Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
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
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.
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.
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.
The results obtained in this study may support the use of MRI of the bilateral knee to obtain an appropriately sized allograft.
Imaging techniques – Knee joints – Knees – Ligaments – Magnetic resonance imaging – Soft tissues – Surgical and invasive medical procedures – Tibia
1. Fox AJ, Wanivenhaus F, Burge AJ, Warren RF, Rodeo SA. The human meniscus: a review of anatomy, function, injury, and advances in treatment. Clinical Anatomy. 2015 Mar;28(2):269–87. doi: 10.1002/ca.22456 25125315
2. Walker PS, Arno S, Bell C, Salvadore G, Borukhov I, Oh C. Function of the medial meniscus in force transmission and stability. Journal of biomechanics. 2015 Jun 1;48(8):1383–8. doi: 10.1016/j.jbiomech.2015.02.055 25888013
3. Danso EK, Oinas JM, Saarakkala S, Mikkonen S, Töyräs J, Korhonen RK. Structure-function relationships of human meniscus. Journal of the mechanical behavior of biomedical materials. 2017 Mar 1;67:51–60. doi: 10.1016/j.jmbbm.2016.12.002 27987426
4. Rosso F, Bisicchia S, Bonasia DE, Amendola A. Meniscal allograft transplantation: a systematic review. The American journal of sports medicine. 2015 Apr;43(4):998–1007. doi: 10.1177/0363546514536021 24928760
5. Stone KR, Freyer A, Turek T, Walgenbach AW, Wadhwa S, Crues J. Meniscal sizing based on gender, height, and weight. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2007 May 1;23(5):503–8.
6. Prodromos CC, Joyce BT, Keller BL, Murphy BJ, Shi K. Magnetic resonance imaging measurement of the contralateral normal meniscus is a more accurate method of determining meniscal allograft size than radiographic measurement of the recipient tibial plateau. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2007 Nov 1;23(11):1174–9.
7. Pollard ME, Kang Q, Berg EE. Radiographic sizing for meniscal transplantation. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 1995 Dec 1;11(6):684–7.
8. Shaffer B, Kennedy S, Klimkiewicz J, Yao L. Preoperative sizing of meniscal allografts in meniscus transplantation. The American journal of sports medicine. 2000 Jul;28(4):524–33. doi: 10.1177/03635465000280041301 10921644
9. Dienst M, Greis PE, Ellis BJ, Bachus KN, Burks RT. Effect of lateral meniscal allograft sizing on contact mechanics of the lateral tibial plateau: an experimental study in human cadaveric knee joints. The American journal of sports medicine. 2007 Jan;35(1):34–42. doi: 10.1177/0363546506291404 16923825
10. Yoon JR, Jeong HI, Seo MJ, Jang KM, Oh SR, Song S, Yang JH. The use of contralateral knee magnetic resonance imaging to predict meniscal size during meniscal allograft transplantation. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2014 Oct 1;30(10):1287–93.
11. dos Santos Netto A, Kaleka CC, Toma MK, Silva JC, Cury RD, Fucs PM,et al. Should the meniscal height be considered for preoperative sizing in meniscal transplantation?. Knee Surgery, Sports Traumatology, Arthroscopy. 2018 Mar 1;26(3):772–80. doi: 10.1007/s00167-017-4461-6 28233022
12. Kaleka CC, Netto AS, Silva JC, Toma MK, de Paula Leite Cury R, Severino NRet al. Which are the most reliable methods of predicting the meniscal size for transplantation?. The American journal of sports medicine. 2016 Nov;44(11):2876–83. doi: 10.1177/0363546516653203 27422172
Článek vyšel v časopise
2020 Číslo 1
- Nový typ fixace umožňuje pravidelnou hygienu končetiny i pobyt ve vodě
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Není statin jako statin aneb praktický přehled rozdílů jednotlivých molekul
- Pregabalin je účinné léčivo s příznivým bezpečnostním profilem pro pacienty s neuropatickou bolestí
- Nedostatek hořčíku se projevuje u stále více lidí