| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Sports Medicine Service, The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York, New York
Sports Medicine Service, The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York, New York
Sports Medicine Service, The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York, New York
Sports Medicine Service, The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York, New York
Sports Medicine Service, The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York, New York
In an attempt to understand better the contribution of the anteroinferior and posterosuperior popliteomenis cal fasciculi to lateral meniscus stability, we objectively evaluated the stability of the lateral meniscus before and after sequentially sectioning these fasciculi. In the biomechanical model, we attempted to account for the inherent limitations of arthroscopic evaluation of lateral meniscal stability. When the fasciculi were intact, the average lateral meniscal motion with a 10-N load was 3.6 mm. When the anteroinferior fascicle was dis rupted, the average lateral meniscal motion with a 10-N load was 5.4 mm. The mean increase in motion from the intact state was 1.8 mm or 50%, which was significant. When both fasciculi were disrupted, the average lateral meniscal motion with 10-N load was 6.4 mm. The mean increase in motion from the intact state was 2.8 mm or 78% and from the single fascicle disruption state was 1.0 mm or 18%, both differences were significant. The meniscus did not become locked with any of these loading trials, and it spontaneously reduced to the original position when unloaded. Both fasciculi make significant contributions to meniscal sta bility. Even though the meniscus never became locked in the joint when loaded during this study, with the variable loads seen with normal activities mechanical symptoms might be expected when meniscal motion is almost double. An increase in lateral meniscal motion at the time of surgery may aid in the diagnosis of fasciculi disruption, despite normal meniscal structure on magnetic resonance images and at arthroscopic visualization.
This article has been cited by other articles:
|
|
 |
|
  A. Ranawat, C. L. Baker III, S. Henry, and C. D. Harner Posterolateral Corner Injury of the Knee: Evaluation and Management J. Am. Acad. Ortho. Surg., September 1, 2008; 16(9): 506 - 518. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Peduto, A. Nguyen, D. J. Trudell, and D. L. Resnick Popliteomeniscal Fascicles: Anatomic Considerations Using MR Arthrography in Cadavers Am. J. Roentgenol., February 1, 2008; 190(2): 442 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Sakai, T. Sasho, Y.-i. Wada, S. Sano, J.-i. Iwasaki, F. Morita, and H. Moriya MRI of the Popliteomeniscal Fasciculi Am. J. Roentgenol., February 1, 2006; 186(2): 460 - 466. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. F. LaPrade and B. K. Konowalchuk Popliteomeniscal Fascicle Tears Causing Symptomatic Lateral Compartment Knee Pain: Diagnosis by the Figure-4 Test and Treatment by Open Repair Am. J. Sports Med., August 1, 2005; 33(8): 1231 - 1236. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Ohtoshi, M. Kimura, Y. Kobayashi, H. Higuchi, and S. Kikuchi Arthroscopic Thermal Shrinkage for Hypermobile Lateral Meniscus Am. J. Sports Med., July 1, 2004; 32(5): 1297 - 1301. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Munshi, M. L. Pretterklieber, S. Kwak, G. E. Antonio, D. J. Trudell, and D. Resnick MR Imaging, MR Arthrography, and Specimen Correlation of the Posterolateral Corner of the Knee: An Anatomic Study Am. J. Roentgenol., April 1, 2003; 180(4): 1095 - 1101. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. J. Cole, T. R. Carter, and S. A. Rodeo Allograft Meniscal Transplantation : Background, Techniques, and Results J. Bone Joint Surg. Am., July 9, 2002; 84(7): 1236 - 1250. [Full Text] [PDF]
|
|
|
|
|
|
P. E. Greis, D. D. Bardana, M. C. Holmstrom, and R. T. Burks Meniscal Injury: I. Basic Science and Evaluation J. Am. Acad. Ortho. Surg., May 1, 2002; 10(3): 168 - 176. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
