Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers


Autoři: Mohammad Hamdan aff001;  Bassem Haddad aff001;  Ula Isleem aff002;  Rami Yaghi aff001;  Salsabiela Bani Hamad aff002;  Rahaf Al-Balkhi aff002;  Rami Afifi aff002;  Saif Aldeen Alryalat aff003;  Fadi Hadidi aff002;  Aws Khanfar aff002;  Amjad Shatarat aff004
Působiště autorů: Jordan University Hospital, Department of Orthopaedic Surgery, Queen Rania Street, Amman, Jordan aff001;  University of Jordan, Faculty of Medicine, Queen Rania Street, Amman, Jordan aff002;  Jordan University Hospital, Department of Opthalmology, Queen Rania Street, Amman, Jordan aff003;  University of Jordan, Department of Anatomy, Queen Rania Street, Amman, Jordan aff004
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0228040

Souhrn

Introduction

The menisci are responsible for several functions. They are shock absorbers during dynamic loading on the knee and provide a broader surface area on which to distribute stress evenly to the tibia and femur. These functions allow for smoother movement and greater stability of the knee joint. Meniscal injury can be a great impediment to the function of the knee. Therefore, in the case of meniscal injury, our main concern is the relief of patient symptoms, followed by consequent restoration of meniscal function to the greatest of our ability.

To prevent the long terms effects of a meniscectomy, meniscal allograft transplantation (MAT) was developed. The potential of using the size of the contralateral healthy menisci, to determine the size of the menisci to be replaced, will be discussed.

Methods

Knee MRIs done on healthy patients in the past 5 years were reviewed. Magnetic Resonance Imaging was performed using a 3-T scanner. Each individual was examined with knee joints in full extension. Measurements were performed two separate times, two weeks apart. A mean of three measurements was made during each session to reduce error.

Thirty-eight normal bilateral knee joints MRIs remained (16 males, 22 females). Participants were sampled from the institutional Picture Archiving and Communication System (PACS). Age, gender, and the medial meniscal and lateral meniscal size of both knees were recorded. The laterality of the menisci was compared between both knees in each patient.

Results

A total of 38 patients were included in this study, with a mean age of 37.39 (±9.50) years. They were 16 (42.1%) men and 22 (57.9%) women. We didn’t find any significant difference in the mid-coronal section between left and right knees meniscal measurements. None of the measurements were significantly different between men and women. There was no significant difference in the medial mid-sagittal section or lateral mid-sagittal section between left and right knee meniscal measurements.

Conclusion

The results obtained in this study may support the use of MRI of the bilateral knee to obtain an appropriately sized allograft.

Klíčová slova:

Imaging techniques – Knee joints – Knees – Ligaments – Magnetic resonance imaging – Soft tissues – Surgical and invasive medical procedures – Tibia


Zdroje

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Článek vyšel v časopise

PLOS One


2020 Číslo 1