Meniscal Extrusion Progresses Shortly after the Medial Meniscus Posterior Root Tear
4
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: Medial meniscus posterior root tears (MMPRT) induce medial meniscus extrusion (MME). However, the time-dependent extent of MME in patients suffering from the MMPRT remains unclear. This study evaluated the extent of MME after painful popping events that occurred at the onset of the MMPRT. Materials and Methods: Thirty-five patients who had an episode of posteromedial painful popping were investigated. All the patients were diagnosed as having an MMPRT by magnetic resonance imaging (MRI) within 12 months after painful popping. Medial meniscus body width (MMBW), absolute MME, and relative MME (100×absolute MME/MMBW) were assessed among three groups divided according to the time after painful popping events: early period (<1 month), subacute period (1–3 months), and chronic period (4–12 months). Results: In the early period, absolute and relative MMEs were 3.0 mm and 32.7%, respectively. Absolute MME increased up to 4.2 mm and 5.8 mm during the subacute and chronic periods, respectively. Relative MME also progressed to 49.2% and 60.3% in the subacute and chronic periods, respectively. Conclusions: This study demonstrated that absolute and relative MMEs increased progressively within the short period after the onset of symptomatic MMPRT. Our results suggest that early diagnosis of an MMPRT may be important to prevent progression of MME following the MMPRT.
Abstract
Purpose: Medial meniscus posterior root tears (MMPRT) induce medial meniscus extrusion (MME). However, the time-dependent extent of MME in patients suffering from the MMPRT remains unclear. This study evaluated the extent of MME after painful popping events that occurred at the onset of the MMPRT. Materials and Methods: Thirty-five patients who had an episode of posteromedial painful popping were investigated. All the patients were diagnosed as having an MMPRT by magnetic resonance imaging (MRI) within 12 months after painful popping. Medial meniscus body width (MMBW), absolute MME, and relative MME (100×absolute MME/MMBW) were assessed among three groups divided according to the time after painful popping events: early period (<1 month), subacute period (1–3 months), and chronic period (4–12 months). Results: In the early period, absolute and relative MMEs were 3.0 mm and 32.7%, respectively. Absolute MME increased up to 4.2 mm and 5.8 mm during the subacute and chronic periods, respectively. Relative MME also progressed to 49.2% and 60.3% in the subacute and chronic periods, respectively. Conclusions: This study demonstrated that absolute and relative MMEs increased progressively within the short period after the onset of symptomatic MMPRT. Our results suggest that early diagnosis of an MMPRT may be important to prevent progression of MME following the MMPRT.
참고문헌 (33)
- Bhatia S, "Meniscal root tears : significance, diagnosis, and treatment", Am J Sports Med, 42, pp.3016~3030 (2014)
- 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 Sports Med, 42, pp.699~707 (2014)
- 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)
- 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", Osteoarthritis Cartilage, 21, pp.419~427 (2013)
- Lee DH, "Predictors of degenerative medial meniscus extrusion : radial component and knee osteoarthritis", Knee Surg Sports Traumatol Arthrosc, 19, pp.222~229 (2011)
- Kawaguchi K, "Ultrasonographic evaluation of medial radial displacement of the medial meniscus in knee osteoarthritis", Arthritis Rheum, 64, pp.173~180 (2012)
- Stehling C, "Loading of the knee during 3.0T MRI is associated with significantly increased medial meniscus extrusion in mild and moderate osteoarthritis", Eur J Radiol, 81, pp.1839~1845 (2012)
- Wenger A, "Relationship of 3D meniscal morphology and position with knee pain in subjects with knee osteoarthritis: a pilot study", Eur Radiol, 22, pp.211~220 (2012)
- 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)
- 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)
- Han SB, "Unfavorable results of partial meniscectomy for complete posterior medial meniscus root tear with early osteoarthritis : a 5-to 8-year follow-up study", Arthroscopy, 26, pp.1326~1332 (2010)
- Bae JH, "Predictive value of painful popping for a posterior root tear of the medial meniscus in middle-aged to older Asian patients", Arthroscopy, 29, pp.545~549 (2013)
- Bonasia DE, "Meniscal root tear repair: why, when and how?", Orthop Rev (Pavia), 7, pp.5792~ (2015)
- 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)
- LaPrade CM, "Biomechanical consequences of a nonanatomic posterior medial meniscal root repair", Am J Sports Med, 43, pp.912~920 (2015)
- LaPrade RF, "Recent advances in posterior meniscal root repair techniques", J Am Acad Orthop Surg, 23, pp.71~76 (2015)
- Feucht MJ, "Arthroscopic transtibial pullout repair for posterior medial meniscus root tears : a systematic review of clinical, radiographic, and second-look arthroscopic results", Arthroscopy, 31, pp.1808~1816 (2015)
- 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)
- Kim SB, "Medial meniscus root tear refixation : comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy", Arthroscopy, 27, pp.346~354 (2011)
- Chung KS, "Pullout fixation of posterior medial meniscus root tears : correlation between meniscus extrusion and midterm clinical results", Am J Sports Med, 45, pp.42~49 (2017)
- LaPrade CM, "Meniscal root tears : a classification system based on tear morphology", Am J Sports Med, 43, pp.363~369 (2015)
- Kodama Y, "Pullout repair of a medial meniscus posterior root tear using a FasT-Fix® all-inside 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)
- Furumatsu T, "Postoperative change in medial meniscal length in concurrent all-inside meniscus repair with anterior cruciate ligament reconstruction", Int Orthop, 38, pp.1393~1399 (2014)
- Fujii M, "Intercondylar notch size influences cyclops formation after anterior cruciate ligament reconstruction", Knee Surg Sports Traumatol Arthrosc, 23, pp.1092~1099 (2015)
- Narazaki S, "Postoperative change in the length and extrusion of the medial meniscus after anterior cruciate ligament reconstruction", Int Orthop, 39, pp.2481~2487 (2015)
- Kashihara N, "Concurrent lateral meniscal repair with anterior cruciate ligament reconstruction induces the extrusion of the lateral meniscus : assessments of magnetic resonance images", Acta Med Okayama, 70, pp.441~448 (2016)
- Koshino T, "The treatment of spontaneous osteonecrosis of the knee by high tibial osteotomy with and without bonegrafting or drilling of the lesion", J Bone Joint Surg Am, 64, pp.47~58 (1982)
- Wenger A, "Meniscus body position, size, and shape in persons with and persons without radiographic knee osteoarthritis : quantitative analyses of knee magnetic resonance images from the osteoarthritis initiative", Arthritis Rheum, 65, pp.1804~1811 (2013)
- Krych AJ, "Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up", Knee Surg Sports Traumatol Arthrosc, 25, pp.383~389 (2017)
- Sung JH, "Meniscal extrusion and spontaneous osteonecrosis with root tear of medial meniscus : comparison with horizontal tear", Arthroscopy, 29, pp.726~732 (2013)