Meniscal translation during knee flexion: what do we really know?

Verfasser / Beitragende:
[Corey Scholes, Eleanor Houghton, Matthew Lee, Sebastien Lustig]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 32-40
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2482-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2482-3 
245 0 0 |a Meniscal translation during knee flexion: what do we really know?  |h [Elektronische Daten]  |c [Corey Scholes, Eleanor Houghton, Matthew Lee, Sebastien Lustig] 
520 3 |a Purpose: Translation during knee flexion is a key function of the menisci. The amount of translation displayed by the medial and lateral meniscus during knee flexion, particularly while loadbearing, remains relatively unknown. To address this lack of knowledge, a systematic review of the relevant literature was performed. Methods: We performed a literature search for studies in which a primary aim was to report the anterior-posterior translation of the menisci during knee flexion. Data were collected on the characteristics of the sample, the imaging approach, measurement and analysis techniques, and outcome variables. We scored the quality of studies and their reporting using a modified Coleman methodology score with ten criteria, with a maximum possible score of 100. Results: Twelve full-text studies were retrieved that met the inclusion criteria. Of these, the in vitro studies (N=4) scored the lowest for methodology (median 44.5), with in vivo studies of healthy knees (N=4) (median 60) and in vivo comparative studies (N=4) scoring highest (median 74.5). The evidence from studies with the highest methodology scores (>65) (N=4) indicate that the lateral meniscus translates more posteriorly than the medial meniscus during flexion. In addition, meniscal translation is influenced by loading, particularly in knee rotation, but not by ACL deficiency, despite greater posterior translation of the medial femoral condyle during flexion. Conclusions: The generally low methodological quality of studies suggests that caution is required when interpreting meniscal translation during knee flexion reported in the literature. While the methods for assessing meniscal translation in vivo continue to improve and provide opportunity for clinical implementation, there remains a lack of robust evidence regarding meniscal translation in the healthy knee for comparative purposes. A number of recommendations are made for future studies to address key limitations identified in previous investigations. Additional studies of high methodological quality are required to quantify the relationships between joint loading, joint pathology and meniscal translation during knee flexion. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Meniscus  |2 nationallicence 
690 7 |a Translation  |2 nationallicence 
690 7 |a Flexion  |2 nationallicence 
690 7 |a In vivo  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
690 7 |a Weightbearing  |2 nationallicence 
700 1 |a Scholes  |D Corey  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
700 1 |a Houghton  |D Eleanor  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
700 1 |a Lee  |D Matthew  |u Western Imaging Group, Sydney, Australia  |4 aut 
700 1 |a Lustig  |D Sebastien  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 32-40  |x 0942-2056  |q 23:1<32  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2482-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2482-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Scholes  |D Corey  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Houghton  |D Eleanor  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Matthew  |u Western Imaging Group, Sydney, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lustig  |D Sebastien  |u Sydney Orthopaedic Research Institute, Suite 12, Level 1, The Gallery 445 Victoria Avenue, Chatswood, 2067, Sydney, NSW, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 32-40  |x 0942-2056  |q 23:1<32  |1 2015  |2 23  |o 167