Posterior meniscus root tears: associated pathologies to assist as diagnostic tools

Verfasser / Beitragende:
[Lauren Matheny, Andrew Ockuly, J. Steadman, Robert LaPrade]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3127-3131
Format:
Artikel (online)
ID: 605458472
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024 7 0 |a 10.1007/s00167-014-3073-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3073-7 
245 0 0 |a Posterior meniscus root tears: associated pathologies to assist as diagnostic tools  |h [Elektronische Daten]  |c [Lauren Matheny, Andrew Ockuly, J. Steadman, Robert LaPrade] 
520 3 |a Purpose: The purpose of this study was to investigate associated pathologies identified at arthroscopy in patients with meniscus root tears. Methods: This study was Institutional Review Board approved. All patients who underwent arthroscopic knee surgery where a complete meniscus root tear was identified were included in this study. Concurrent ligament tears and articular cartilage changes ≥Outerbridge grade 2 were recorded and stored in a data registry. Results: Fifty patients (28 males, 22 females) [mean age=36.5years (range 17.1-68.1years)] who were diagnosed with a medial or lateral meniscus root tear at arthroscopy were included in this study out of 673 arthroscopic surgeries (prevalence 7.4%). Twenty-three (46%) patients had a medial meniscus root tear, 26 (52%) patients had a lateral meniscus root tear and one (2%) patient had both. Thirty-four per cent of patients (n=17) underwent partial meniscectomy, while 60% (n=31) underwent suture repair. During arthroscopy, 60% (n=30) of patients were diagnosed with an anterior cruciate ligament (ACL) tear. Patients with lateral meniscus root tears were 10.3 times (95% CI 2.6-42.5) more likely to have ACL tears than patients with medial meniscus root tears (p=0.012). Patients who had medial meniscus root tears were 5.8 times (95% CI 1.6-20.5) more likely to have chondral defects than patients who had lateral meniscus root tears (p=0.044). Conclusion: In this study, patients' preoperative functional scores and activity levels were low. Patients with lateral meniscal root tears were more likely to have an ACL tear. Patients with medial meniscal root tears were more likely to have an knee articular cartilage defect with an Outerbridge grade 2 or higher chondral defect. This study confirms the importance of comprehensive assessment of concurrent injuries to properly diagnose meniscus root tears. Level of evidence: IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Meniscus root tear  |2 nationallicence 
690 7 |a Posterior horn  |2 nationallicence 
690 7 |a Articular cartilage  |2 nationallicence 
690 7 |a Anterior cruciate ligament  |2 nationallicence 
690 7 |a Risk factors  |2 nationallicence 
700 1 |a Matheny  |D Lauren  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
700 1 |a Ockuly  |D Andrew  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
700 1 |a Steadman  |D J.  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
700 1 |a LaPrade  |D Robert  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3127-3131  |x 0942-2056  |q 23:10<3127  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3073-7  |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/s00167-014-3073-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matheny  |D Lauren  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ockuly  |D Andrew  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Steadman  |D J.  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a LaPrade  |D Robert  |u Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste. 1000, 81657, Vail, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3127-3131  |x 0942-2056  |q 23:10<3127  |1 2015  |2 23  |o 167