keyword
https://read.qxmd.com/read/38533161/effectiveness-of-recent-physiotherapy-techniques-along-with-conventional-physiotherapy-techniques-in-a-patient-with-knee-osteoarthritis-a-case-report
#1
Kamya J Somaiya, Subrat Samal, Manali A Boob
Osteoarthritis (OA), the most common joint disease, lowers quality of life, restricts social activity participation, and results in incapacity. Osteoarthritis is characterised by changes in subchondral bone, meniscus degeneration, cartilage loss, and synovial inflammation. Physiotherapy plays a vital role in maintaining the stability of this disease. Various treatment approaches have been shown in numerous studies to be successful in improving the condition of individuals with osteoarthritis in the knee. We are presenting a case of a 47-year-old woman who had bilateral osteoarthritis in her knees...
February 2024: Curēus
https://read.qxmd.com/read/38532769/arthroscopic-saucerization-of-discoid-lateral-meniscus-with-meniscus-repair-as-indicated-results-in-excellent-outcomes-in-pediatric-patients-younger-than-12-years-of-age
#2
JOURNAL ARTICLE
George A Rublev, Levan Natchkebia, Vazha Gaprindashvili, Mohamed Ahmed Mohamed, Tamaz Tamazishvili, Irakli Kartozia, Mikheil Zimlitski
PURPOSE: To evaluate the experiences and outcomes of arthroscopic partial meniscectomy in symptomatic non-Wrisberg discoid lateral meniscus in children younger than 12 years old at a single center. METHODS: We retrospectively reviewed the medical records of all pediatric patients who were treated for non-Wrisberg discoid meniscus at our institute between 2013 and 2021. Patients were separated into 2 groups: Patients who underwent partial resection with saucerization (group A) or patients who underwent saucerization, tear repair, and fixation (group B)...
April 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/38532765/changes-in-functional-meniscal-morphology-during-skeletal-growth-and-maturation
#3
JOURNAL ARTICLE
Shankar G Kaushal, Samuel C Barnett, Shayan Hosseinzadeh, Gabriel S Perrone, Ata M Kiapour
BACKGROUND: Little is known on how meniscal morphology develops during skeletal growth and maturation and its subsequent relationship with the corresponding bony anatomy. HYPOTHESES: (1) Meniscal dimensions and morphology would change by age during skeletal growth and maturation in different ways in boys compared with girls. (2) Morphological features of the medial and lateral menisci would correlate to medial and lateral femoral condyle curvatures. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38532195/high-prevalence-of-associated-injuries-in-anterior-cruciate-ligament-tears-a-detailed-magnetic-resonance-imaging-analysis-of-254-patients
#4
JOURNAL ARTICLE
Riccardo Cristiani, Fabian van de Bunt, Joanna Kvist, Anders Stålman
OBJECTIVES: To evaluate the type and prevalence of associated injuries by using magnetic resonance imaging (MRI) in patients with anterior cruciate ligament (ACL) tears. METHODS: Data from the Natural Corollaries and Recovery after ACL injury multicenter longitudinal cohort study were analyzed. Between May 2016 and October 2018, patients aged between 15 and 40 years, who had experienced an ACL tear within the last 6 weeks and sought medical attention at one of seven healthcare clinics in Sweden, were invited to participate...
March 27, 2024: Skeletal Radiology
https://read.qxmd.com/read/38525288/degenerative-meniscus-tears-treated-nonoperatively-with-platelet-rich-plasma-yield-variable-clinical-and-imaging-outcomes-a-systematic-review
#5
REVIEW
Varun Gopinatth, Anjay K Batra, Jorge Chahla, Matthew V Smith, Matthew J Matava, Robert H Brophy, Derrick M Knapik
PURPOSE: To perform a systematic review on clinical and radiologic outcomes for meniscus tears treated nonoperatively with platelet-rich plasma (PRP). METHODS: A literature search was performed according to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using keywords and Boolean operators in SCOPUS, PubMed, Medline, and the Cochrane Central Register for Controlled Trials in April 2023. Inclusion criteria were limited to Level I to IV human studies reporting on outcomes of meniscus tears treated nonoperatively with PRP...
April 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/38523481/clinical-outcomes-of-different-management-techniques-for-medial-meniscal-type-3-ramp-lesions-in-anterior-cruciate-ligament-reconstruction-a-comparative-analysis-between-all-inside-repair-suture-hook-repair-and-lesions-left-in-situ
#6
JOURNAL ARTICLE
Adrien Saint-Etienne, Rayane Benhenneda, Thais Dutra Vieira, Jean-Marie Fayard, Mathieu Thaunat
BACKGROUND: There is ongoing debate about the best way to manage ramp lesions at the time of anterior cruciate ligament (ACL) reconstruction (ACLR). Type 3 lesions are not visible by the transnotch approach without superior debridement, making the management debate even more problematic. PURPOSE/HYPOTHESIS: The purpose of this study was to evaluate the rate of secondary surgical interventions according to the management method of a type 3 ramp lesion concomitant with primary ACLR...
March 25, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38519857/prospective-evaluation-of-the-surgical-stabilization-and-outcome-of-canine-tibial-plateau-fractures-in-three-cases
#7
Tessa A Adams, Danielle M Marturello, Loïc M Déjardin
OBJECTIVE: To report the surgical approaches and stabilization of lateral and medial tibial plateau fractures (TPF), as well as the long-term outcome following repair. STUDY DESIGN: Prospective series of three client-owned dogs. ANIMALS: Three dogs. METHODS: For the two lateral TPF cases (Unger type 41-B1), the surgical approach included separation of the lateral collateral ligament and long digital extensor tendon. The lateral meniscus was elevated to allow visualization of the tibial surface and assess fracture reduction...
March 22, 2024: Veterinary Surgery
https://read.qxmd.com/read/38517526/longitudinal-changes-in-medial-meniscus-extrusion-and-clinical-outcomes-following-pullout-repair-for-medial-meniscus-posterior-root-tears-a-3-year-evaluation
#8
JOURNAL ARTICLE
Koki Kawada, Takayuki Furumatsu, Yusuke Yokoyama, Naohiro Higashihara, Masanori Tamura, Toshifumi Ozaki
PURPOSE: We aimed to evaluate the longitudinal changes in medial meniscus extrusion (MME) and clinical scores at multiple time points up to 3 years after pullout repair for medial meniscus posterior root tears (MMPRTs). METHODS: This retrospective case series study included 64 patients who underwent pullout repair for MMPRTs and four MRI evaluations (preoperatively and at 3 months, 1 year, and 3 years postoperatively). MME was measured during the same time points...
March 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38511476/factors-associated-with-medial-meniscal-extrusion-in-non-osteoarthritic-knees-with-medial-meniscus-tears-a-cross-sectional-study
#9
JOURNAL ARTICLE
Xinguang Liu, Bin Yang, Chen Liu, Xing Xin
BACKGROUND: Medial meniscal extrusion (MME) plays an important role in the progression of knee osteoarthritis. Exploring the factors associated with MME in non-osteoarthritic knees may assist in the prevention of osteoarthritis. OBJECTIVE: To identify the factors associated with pathologic MME in non-osteoarthritic knees with medial meniscus tears (MMTs). DESIGN: A cross-sectional study. PARTICIPANTS: One hundred fifty patients with non-osteoarthritic knees who underwent arthroscopic surgery for MMT...
March 21, 2024: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/38506124/total-meniscus-replacement-with-a-3d-printing-of-network-hydrogel-composite-scaffold-in-a-rabbit-model
#10
JOURNAL ARTICLE
Jiaran Li, Fansheng Zhang, Xisijia Ga, Gan Gao, Tao Guo
PURPOSE: The aim of this study was to evaluate the role of a novel total meniscal implant in promoting meniscal regeneration and protecting articular cartilage in a rabbit model for 3 and 6 months. METHODS: Thirty-six New Zealand rabbits were selected and divided into poly(ɛ-caprolactone) (PG-Pg) scaffold group, meniscectomy group and sham group. In this study, it was investigated whether PG-Pg scaffold can prevent articular cartilage degeneration and promote tissue degeneration, and its mechanical properties at 3 and 6 months after surgery were also explored...
March 20, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38505136/utility-of-platelet-rich-plasma-therapy-in-the-management-of-meniscus-injuries-a-narrative-review
#11
JOURNAL ARTICLE
Anas El Zouhbi, Jeffrey Yammine, Maya Hemdanieh, Elie Toni Korbani, Mohamad Nassereddine
Menisci are crucial for knee joint functions and meniscal tears are common injuries, especially in sports activities. Platelet-rich plasma (PRP), which enhances healing, has emerged as a promising additive treatment for meniscus injuries, utilizing the regenerative properties of platelets and growth factors for improved clinical outcomes. In studies with a follow-up period of less than one year, the use of platelet-rich plasma (PRP) therapy for meniscus injuries showed significant improvements in knee symptoms and daily activity...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38502232/dysregulated-fibrinolysis-and-plasmin-activation-promote-the-pathogenesis-of-osteoarthritis
#12
JOURNAL ARTICLE
Qian Wang, Guoqiang Shao, Xiaoyi Zhao, Heidi H Wong, Kate Chin, Mackenzie Zhao, Audrey Bai, Michelle S Bloom, Zelda Z Love, Constance R Chu, Zhen Cheng, William H Robinson
Joint injury is associated with risk for development of osteoarthritis (OA). Increasing evidence suggests that activation of fibrinolysis is involved in OA pathogenesis. However, the role of the fibrinolytic pathway is not well understood. Here we showed that the fibrinolytic pathway, which includes plasminogen/plasmin, tissue plasminogen activator (tPA), urokinase plasminogen activator (uPA) and the uPA receptor (uPAR), were dysregulated in human OA joints. Pharmacological inhibition of plasmin attenuated OA progression in a destabilization of the medial meniscus (DMM) mouse model, while genetic deficiency of plasmin activator inhibitor (PAI-1), or injection of plasmin, exacerbated OA...
March 19, 2024: JCI Insight
https://read.qxmd.com/read/38500433/-research-progress-on-pathological-mechanism-and-clinical-correlation-between-medial-meniscus-posterior-root-tear-and-tibial-rotation
#13
JOURNAL ARTICLE
Fuji Ren, Jiang Wu, Jingmin Huang
OBJECTIVE: To summarize the current research progress on the concept, clinical presentation, diagnosis, biomechanical changes, and pathological mechanisms of the medial meniscus posterior root tear (MMPRT), and its clinical correlations with tibial rotation. METHODS: The research literature on MMPRT and its relationship with tibial rotation at home and abroad in recent years was extensively consulted and summarized. RESULTS: MMPRT is a specific and common type of medial meniscus injury of the knee joint...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38500418/-application-of-anterior-region-suture-of-popliteal-hiatus-in-treatment-of-discoid-lateral-meniscus-injury-with-instability-in-popliteal-tendon-region
#14
JOURNAL ARTICLE
He Wu, Zhu Dai, Yuxi Chen, Weijie Fan, Ying Liao, Chao Liu, Jianghua Liu, Yu Ming
OBJECTIVE: To discuss the application of anterior region suture of the popliteal hiatus (PH) under arthroscopy in the treatment of discoid lateral meniscus (DLM) injury with instability in the popliteal tendon region. METHODS: The clinical data of 53 patients (56 knees) with DLM injury who met the selection criteria between March 2014 and November 2022 were retrospectively analyzed. There were 15 males and 38 females, aged 8-55 years with an average age of 36.5 years...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38496031/functional-meniscus-reconstruction-with-biological-and-biomechanical-heterogeneities-through-topological-self-induction-of-stem-cells
#15
JOURNAL ARTICLE
Mingze Du, Kangze Liu, Huinan Lai, Jin Qian, Liya Ai, Jiying Zhang, Jun Yin, Dong Jiang
Meniscus injury is one of the most common sports injuries within the knee joint, which is also a crucial pathogenic factor for osteoarthritis (OA). The current meniscus substitution products are far from able to restore meniscal biofunctions due to the inability to reconstruct the gradient heterogeneity of natural meniscus from biological and biomechanical perspectives. Here, inspired by the topology self-induced effect and native meniscus microstructure, we present an innovative tissue-engineered meniscus (TEM) with a unique gradient-sized diamond-pored microstructure (GSDP-TEM) through dual-stage temperature control 3D-printing system based on the mechanical/biocompatibility compatible high Mw poly(ε-caprolactone) (PCL)...
June 2024: Bioactive Materials
https://read.qxmd.com/read/38484441/signal-intensity-of-repaired-posterior-roots-after-transtibial-pullout-repair-for-medial-meniscus-posterior-root-tears-in-stable-knees-magnetic-resonance-imaging-evaluations-at-3-years-postoperatively
#16
JOURNAL ARTICLE
Koki Kawada, Takayuki Furumatsu, Yusuke Yokoyama, Naohiro Higashihara, Masanori Tamura, Toshifumi Ozaki
BACKGROUND: Only a few studies have assessed signal intensity after pullout repair for medial meniscus posterior root (MMPR) tears (MMPRTs) based on mid-term magnetic resonance imaging (MRI) evaluations. Therefore, this study aimed to assess the quantitative signal intensity of repaired posterior roots over time, up to 3 years postoperatively, and the related factors. METHODS: This study included 36 patients who underwent pullout repair for MMPRTs and MRI examinations using the same MRI system...
March 13, 2024: Knee
https://read.qxmd.com/read/38483618/favorable-early-outcomes-of-medial-unicompartimental-knee-arthroplasty-in-active-patients-presenting-a-degenerative-medial-meniscus-root-tear-with-meniscal-extrusion-and-mild-radiographic-osteoarthritis
#17
JOURNAL ARTICLE
Matteo Innocenti, Filippo Leggieri, Kim Huber, Bernard Christen, Tilman Calliess
INTRODUCTION: There is only limited literature available evaluating the preferable treatment for active mid-age or elderly patients presenting with a degenerative medial meniscus root tear (d-MMRT) with medial meniscal extrusion (MME) and early-phase radiographic osteoarthritis (OA), failing to provide solid evidence. The aim of this study was to evaluate early outcomes of medial unicompartimental arthroplasty (mUKA) in active patients presenting a d-MMRT with meniscal extrusion and mild radiographic OA of the knee...
March 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38479636/meniscus-repair-technique-must-be-determined-on-a-tear-by-tear-basis-hybrid-techniques-plus-biologics-are-optimal
#18
EDITORIAL
Daniel J Stokes, Rachel M Frank
Bucket-handle meniscus tears alter knee biomechanics and significantly elevate the risk of osteoarthritis when the tissue is not preserved. Consequentially, meniscus repair is preferred whenever possible to optimize load distribution and knee stability, with the overall goal of joint preservation. Bucket-handle meniscus tears have a higher rate of repair failure compared to many other tear patterns, and both the inside-out (IO) and all-inside (AI) techniques are acceptable options, each with distinct advantages and disadvantages...
March 11, 2024: Arthroscopy
https://read.qxmd.com/read/38471193/alteration-of-knee-joint-moment-after-anterior-cruciate-ligament-reconstruction-conditions-in-subjects-with-and-without-meniscal-pathology
#19
JOURNAL ARTICLE
Kohei Nishizawa, Kengo Harato, Shu Kobayashi, Yasuo Niki, Takeo Nagura
BACKGROUND: The effects of anterior cruciate ligament (ACL) reconstruction on postoperative gait biomechanics remain controversial, and the influence of meniscus pathology on pre- and post-ACL reconstruction biomechanical changes has not yet been studied. Here, we aimed to clarify the difference in knee joint moment between pre- and post-ACL reconstruction conditions in subjects with and without meniscal pathology. METHODS: Twenty-four subjects with unilateral ACL reconstruction injuries participated in this study...
March 11, 2024: Knee
https://read.qxmd.com/read/38470904/anterior-cruciate-ligament-injury-should-not-be-considered-a-contraindication-for-medial-unicompartmental-knee-arthroplasty-finite-element-analysis
#20
JOURNAL ARTICLE
Deyan Ou, Yongqing Ye, Jingwei Pan, Yu Huang, Haisheng Kuang, Shilin Tang, Richao Huang, Yongxin Mo, Shixin Pan
PURPOSE: The research objective of this study is to use finite element analysis to investigate the impact of anterior cruciate ligament (ACL) injury on medial unicompartmental knee arthroplasty (UKA) and explore whether patients with ACL injuries can undergo UKA. METHODS: Based on the morphology of the ACL, models of ACL with diameters ranging from 1 to 10mm are created. Finite element models of UKA include ACL absence and ACLs with different diameters. After creating a complete finite element model and validating it, four different types of loads are applied to the knee joint...
2024: PloS One
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