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Submeniscal Portal for Horizontal Cleavage Tear with Parameniscal Cyst of the Lateral Meniscus.

ABSTRACT: Horizontal cleavage tears of the medial and lateral meniscus can be difficult to treat using the standard anteromedial or anterolateral arthroscopy portals. In this Technical Note, we present a new surgical technique to better manage the inferior leaflet of horizontal cleavage tears of the medial and lateral meniscus and their associated parameniscal cysts.

SUBMITTER: Woodall BM

PROVIDER: S-EPMC5984350 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Submeniscal Portal for Horizontal Cleavage Tear with Parameniscal Cyst of the Lateral Meniscus.

Woodall Brittany M BM Elena Nicholas N Mirvish Asher B AB Shin Edward C EC Pathare Neil P NP McGahan Patrick J PJ Chen James L JL

Arthroscopy techniques 20180423 5

Horizontal cleavage tears of the medial and lateral meniscus can be difficult to treat using the standard anteromedial or anterolateral arthroscopy portals. In this Technical Note, we present a new surgical technique to better manage the inferior leaflet of horizontal cleavage tears of the medial and lateral meniscus and their associated parameniscal cysts. ...[more]

PMID: 29868430

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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

Submeniscal Portal for Horizontal Cleavage Tear with Parameniscal Cyst of the Lateral Meniscus.

Publications

Submeniscal Portal for Horizontal Cleavage Tear with Parameniscal Cyst of the Lateral Meniscus.

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