Posterior root tear of the medial and lateral meniscus on magnetic resonance imaging of 10,980 knee   
Yazarlar (6)
Doç. Dr. Orhan BALTA Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Eyup Çağatay ZENGİN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Mehmet Burtaç EREN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ömer Cahit Çıtır
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Harun Altınayak
Sağlık Bilimleri Üniversitesi, Türkiye
Dr. Öğr. Üyesi Osman DEMİR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale
Dergi Adı Medicine Science
Dergi ISSN 2147-0634
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce
Basım Tarihi 01-2022
Cilt No 11
Sayı 2
Sayfalar 656 / 665
DOI Numarası 10.5455/medscience.2022.01.020
Makale Linki https://www.medicinescience.org/wp-content/uploads/2022/03/656-665-53-1643222243-MS-2022-01-020.pdf
Özet
It is aimed in this study study to determine the incidence of meniscus root tear in the knee and its effects on additional injuries related to the degree of meniscal extrusion,
degree of chondrosis, malalingment and subchondral insufficiency fractures of the knee (SIFK). A total of 277 patients with a meniscal root tear detected on knee magnetic
resonance imaging (MRI) taken between January 2011 and December 2020 were retrospectively analyzed. The severity of meniscal extrusion, osteophyte size and alignment were measured on MRI. Subchondral insufficiency fracture medial compartment osteoarthritis, lateral compartment osteoarthritis, additional ligament and meniscal
injuries were recorded. The mean medial meniscal extrusion was 4.91 ± 2.2 mm and the mean lateral meniscal extrusion was 3.07 ± 1.56. While the mechanical alignment
was 4.05 ± 2.24 degree varus in the patients with medial meniscus root tear, 1.88 ± 3.55 degree valgus in those with lateral meniscus injury. The mean size of tibial osteophyte was 2.51 ± 1.06 mm. In arthrosis grading conducted by using the International Cartilage Repair Society (ICRS) MRI-based grading system, the meniscal extrusion
was measured to be 3.09 ± 1.1 mm in grade I, 5.04 ± 2.25 mm in grade II, 5.8 ± 2.01 in grade III and 6.05 ± 1.2 mm in grade 4. A statistically significant relationship
was found between meniscal extrusion and age and mechanical alignment (p < 0.001). It was determined that, the patients having high-grade meniscal extrusion suffered
from high-grade chondrosis, varus and SIF lesions. It was concluded that meniscus posterior root tear (MPRT) induces meniscal extrusion (MME) leading to subchondral
insufficiency fracture of the knee, varus, and gonarthrosis.
Anahtar Kelimeler