Cartilage MRI relaxation times after arthroscopic partial medial meniscectomy reveal localized degeneration

Verfasser / Beitragende:
[Richard Souza, Samuel Wu, Lee Morse, K. Subburaj, Christina Allen, Brian Feeley]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 188-197
Format:
Artikel (online)
ID: 605455902
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024 7 0 |a 10.1007/s00167-014-2997-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2997-2 
245 0 0 |a Cartilage MRI relaxation times after arthroscopic partial medial meniscectomy reveal localized degeneration  |h [Elektronische Daten]  |c [Richard Souza, Samuel Wu, Lee Morse, K. Subburaj, Christina Allen, Brian Feeley] 
520 3 |a Purpose: Little is known about the early changes in cartilage composition and tibiofemoral kinematics following partial meniscectomy. The purpose of this study was to determine the effects of partial meniscectomy on cartilage compositional properties using T1ρ and T2 relaxation time mapping and to assess changes in tibiofemoral kinematics. It is hypothesize that abnormal tibiofemoral kinematics and relaxation time elevation (a reflection of changes in cartilage biochemical composition) in the weight-bearing regions of the knees following meniscectomy will be observed. Methods: Nine patients (7 males and 2 females; mean age, 48.6±10.8years; BMI=27.3±3.8kg/m2) with tears of the posterior horn of the medial meniscus underwent arthroscopic partial meniscectomy. Pre-surgical and 6 months post-surgical MRIs were obtained in all subjects to evaluate cartilage relaxation times and tibiofemoral kinematics. Paired t tests were performed to determine significant changes in cartilage relaxation times from baseline. Results: T1ρ relaxation time in the region of the medial femoral condyle directly adjacent to the resection showed an increase of 7.4% at 6months (p=0.02). T2 relaxation times in both the medial and lateral tibial plateaus showed significant elevation at 6months. Consistent kinematic trends were not found in post-meniscectomized knees. Conclusions: These results suggest that arthroscopic partial meniscectomy affects the biochemical composition of articular cartilage in the knee in as early as 6months. The largest responses were observed in the weight-bearing regions and the cartilage immediately adjacent to the resection. This suggests that the loading environment has been altered enough to result in cartilage compositional changes in a very brief period of time following meniscectomy. Level of evidence: IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a T1rho relaxation times  |2 nationallicence 
690 7 |a T2 relaxation times  |2 nationallicence 
690 7 |a Kinematics  |2 nationallicence 
690 7 |a Osteoarthritis  |2 nationallicence 
700 1 |a Souza  |D Richard  |u Department of Physical Therapy and Rehabilitation Science, University of California San Francisco, 185 Berry Street, Suite 350, 94107, San Francisco, CA, USA  |4 aut 
700 1 |a Wu  |D Samuel  |u Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA  |4 aut 
700 1 |a Morse  |D Lee  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |4 aut 
700 1 |a Subburaj  |D K.  |u Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA  |4 aut 
700 1 |a Allen  |D Christina  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |4 aut 
700 1 |a Feeley  |D Brian  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 188-197  |x 0942-2056  |q 23:1<188  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2997-2  |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/s00167-014-2997-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Souza  |D Richard  |u Department of Physical Therapy and Rehabilitation Science, University of California San Francisco, 185 Berry Street, Suite 350, 94107, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wu  |D Samuel  |u Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morse  |D Lee  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Subburaj  |D K.  |u Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Allen  |D Christina  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Feeley  |D Brian  |u Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA  |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), 188-197  |x 0942-2056  |q 23:1<188  |1 2015  |2 23  |o 167