Preliminary diagnosis of medial meniscusposterior root tears using the Rosenberg radiographic view
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Purpose: To verify the effectiveness of detecting medial meniscus posterior root tears (MMPRTs) using weightbearing posterior-anterior (PA) radiographs. Materials and methods: Twenty-three patients were diagnosed with an MMPRT using magnetic resonance imaging (Group A), with 23 matched individuals forming the control group (Group B). The distance between medial tibial eminence and the lateral edge of the medial femoral condyle (MTE–MFC distance) and medial joint space (MJS) width were measured on weight-bearing PA radiographs, with the knee flexed at 45° (Rosenberg view). Absolute medial meniscus extrusion (MME) was measured on magnetic resonance images. Results: The MTE–MFC distance was greater and the MJS width was smaller in Group A than Group B (7.7 ± 1.7mm versus 6.0 ± 1.24mm and 3.2 ± 0.8mm versus 4.5 ± 0.7 mm, respectively; P < 0.05). The MTE–MFC distance and MJS width correlated with MME (r = 0.603 and 0.579, respectively; P < 0.05), and the extent of MME was greater in Group A than Group B (4.1 ± 1.1mm versus 1.8 ± 1.5 mm, respectively; P < 0.05). Conclusions: MMPRTs increase the MTE–MFC distance and decrease the MJS width, with these measurements correlating to the MME. Therefore, measurement of the MTE–MFC distance and MJS width on the Rosenberg view could be a useful preliminary method for the diagnosis of an MMPRT.
Abstract
Purpose: To verify the effectiveness of detecting medial meniscus posterior root tears (MMPRTs) using weightbearing posterior-anterior (PA) radiographs. Materials and methods: Twenty-three patients were diagnosed with an MMPRT using magnetic resonance imaging (Group A), with 23 matched individuals forming the control group (Group B). The distance between medial tibial eminence and the lateral edge of the medial femoral condyle (MTE–MFC distance) and medial joint space (MJS) width were measured on weight-bearing PA radiographs, with the knee flexed at 45° (Rosenberg view). Absolute medial meniscus extrusion (MME) was measured on magnetic resonance images. Results: The MTE–MFC distance was greater and the MJS width was smaller in Group A than Group B (7.7 ± 1.7mm versus 6.0 ± 1.24mm and 3.2 ± 0.8mm versus 4.5 ± 0.7 mm, respectively; P < 0.05). The MTE–MFC distance and MJS width correlated with MME (r = 0.603 and 0.579, respectively; P < 0.05), and the extent of MME was greater in Group A than Group B (4.1 ± 1.1mm versus 1.8 ± 1.5 mm, respectively; P < 0.05). Conclusions: MMPRTs increase the MTE–MFC distance and decrease the MJS width, with these measurements correlating to the MME. Therefore, measurement of the MTE–MFC distance and MJS width on the Rosenberg view could be a useful preliminary method for the diagnosis of an MMPRT.
참고문헌 (29)
- Allaire R, "Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy", J Bone Joint Surg Am, 90, pp.1922~1931 (2008)
- Bhatia S, "Meniscal root tears:significance, diagnosis, and treatment", Am J Sports Med, 42, pp.3016~3030 (2014)
- 최의성, "Clinical Evaluation of the Root Tear of the Posterior Horn of the Medial Meniscus in Total Knee Arthroplasty for Osteoarthritis", Knee Surgery and Related Research, 27(2), pp.90~94 (2015), 대한슬관절학회
- Okazaki Y, "Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position", Orthop Traumatol Surg Res, 105, pp.113~117 (2019)
- Lee TQ, "The influence of tibial and femoral rotation on patellofemoral contact area and pressure", J Orthop Sports Phys Ther, 33, pp.686~693 (2003)
- Nam D, "Is tibiofemoral subluxation correctable in unicompartmental knee arthroplasty?", J Arthroplast, 28, pp.1575~1579 (2013)
- Berger RA, "The knee: A comprehensive review", pp.393~ (2010), World Scientific Publishing
- Allen CR, "Importance of the medial meniscus in the anterior cruciate ligament-deficient knee", J Orthop Res, 18, pp.109~115 (2000)
- Masuda S, "Medial meniscus posterior root tear induces pathological posterior extrusion of the meniscus in the knee-flexed position: an open magnetic resonance imaging analysis", Orthop Traumatol Surg Res, 104, pp.485~489 (2018)
- Padalecki JR, "Biomechanical consequences of a complete radial tear adjacent to the medial meniscus posterior root attachment site: in situ pull-out repair restores derangement of joint mechanics", Am J Sport Med, 42, pp.699~707 (2014)
- Wang Y, "Meniscal extrusion predicts increases in subchondral bone marrow lesions and bone cysts and expansion of subchondral bone in osteoarthritic knees", Rheumatology (Oxford), 49, pp.997~1004 (2010)
- Rosenberg TD, "The fortyfive-degree posteroanterior flexion weight-bearing radiograph of the knee", J Bone Joint Surg Am, 70, pp.1479~1483 (1988)
- Babatunde OM, "The combination of the tunnel view and weight-bearing anteroposterior radiographs improves the detection of knee arthritis", Arthritis, 1, pp.1~8 (2016)
- Furumatsu T, "A giraffe neck sign of the medial meniscus: A characteristic finding of the medial meniscus posterior root tear on magnetic resonance imaging", J Orthop Sci, 22, pp.731~736 (2017)
- Choi SH, "The MRI findings of meniscal root tear of the medial meniscus: emphasis on coronal, sagittal and axial images", Knee Surg Sports Traumatol Arthrosc, 20, pp.2098~2103 (2012)
- Kodama Y, "Pullout repair of a medial meniscus posterior root tear using a FasT-fix allinside suture technique", Orthop Traumatol Surg Res, 102, pp.951~954 (2016)
- Furumatsu T, "A new aiming guide can create the tibial tunnel at favorable position in transtibial pullout repair for the medial meniscus posterior root tear", Orthop Traumatol Surg Res, 103, pp.367~371 (2017)
- Fujii M, "A novel suture technique using the FasT-fix combined with Ultrabraid for pullout repair of the medial meniscus posterior root tear", Eur J Orthop Surg Traumatol, 27, pp.559~562 (2017)
- Gao F, "Radiographic assessment of knee–ankle alignment after total knee arthroplasty for varus and valgus knee osteoarthritis", Knee, 24, pp.107~115 (2017)
- Prakash U, "Computerised measurement of tibiofemoral alignment", J Bone Joint Surg Br, 83, pp.819~824 (2001)
- Shelbourne KD, "Digital radiographic evaluation of medial joint space narrowing after partial meniscectomy of bucket-handle medial meniscus tears in anterior cruciate ligament intact knees", Am J Sports Med, 34, pp.1648~1655 (2006)
- Jones LD, "Medial meniscal extrusion: a validation study comparing different methods of assessment", Knee Surg Sports Traumatol Arthrosc, 26, pp.1152~1157 (2018)
- Kanda Y, "Investigation of the freely available easy-to-use software “EZR” for medical statistics", Bone Marrow Transplant, 48, pp.452~458 (2013)
- 이동원, "Medial Meniscus Posterior Root Tear: A Comprehensive Review", Knee Surgery and Related Research, 26(3), pp.125~134 (2014), 대한슬관절학회
- Kim YM, "Role of the mechanical axis of lower limb and body weight in the horizontal tear and root ligament tear of the posterior horn of the medial meniscus", Int Orthop, 36, pp.1849~1855 (2012)
- Berthiaume MJ, "Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging", Ann Rheum Dis, 64, pp.556~563 (2005)
- Bloecker K, "Tibial coverage, meniscus position, size and damage in knees discordant for joint space narrowing:data from the Osteoarthritis Initiative", Osteoarthr Cartil, 21, pp.419~427 (2013)
- Takayuki Furumatsu, "Meniscal Extrusion Progresses Shortly after the Medial Meniscus Posterior Root Tear", Knee Surgery and Related Research, 29(4), pp.295~301 (2017), 대한슬관절학회
- Chung KS, "A meta-analysis of clinical and radiographic outcomes of posterior horn medial meniscus root repairs", Knee Surg Sports Traumatol Arthrosc, 24, pp.1455~1468 (2016)