Summary: changes of the anterior-posterior diameter of the lateral meniscus to the medial meniscus ratio (ap-LMR) was depending on the shape of DLM and surgical procedure.

Purpose

We have reported that the anterior-posterior diameter of the lateral meniscus to the medial meniscus ratio (ap-LMR) on 3D MRI sagittal section is significantly smaller in patients with discoid lateral meniscus(DLM) than those with normal lateral meniscus cases. The purpose of this study was to evaluate the changes in ap-LMR in DLM before and after surgery.

Methods

Among DLM patients who underwent arthroscopic surgery at our hospital between 2011 and 2020, 64 knees in 57 cases (32 males and 32 females, mean age 17.3 years) were included in the study for whom MRI was obtained before and after the surgery. The ap-LMR was calculated on simple MRI sagittal images and compared before and after surgery. The difference of ap-LMR in the complete and incomplete DLM groups, and in the only saucerization groups and saucerization plus suture groups were compared.

Results

The ap-LMR increased significantly from 69.5±8.2% preoperatively to 76.0±7.6% postoperatively (p<0.01). The preoperative difference between the complete and incomplete DLM groups was not significant (complete: 69.1±7.1%, incomplete: 69.6±9.0%, p=0.53). However difference was significantly greater in the complete DLM group postoperatively (complete: 79.0±7.6%, incomplete: 73.8±6.9%, p=0.03). In comparison of surgical techniques, there was no significant difference between the two groups preoperatively (partial resection group: 71.4±9.2%, partial resection + suture group: 68.7±7.7%, p=0.19), but postoperatively, saucerization + suture group showed significantly smaller values (saucerization group: 80.0±7.9%, saucerization + suture group: 74.6%±7.0%, p=0.04).

Discussion

The postoperative ap-LMR increased in DLMs, suggesting that the postoperative shape causes a change in load distribution and an increase in the anteroposterior diameter. ap-LMR changes differed depending on the morphology of the DLM and whether it was sutured or not, suggesting that the difference in the hoop function of the DLM may cause the anteroposterior diameter to change.

Conclusion

Moreover, changes of ap-LMR was depending on the shape of DLM and surgical procedure.

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Large Posterolateral Cartilage Slope Is a Risk Factor for Noncontact ACL Injury ePoster Presentation Kensuke Hotta, MD, JAPAN Mitsuru Hanada, MD, PhD, JAPAN Kazuki Nomoto, MD, JAPAN Yukihiro Matsuyama, MD, PhD, Prof., JAPAN
The Hidden Lesion of the Knee: Risk Factors Study ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Anis Tebourbi, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Rami Triki, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
The Fate of Discoid Lateral Meniscus With and Without Osteochondritis Dissecans of the Lateral Femoral Condyle After Surgery ePoster Presentation Ken Iida, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Yohei Nishida, MD, JAPAN Junsei Takigami, MD, PhD, JAPAN Tomohiro Tomihara, MD, JAPAN Hiroaki Nakamura, MD, PhD, JAPAN
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Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury? ePoster Presentation Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA Meet Mehta, MD orthopaedics, INDIA Terence Dsouza, MS, DNB, FNB, INDIA Ramakanth Rajagopalakrishnan, D.ortho, DNB(ortho).D.SICOT, INDIA S Rajasekaran, MS(Orth),DOrth,DNB,FRCS(Ed),FRCS(Lon),MCh(Liv),PhD, INDIA
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Postoperative Subjective Evaluation after Meniscectomy in Patients Older than 70 Years: A Local Retrospective Study ePoster Presentation Ignacio Fernández, Md, CHILE Francesca Castelletto, MD, CHILE Enrique Sebastián Rubio, Md, CHILE Rodrigo Humberto Garcia, MD, CHILE Roberto Cisternas, md, CHILE Ignacio Lopez, CHILE
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Mid-Term Clinical And Radiological Outcomes of Lateral Meniscal Allograft Transplantation With Suture-Only Fixation Plus Capsulodesis ePoster Presentation Àngel Masferrer-Pino, MD PhD, SPAIN Rodolfo Morales-Avalos, MD, PhD., MEXICO Maximiliano Ibañez, MD, SPAIN Simone Perelli, MD,PhD, SPAIN Pablo E. Gelber, MD, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Clinical Outcomes with Meniscal Repair, Between 2019-2020, Viña del Mar, Chile (Preliminary Study) ePoster Presentation Sergio Patricio González Rouse, MD, MSc, MBA, CHILE Raul Roz, MD, CHILE Horacio Alejandro Carvajal Araya, MD, CHILE

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Morphological Analysis of Discoid Lateral Meniscus on Magnetic Resonance Imaging Comparing Pre- and Postoperative Images

Morphological Analysis of Discoid Lateral Meniscus on Magnetic Resonance Imaging Comparing Pre- and Postoperative Images

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Morphological Analysis of Discoid Lateral Meniscus on Magnetic Resonance Imaging Comparing Pre- and Postoperative Images

Morphological Analysis of Discoid Lateral Meniscus on Magnetic Resonance Imaging Comparing Pre- and Postoperative Images

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