Purpose: To determine a new cutoff value that can further distinguish between the incomplete and complete discoid lateral meniscus (DLM).
Materials And Methods: Twenty-one cases of incomplete DLM and 42 cases of complete DLM without tear were included. In all, 105 patients with normal lateral menisci were included as a control group. We measured the ratio of the shortest width of the lateral meniscus to the longest width of the tibia (ratio 1) and the ratio of the shortest width of the medial meniscus to the shortest width of the lateral meniscus (ratio 2).
Results: By applying a cutoff value of ratio 1 as 0.32 between two incomplete and complete DLM groups, the proportion of the complete and incomplete DLM diagnosed cases among the true cases were 84% and 94%, respectively. By applying a cutoff value of ratio 2 as 0.40 between two incomplete and complete DLM groups, the proportion of the complete and incomplete DLM diagnosed cases among the true cases were 84% and 75%, respectively.
Conclusion: A cutoff value of 0.32 using the ratio of the shortest width of the lateral meniscus and the longest width of the tibia are probably useful to help distinguish between complete DLM and incomplete DLM. Additionally, the new ratio using the width of the medial meniscus is also useful to improve distinguishing between the types of DLM.
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http://dx.doi.org/10.1002/jmri.23985 | DOI Listing |
Arthrosc Tech
December 2024
Department of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
Inside-out repair of meniscal tears is the gold standard surgical approach; however, its use is limited by the need for a posterior incision and neurovascular risk. In this Technical Report, we present details of the all-inside arthroscopic tie-grip approach for repairing a radial tear of the midbody of the lateral meniscus using an all-inside device (TRUESPAN) and a slotted cannula. In contrast to the inside-out approach, this technique helps reduce surgical invasiveness and provides stable fixation as the vertical mattress sutures bundle the circumferential fibers and act as rip stops for the horizontal sutures.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, 100083, China.
Background: Meniscus tears can change the biomechanical environment of the knee joint and might accelerate the development of osteoarthritis. The aim of this study was to investigate the dynamic biomechanical effects of different medial meniscus tear positions and tear gaps on the knee during walking.
Methods: Seven finite element models of the knee joint were constructed, including the intact medial meniscus (IMM), radial stable tears in the anterior, middle, and posterior one-third regions of the medial meniscus (RSTA, RSTM, RSTP), and the corresponding unstable tears (RUTA, RUTM, RUTP).
Vet Radiol Ultrasound
January 2025
Ospedale Veterinario "I Portoni Rossi", Anicura Italy, Diagnostic Imaging Department (Mattei, Specchi), Surgical Department (Pratesi), Neuroradiology Department (Bernardini), Bologna, Italy.
Cranial cruciate ligament (CCL) disease causes variable stifle instability assessed by specific clinical tests. Radiographs are performed to measure the tibial plateau angle (TPA) for planning tibial plateau leveling osteotomy (TPLO) surgery. Concomitant damage to other intra-articular structures, for which clinical detection is unreliable, may occur and potentially affect the surgical outcome.
View Article and Find Full Text PDFMedicina (Kaunas)
December 2024
Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea.
: This study investigated associated meniscus and ligament injuries in tibial plateau fractures using magnetic resonance imaging (MRI) and assessed soft tissue injuries in relation to the Schatzker classification and Tscherne classification. : The data of 185 patients who sustained tibial plateau fractures from January 2010 to April 2021 were retrospectively reviewed. Fractures were classified according to the Schatzker classification system.
View Article and Find Full Text PDFJ Clin Med
December 2024
Faculty of Biomedical Sciences, Università Della Svizzera Italiana, CH-6900 Lugano, Switzerland.
: The aim of this study was to investigate how meniscal extrusion, assessed either with ultrasounds or magnetic resonance (MR), correlates with clinical symptoms in knee osteoarthritis (OA). One hundred patients with symptomatic knee OA were enrolled (60.3 ± 9.
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