Dataset Information

Clinics in diagnostic imaging (177). Medical meniscus bucket-handle tear with medial oblique meniscomeniscal ligament.

ABSTRACT: A 29-year-old man with a previous football injury to his left knee presented with pain of the same knee. The patient twisted it as he was turning a corner quickly while going up the stairs, leading to internal rotation of his femur on his tibia with his knee in flexion. MR imaging revealed a bucket-handle tear of the medial meniscus, as well as a complete tear of the anterior cruciate ligament. However, image interpretation was complicated by the presence of a medial oblique meniscomeniscal ligament, a rare normal variant among intermeniscal ligaments of the knee. All four recognised variants of intermeniscal ligaments are discussed, with emphasis on their prevalence, imaging and anatomical features, and the way in which they may mimic meniscal tears.

SUBMITTER: See PLP

PROVIDER: S-EPMC5435841 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Clinics in diagnostic imaging (177). Medical meniscus bucket-handle tear with medial oblique meniscomeniscal ligament.

See Poh Lye Paul PLP

Singapore medical journal 20170501 5

A 29-year-old man with a previous football injury to his left knee presented with pain of the same knee. The patient twisted it as he was turning a corner quickly while going up the stairs, leading to internal rotation of his femur on his tibia with his knee in flexion. MR imaging revealed a bucket-handle tear of the medial meniscus, as well as a complete tear of the anterior cruciate ligament. However, image interpretation was complicated by the presence of a medial oblique meniscomeniscal liga ...[more]

PMID: 28536729

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Project description:BackgroundOnly limited data are available regarding postural stability between anterior cruciate ligament (ACL)-injured patients with medial meniscus (MM) tear and those with lateral meniscus (LM) tear. The purpose of this study was to compare preoperative postural stability for both involved and uninvolved knees in ACL rupture combined with MM and LM tears. It was hypothesized that there would be a significant difference in postural stability between these two groups.MethodsNinety-three ACL-injured patients (53 combined with MM tears vs. 40 combined with LM tears) were included. Static and dynamic postural stability were evaluated with the overall stability index (OSI), anterior–posterior stability index (APSI), and medial–lateral stability index (MLSI) using stabilometry. Knee muscle strength was evaluated using an isokinetic testing device.ResultsIn the static postural stability test, none of the stability indices showed significant differences between the two groups for both knees (p?>?0.05). In the dynamic postural stability test for involved side knees, the OSI and APSI were significantly higher in the LM tear group compared to the MM tear group (OSI: 2.0?±?0.8 vs. 1.6?±?0.5, p?=?0.001; APSI: 1.5?±?0.6 vs. 1.3?±?0.5, p?=?0.023), but not the MLSI (p?>?0.05). In the static and dynamic postural stability tests in each group, there were no significant differences between the involved and uninvolved side knees (p?>?0.05). There was no significant difference in the knee muscle strength between the two groups (p?>?0.05). All postural stability showed no significant correlation with knee muscle strength (p?>?0.05).ConclusionDynamic postural stability was poorer in patients with ACL rupture combined with LM tear than in those with MM tear. Therefore, close monitoring for postural stability would be necessary during preoperative and postoperative rehabilitation, especially for patients with ACL rupture combined with LM tear.Level of evidence: Level III

Dataset Information

Clinics in diagnostic imaging (177). Medical meniscus bucket-handle tear with medial oblique meniscomeniscal ligament.

Publications

Clinics in diagnostic imaging (177). Medical meniscus bucket-handle tear with medial oblique meniscomeniscal ligament.

Similar Datasets

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