Abstract
Introduction: Meniscal tears commonly occur in combination with ACL tears or other intra-articular or extra-articular lesions.Numerous studies have evaluated the occurrence of these injuries.However, there is little information on isolated meniscal tears. The main purpose of this study was to register the characteristics of isolated meniscal tears (type and location) with intact cruciate ligaments.
Materials and Methods: This study was in government bone and joint surgery hospital, Government medical college srinagar. This study consisted of a total 300 case, over a period of three years. All patients had undergone clinical examination, MRI knee and subsequent diagnostic knee arthroscopy.
Results: In our study 27% were horizontal tear,16% bucket handle tear,12%longitudnal tear,19% oblique tear, 18% radial tear and 8 % complex tear.
Conclusion: In patients with isolated meniscal tears horizontal appears to be more prominent.Tear in peripheral areas have better results.longitudinal tears and bucket handle are better treated with arthroscopy.Thus type and location of meniscal tears are useful for predicting the most likely surgical procedures.
References
- Johnson MJ, luca GL,Dusck Jk, Isolated arthroscopic meniscal repair, a long-term study(more than 10 years) Am j sports Med, 1997;27:44-9
- Greis PE, Bardana DD, Holmstrom MC, Burks RT.Meniscal injury: I.Basic science and evaluation. J Am Acad Orthop Surg. 2002;10:168-176.
- Saidoff David, McDonough Andrew. Critical Pathways in therapeutic intervention. Extremities and spine; Philadelphia, PA : Mosby Inc., 2002:611-639.
- McCarty Eric, Marx Robert G. Meniscal tears in the athlete.Operative and nonoperative management. Physical Medical and Rehabilitation clinics of North America . 2000;11(4):867-878.
- Hsieh HH, Walker PS. Stabilizing mechanisms of the loaded and unloaded knee joint. J Bone Joint Surg Am. 1976;58:87-93.
- Bellabarda C, Bush-Joseph CA, Bach BR Jr. Patterns of meniscalinjury in the anterior cruciate deficient knee: a review of the literature.Am J Orthop. 1997;26:18-23.
- Binfield PM, Maffulli N, King JB. Patters of meniscal tears associatedwith anterior cruciate ligament lesions in athletes. Injury. 1993;24:557-561.
- Smith J, Barrett G. Medial and lateral meniscal tear patterns in ante-rior cruciate ligament deficient knees: a prospective analysis of 575tears. Am J Sports Med. 2001;29:415-419.
- Sommerlath K, Gillquist J. The long-term course of various meniscaltreatments in anterior cruciate ligament deficient knees. Clin OrthopRelat Res. 1992;283:207-214.
- Cooper DE, Arnoczky SP, Warren RF. Meniscal repair. Clin SportsMed. 1991;10:529-548.
- Elvenes J,Jerome CP,Reikeras O,Johansen O. Magnetic resonanace imaging as a screening procedure to avoid arthroscopy for meniscal tears.Arch orthop Trauma surg.2000;120;14-16.
- Weinstabl R, Muellner T ,veesi V,kainberger F, kramerM.economic considerations for the diagnosis and therapy of meniscal lesions:can magbetic resonance imaging help reduce the expense? World j surg.1997;13:224-228.
- Tregonning RJ. Closed partial menisectomy early results of simple tears with mechanical symptoms. J bone & joint surgery Br 1983 aug 65 (4) 378-382.
- Grevitt MP, Pool CJ,Bodley RN ,Savage PE. MRI of the knee: initial experience in a district general hospital. Injury. 1992;23:410-412.
- Dasic Z ,Radoicic D Arthroscopic partial medial meniscectomy Vojnosanit pregl 2011;68(9):774-778.
- Rosalia costa,Wiliam B Morrison,John A Carrino Meniscal extrusion on knee MRI AJR 2004;183:17-23.
Corresponding Author
Obaid Nisar