Ключові слова
Як цитувати
Анотація
Ушкодження кореня меніска визначаються як радіальні ушкодження, розташовані на відстані 1 см від місця прикріплення меніска, або відрив кісткового блоку з кріпленням меніска до нього. Ця травма біомеханічно порівнюється із загальною меніскектомією, що призводить до зменшення площі контакту між великогомілковою та стегновою кістками та збільшення контактного тиску в ураженому відділі. Ці зміни згубно впливають на суглобовий хрящ і, зрештою, призводять до розвитку раннього артрозу. Хірургічне відновлення – це лікування, яке обирають для пацієнтів без значного остеоартрозу (3-й або 4-й ступінь за Outerbridge). Повідомлялося, що відновлення коренів меніска покращує клінічні результати, зменшує екструзію меніска та уповільнює настання дегенеративних змін. Ми описуємо анатомію, біомеханіку, клінічну оцінку, методи лікування, результати та післяопераційну реабілітацію при розривах кореня заднього рогу меніска.
Посилання
Choi CJ, Choi YJ, Lee JJ, Choi CH. Magnetic resonance imaging evidence of meniscal extrusion in medial meniscus posterior root tear. Arthroscopy. 2010;26(1):1602-6.DOI: 10.1016/j.arthro.2010.05.004.
BaoHRC, ZhuD, GongH, GuGS. The effect of complete radial lateral meniscus posterior root tear on the knee contact mechanics: a finite element analysis. J Orthop Sci. 2013;18:256-63. DOI: 10.1007/s00776-012-0334-5.
Padalecki JR, Jansson KS, Smith SD, Dornan GJ, Pierce CM, Wijdicks CA, et al. Biomechanical consequences of a complete radial tear adjacent to the medial meniscus posterior root attachment site: in situ pull-out repair restores derangement of joint mechanics. Am J Sports Med. 2014;42(3):699-707.DOI: 10.1177%2F0363546513499314.
Marzo JM, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications. Am J Sports Med. 2009;37(l):124-9.DOI: 10.1177%2F0363546508323254.
Koenig JH, Ranawat AS, Umans HR, Difelice GS. Meniscal root tears: diagnosis and treatment. Arthroscopy. 2009;25(9):1025-32.
Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300.
Papalia R, Vasta S, Franceschi F, D’Adamio S, Maffulli N, Denaro V. Meniscal root tears: from basic science to ultimate surgery. Br Med Bull. 2013;106(2):91-115.DOI:10.1093/bmb/ldt002.
Allaire R, Muriuki M, Gilbertson L, Harner CD. Biomechanical consequences of a tear of the posterior root of the medial meniscus. J Bone Joint Surg Am. 2008;90(9):1922-31.
Schillhammer CK, Werner FW, Scuderi MG, Cannizzaro JP. Repair of lateral meniscus posterior horn detachment lesions: a biomechanical evaluation. Am J Sports Med. 2012;40(11):2604-9.DOI: 10.1177%2F0363546512458574.
LaPrade RF, Ho CP, James E, Crespo B, LaPrade CM, Matheny LM. Diagnostic accuracy of 3.0 T magnetic resonance imaging for the detection of meniscus posterior root pathology. Knee Surg Sports Traumatol Arthrosc. 2015;23(l):152-7.DOI: 10.1007/s00167-014-3395-5.
Matheny LM, Ockuly AC, Steadman JR, LaPrade RF. Posterior meniscus root tears: associated pathologies to assist as diagnostic tools. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):3127-31.DOI: 10.1007/s00167-014-3073-7.
LaPrade CM, Smith SD, Rasmussen MT, HammingMG, Wijdicks CA, Engebretsen L, et al. Consequences of tibial tunnel reaming on the meniscal roots during cruciate ligament reconstruction in a cadaveric model, Part 2: The posterior cruciate ligament. Am J Sports Med. 2015;43(1):207-12.DOI: 10.1177%2F0363546514554769.
LaPrade M.D, LaPrade Ch.M, Hamming M.C, Ellman M.B, Turnbull T.L, LaPrade R.F, et al. Intramedullary tibial nailing reduces the attachment area and ultimate load of the anterior medial meniscal root: a potential explanation for anterior knee pain in female patients and smaller patients. Am J Sport Med. 2015;43(7):1670-5.DOI: 10.1177%2F0363546515580296.
Hoser C, Fink C, Brown C, Reichkendler M, Hackl W, Bartlett J. Long-term results of arthroscopic partial lateral meniscectomy in knees without associated damage. J Bone Joint Surg Br. 2001;83(4):513-6.
Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jager A. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med. 2010;38(8):1542-8.DOI:10.1177%2F0363546510364052.
SmigielskiR, BeckerR, ZdanowiczU, CiszekB. Medial meniscus anatomy-from basic science to treatment. Knee Surg Sports Traumatol Arthrosc. 2015;23:8-14.DOI:10.1007/s00167-014-3476-5
Anderson CJ, Ziegler CG, Wijdicks CA, Engebretsen L, LaPrade RF. Arthroscopically pertinent anatomy of the anterolateral and posteromedial bundles of the posterior cruciate ligament. J Bone Joint Surg Am. 2012;94(21):1936-45.DOI: 10.2106 / JBJS.K.01710.
Ellman MB, LaPrade CM, Smith SD, Rasmussen MT, Engebretsen L, Wijdicks CA, et al. Structural properties of the meniscal roots. Am J Sports Med. 2014;42(8):1881-7.DOI: 10.1177%2F0363546514531730.
Kohn D, Moreno B. Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy. 1995;11(1):96-103.
Johnson DL, Swenson TM, Livesay GA, Aizawa H, Fu FH, Harner CD. Insertion-site anatomy of the human menisci: gross, arthroscopic, and topographical anatomy as a basis for meniscal transplantation. Arthroscopy. 1995;11(4):386-94.DOI: 10.1016/0749-8063(95)90188-4.
LaPrade CM, Ellman MB, Rasmussen MT, James EW, Wijdicks CA, Engebretsen L, et al. Anatomy of the anterior root attachments of the medial and lateral menisci: a quantitative analysis. Am J Sport Med. 2014;42(10):2386-92.DOI: 10.1177%2F0363546514544678.
Chung KS, Ha JK, Ra HJ, Kim JG. A meta-analysis of clinical and radiographic outcomes of posterior horn medial meniscus root repairs. Knee Surg Sports Traumatol Arthrosc. 2016;24(5):1455-68.DOI:10.1007/s00167-015-3832-0.
Chung KS, Ha JK, Yeom CH, Ra HJ, Jang HS, Choi SH, et al. Comparison of clinical and radiologic results between partial meniscectomy and refixation of medial meniscus posterior root tears: a minimum 5-year follow-up. Arthroscopy. 2015;31(10):1941-50.DOI: 10.1016/j.arthro.2015.03.035.
Frank JM, Moatshe G, Brady AW, Dornan GJ, Coggins A, Muckenhirn KJ, et al. Lateral meniscus posterior root and meniscofemoral ligaments as stabilizing structures in the ACL-deficient knee: a biomechanical study. Orthop J Sport Med. 2017;5(6):1-7.DOI: 10.1177%2F2325967117695756.
LaPrade CM, Foad A, Smith SD, Turnbull TL, Dornan GJ, Engebretsen L, et al. Biomechanical consequences of a nonanatomic posterior medial meniscal root repair. Am J Sport Med. 2015;43(4):912-20.DOI: 10.1177%2F0363546514566191.
Starke C, Kopf S, Grobel KH, Becker R. The effect of a nonanatomic repair of the meniscal horn attachment on meniscal tension: a biomechanical study. Arthroscopy. 2010;26(3):358-65.DOI: 10.1016/j.arthro.2009.08.013.
Cerminara AJ, LaPrade CM, Smith SD, Ellman MB, Wijdicks CA, LaPrade RF. Biomechanical evaluation of a transtibial pull-out meniscal root repair: challenging the bungee effect. Am J Sports Med. 2014;42(12):2988-95.DOI: 10.1177%2F0363546514549447.
Harner CD, Mauro CS, Lesniak BP, Romanowski JR. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Surgical technique. J Bone Joint Surg Am. 2009;91(2):257-70.DOI: 10.2106 / JBJS.I.00500.
LaPrade CM, LaPrade MD, Turnbull TL, Wijdicks CA, LaPrade RF. Biomechanical evaluation of the transtibial pull-out technique for posterior medial meniscal root repairs using 1 and 2 transtibial bone tunnels. Am J Sports Med. 2015;43(4):899-904.DOI: 10.1177%2F0363546514563278.
Feucht MJ, Grande E, Brunhuber J, Rosenstiel N, Burgkart R, Imhoff AB, et al. Biomechanical comparison between suture anchor and transtibial pull-out repair for posterior medial meniscus root tears. Am J Sports Med. 2014;42(l):187-93.DOI: 10.1177%2F0363546513502946.
Bhatia S, LaPrade CM, Ellman MB, LaPrade RF. Meniscal root tears: significance, diagnosis, and treatment. Am J Sports Med. 2014;42(12):3016-30.DOI: 10.1177%2F0363546514524162.
Kim YJ, Kim JG, Chang SH, Shim JC, Kim SB, Lee MY. Posterior root tear of the medial meniscus in multiple knee ligament injuries. Knee. 2010;17(5):324-8.
Jones AO, Houang MT, Low RS, Wood DG. Medial meniscus posterior root attachment injury and degeneration: MRI findings. Australas Radiol. 2006;50(4):306-13.
0zkoc G, Circi E, Gone U, Irgit K, Pourbagher A, Tandogan RN. Radial tears in the root of the posterior horn of the medial meniscus. Knee Surg Sports Traumatol Arthrosc. 2008;16(9):849-54.DOI:10.1007%2Fs00167-008-0569-z.
Bin SI, Kim JM, Shin SJ. Radial tears of the posterior horn of the medial meniscus. Arthroscopy. 2004;20(4:373-8.
Hwang BY, Kim SJ, Lee SW, Lee HE, Lee CK, Hunter DJ, et al. Risk factors for medial meniscus posterior root tear. Am J Sports Med. 2012;40(7):1606-10.
Thompson WO, Thaete FL, Fu FH, Dye SF. Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med.1991;19(3):210-5.
Brody JM, Lin HM, Hulstyn MJ, Tung GA. Lateral meniscus root tear and meniscus extrusion withMENISCAL ROOTS anterior cruciate ligament tear. Radiology. 2006;239(3):805-10. DOI: 10.1148/radiol.2393050559.
Kim YM, Rhee KJ, Lee JK, Hwang DS, Yang JY, Kim SJ. Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn. Arthroscopy. 2006;22(7):795.el-4.
Robertson DD, Armfield DR, Towers JD, Irrgang JJ, Maloney WJ, Harner CD. Meniscal root injury and spontaneous osteonecrosis of the knee: an observation. J Bone Joint Surg Br. 2009;91(2):190- 5.DOI:10.1302/0301-620X.91B2.21097.
LaPrade RF, Arendt EA, Getgood A, Faucett SC. The menisci. Berlin, Heidelberg: Springer Berlin Heidelberg; 2017.206 p.
Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy. 2009;25(9):951-8.
Lee DW, Ha JK, Kim JG. Medial meniscus posterior root tear: a comprehensive review. Knee Surg Relat Res. 2014;26(3)125-34.DOI: 10.5792%2Fksrr.2014.26.3.125.
Kim JH, Chung JH, Lee DH, Lee YS, Kim JR, Ryu KJ. Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: A prospective comparison study. Arthroscopy. 2011;27(12):1644-53.
Seil R, Duck K, Pape D. A clinical sign to detect root avulsions of the posterior horn of the medial meniscus. Knee Sports Surg Traumatol Arthrosc. 2011;19(12):2072-5.
LaPrade CM, James EW, Cram TR, Feagin JA, Engebretsen L, LaPrade RF. Meniscal root tears: a classification system based on tear morphology. Am J Sports Med.2015; 43(2):363-9.DOI: 10.1177%2F0363546514559684.
Forkel P, Foehr P, Meyer JC, Herbst E, Petersen W, Brucker PU, et al. Biomechanical and viscoelastic properties of different posterior meniscal root fixation techniques. Knee Surg Sports Traumatol Arthrosc. 2017;25(2):403-10.
De Smet AA, Blankenbaker DG, Kijowski R, Graf BK, Shinki K. MR diagnosis of posterior root tears of the lateral meniscus using arthroscopy as the reference standard. AJR Am J Roentgenol. 2009;192(2):480-6.
Choi SH, Bae S, Ji SK, Chang MJ. The MRI findings of meniscal root tear of the medial meniscus: emphasis on coronal, sagittal and axial images. Knee Surg Sports Traumatol Arthrosc. 2012;20(10):2098-103.DOI:10.1007%2Fs00167-011-1794-4.
Lee SY, Jee WH, Kim JM. Radial tear of the medial meniscal root: reliability and accuracy of MRI for diagnosis. AJR Am J Roentgenol. 2008;191(l):81-5.
Lerer DB, Umans HR, Hu MX, Jones MH. The role of eniscal root pathology and radial meniscal tear in medial meniscal extrusion. Skeletal Radiol.2004;33(10):569-74.
Costa CR, Morrison WB, Carrino JA. Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear? AJR Am J Roentgenol.2004;183(l):17-23.
Jae-Young Kim, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee, Sung-Mok Oh, Won-Joon Cho. A Novel Arthroscopic Classification of Degenerative Medial Meniscus Posterior Root Tears Based on the Tear Gap. The Orthopaedic Journal of Sports Medicine, 2019 Mar; 7(3): 2325967119827945. Published online 2019 Mar 18. DOI: 10.1177/2325967119827945
Choi NH, Son KM, Victoroff BN. Arthroscopic all¬inside repair for a tear of posterior root of the medial meniscus: a technical note. Knee Surg Sports Traumatol Arthrosc.2008; 16(9):891-3.
Kim JH, Shin DE, Dan JM, Nam KS, Ahn TK, Lee DH. Arthroscopic suture anchor repair of posterior root attachment injury in medial meniscus: technical note. Arch Orthop Trauma Surg.2009;129(8):1085-8.
Jung YH, Choi NH, Oh JS, Victoroff BN. All-Inside repair for a root tear of the medial meniscus using a suture anchor. Am J Sports Med.2012;40(6):1406-11.DOI: 10.1177%2F0363546512439181.
Raustol OA, Poelstra KA, Chhabra A, Diduch DR. The meniscal ossicle revisited: etiology and an arthroscopic technique for treatment. Arthroscopy.2006; 22(6):687.el-3.
Ahn JH, Wang JH, Yoo JC, Noh HK, Park JH. A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal. Knee Surg Sports Traumatol Arthrosc.2007;15(12):1510-3.
Nicholas SJ, Golant A, Schachter AK, Lee SJ. A new surgical technique for arthroscopic repair of the meniscus root tear. Knee Surg Sports Traumatol Arthrosc.2009; 17(12):1433-6.DOI:10.1007%2Fs00167-009-0874-1.
Feucht MJ, Grande E, Brunhuber J, Rosenstiel N, Burgkart R, Imhoff AB, et al. Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears. Knee Surg Sport Traumatol Arthrosc.2013;23(l):132-9.
Krych AJ, Johnson NR, Mohan R, Dahm DL, Levy BA, Stuart J. Partial meniscectomy provides no benefit for symptomatic degenerative medial meniscus posterior root tears. Knee Surg Sports Traumatol Arthrosc.2017;26(4):1117-22.DOI:10.1007/s00167-017-4454-5.
Feucht MJ, Kuhle J, Bode G, Mehl J, Schmal H, Sudkamp NP, et al. Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: a systematic review of clinical, radiographic, and second-look arthroscopic results. Arthroscopy.2015;31(9):1808-16.DOI: 10.1016/j.arthro.2015.03.022.
Kim SB, Ha JK, Lee SW, Kim DW, Shim JC, Kim JG, et al. Medial meniscus root tear refixation: Comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy. Arthroscopy.2011;27(3):346-54.
LaPrade RF, Matheny LM, Moulton SG, James EW, Dean CS. Posterior meniscal root repairs: outcomes of an anatomic transtibial pull-out technique. Am J Sports Med.2017;45(4):884-91.DOI: 10.1177%2F0363546516673996.
Moon HK, Koh YG, Kim YC, Park YS, Jo SB, Kwon SK. Prognostic factors of arthroscopic pull-out repair for a posterior root tear of the medial meniscus. Am J Sports Med. 2012;40(5):1138-43.DOI: 10.1177%2F0363546511435622.
Seo HS, Lee SC, Jung KA. Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus. Am J Sports Med.2011;39(1):99-107.DOI: 10.1177%2F0363546510382225.
Ця робота ліцензується відповідно до Creative Commons Attribution 4.0 International License.