscal lesions of the knee. The goal is to treat meniscal tear (tear, crack, tongue, bucket handle ...) being the least traumatic possible for the knee and the most conservative to the meniscus
Indeed three options are available depending on the type of meniscal tear:
Conservative treatment with no treatment.
Conservative treatment and suture meniscal repair.
Remove the lesion by partial meniscectomy
short hospital: Either on the same day: "ambulatory" surgery or "day hospital"
Ie 2 days of hospitalization (if home-clinic distance> 1 hour)
regional anesthesia most often but also general anesthesia of short duration
Two small incisions of 5 mm either side of the ball joint enable switch the camera and instruments to perform arthroscopy.
It enables a comprehensive assessment of the lesions of the knee (meniscus, cartilage, ligaments ..)
Four areas are seen:
The internal compartment (medial meniscus cartilage)
The notch (anterior cruciate ligament, posterior cruciate ligament)
The outer compartment (lateral meniscus, cartilage, knee tendon)
Patellofemoral compartment (patella cartilage trochlea)
After analysis of the meniscus of the regularization lesion will be performed
This adjustment is done using small instruments (scissors, pliers ..).
Section of a tongue
Removal of a bucket handle
Regularization of a complex lesion
The operation takes place with a continuous washing saline. The closure is performed by absorbable sutures
or of simple dressing "Steri Stripp"
The output is possible on the evening of the intervention (necessarily accompanied by a person)
After consulting the surgeon and / or anesthetist.
- Follow the treatment given to you by your surgeon output (analgesics, anti-inflammatory, anti-coagulant injections etc ...)
- Icing your knee 3-4 times a day
- No rehabilitation, exceptions
- By contrast, rehabilitation auto with walking, immediate full support (unless otherwise advised by the surgeon), flexion and knee extension permitted without restriction, they are guided by the gene and pain (except meniscal suturing)
- No sport for a month, with exceptions
- Bathing is prohibited until complete healing (15 days), showers
This technique of reconstruction of the anterior cruciate ligament plasty involving extra and intra-articular fascia lata was described by Hey-Groves in 1917, modified in 1972 and MacIntosh Jaeger recently. This reconstruction is a technique increasingly practiced for controlling the tibial rotation and rotational jump experienced by the patient and the surgeon objectified by clinical examination.
This lateral grafting used in this technique is called the fascia lata is a transplant with high resistance comparable to other biomechanical transplants used. The fascia lata retains its tibial insertion, which is a natural attachment system and therefore superior to any other system used. This technique has the advantages of not having to levy tendon and therefore the hope of postoperative muscle recovery and normalization of the fastest isokinetic tests.
The coracoid bone block screwed in front of the glenoid realized today either open or arthroscopically.
The advantages of arthroscopic abutment technique are:
- Take stock of the damage to the joint, bead, cartilage, loss of bone substance, tendon injuries
- The precise positioning of the stop because under direct control by the camera,
- Of smaller sizes scars,
- The treatment of lesions as lesions of the biceps (SLAP lesion) or lesions of the rotator cuff (tendon rupture) that can be treated in the same operation
- Early functional recovery
Latarjet arthroscopic intervention
The procedure is most often performed under general anesthesia with an inter-scalene block made ??preoperatively by the anesthetist. It involves taking a bone block of about 2 cm at the expense of the coracoid and place it in the anterior and inferior part of the glenoid cavity, passing through the subscapularis muscle. The coracoid can be positioned upright and secured by a screw according to Bristow or lying and fixed by two screws according Latarjet. (read more..)
The shoulder dislocations and recurrent anterior instability is a common problem among young athletes making up 90% of shoulder dislocations. Surgical indication can be provided in these cases of glenohumeral dislocations previous recurrent, but also in cases of painful and unstable shoulders. A question now arises, should we offer it immediately after the first dislocation or should we expect one or more recurrences? (Read more ...)
Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.
chronic Achilles tendon pain lasting for more than a year after a triathlon.
The patient has received medical treatment (necessary before any surgical decision): rehabilitation, Stanish stretching, shock wave, orthopedic soles. (read more...)
While muscle injuries of the posterior region of the thigh are common in athletes, the proximal hamstring rupture is a rare disease. A study published in 2003  analyzed in a consecutive series of 170 patients, 179 trauma hamstrings occurred over a period of 3 years. MRI and / or ultrasound showed that only 12% of the injuries were fractures of the proximal and 9% complete ruptures. It is also little known, the first cases described in the literature from 1988 . Clinically the patients describe a violent pain in the buttock (stab printing) followed by leg weakness. ( To be continued..)