[Internal meniscus resections do not affect anterior knee joint stability].
Identifieur interne : 000006 ( Main/Exploration ); précédent : 000005; suivant : 000007[Internal meniscus resections do not affect anterior knee joint stability].
Auteurs : Patricia Lang [Allemagne] ; Cornelia Hanel [Allemagne] ; Benedikt Friemert [Allemagne] ; Hans-Joachim Riesner [Allemagne] ; Gerhard Achatz [Allemagne] ; Hans-Georg Palm [Allemagne]Source :
- Der Orthopade [ 1433-0431 ] ; 2020.
Descripteurs français
- KwdFr :
- Articulation du genou (MeSH), Genou (physiologie), Humains (MeSH), Instabilité articulaire (MeSH), Ligament croisé antérieur (physiologie), Lésions du ligament croisé antérieur (MeSH), Lésions du ménisque externe (chirurgie), Ménisques de l'articulation du genou (physiologie), Phénomènes biomécaniques (MeSH), Études prospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
BACKGROUND
Meniscus injuries lead to increased knee joint instability. Currently, however, it is unclear whether a relevant medial meniscus part resection leads to an increased ventral tibia translation with intact anterior cruciate ligament. The aim of our study was therefore to clinically examine the stabilizer function of at least 30% resected medial meniscus for anterior tibial translation.
MATERIALS AND METHODS
In this prospective study, 18 patients with unilateral medial meniscus lesion were treated before and after arthroscopic medial meniscus resection. They were treated on the healthy and on the sick leg through the use of two different apparatus methods (dynamic translation measurement using hamstring reflex apparatus and KT-1000 arthrometers) as well as a functional test (computer-supported dynamic posturography (CDP)) and a clinical hop test. Further, the mean values for significance using non-parametric Wilcoxon test.
RESULTS
After completing all the studies, we were not able to detect any significant differences in our study that would indicate increased ventral instability in the knee joint after arthroscopic medial meniscus resection.
CONCLUSIONS
Inner meniscal partial resection does not lead to increased ventral knee instability in intact VKB. Whether in patients with instability (feeling) after partial meniscus resection, a rotation instability is the cause or whether further injuries or disturbances in the capsular ligament apparatus are present, must be examined in further studies. Anterior knee joint instability cannot be adequately explained according to our study.
DOI: 10.1007/s00132-019-03840-4
PubMed: 31784795
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<series><title level="j">Der Orthopade</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior Cruciate Ligament (physiology)</term>
<term>Anterior Cruciate Ligament Injuries (MeSH)</term>
<term>Biomechanical Phenomena (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Joint Instability (MeSH)</term>
<term>Knee (physiology)</term>
<term>Knee Joint (MeSH)</term>
<term>Menisci, Tibial (physiology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Tibial Meniscus Injuries (surgery)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Articulation du genou (MeSH)</term>
<term>Genou (physiologie)</term>
<term>Humains (MeSH)</term>
<term>Instabilité articulaire (MeSH)</term>
<term>Ligament croisé antérieur (physiologie)</term>
<term>Lésions du ligament croisé antérieur (MeSH)</term>
<term>Lésions du ménisque externe (chirurgie)</term>
<term>Ménisques de l'articulation du genou (physiologie)</term>
<term>Phénomènes biomécaniques (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Lésions du ménisque externe</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Genou</term>
<term>Ligament croisé antérieur</term>
<term>Ménisques de l'articulation du genou</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Anterior Cruciate Ligament</term>
<term>Knee</term>
<term>Menisci, Tibial</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Tibial Meniscus Injuries</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Anterior Cruciate Ligament Injuries</term>
<term>Biomechanical Phenomena</term>
<term>Humans</term>
<term>Joint Instability</term>
<term>Knee Joint</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Articulation du genou</term>
<term>Humains</term>
<term>Instabilité articulaire</term>
<term>Lésions du ligament croisé antérieur</term>
<term>Phénomènes biomécaniques</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Meniscus injuries lead to increased knee joint instability. Currently, however, it is unclear whether a relevant medial meniscus part resection leads to an increased ventral tibia translation with intact anterior cruciate ligament. The aim of our study was therefore to clinically examine the stabilizer function of at least 30% resected medial meniscus for anterior tibial translation.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>In this prospective study, 18 patients with unilateral medial meniscus lesion were treated before and after arthroscopic medial meniscus resection. They were treated on the healthy and on the sick leg through the use of two different apparatus methods (dynamic translation measurement using hamstring reflex apparatus and KT-1000 arthrometers) as well as a functional test (computer-supported dynamic posturography (CDP)) and a clinical hop test. Further, the mean values for significance using non-parametric Wilcoxon test.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>After completing all the studies, we were not able to detect any significant differences in our study that would indicate increased ventral instability in the knee joint after arthroscopic medial meniscus resection.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Inner meniscal partial resection does not lead to increased ventral knee instability in intact VKB. Whether in patients with instability (feeling) after partial meniscus resection, a rotation instability is the cause or whether further injuries or disturbances in the capsular ligament apparatus are present, must be examined in further studies. Anterior knee joint instability cannot be adequately explained according to our study.</p>
</div>
</front>
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<Title>Der Orthopade</Title>
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<ArticleTitle>[Internal meniscus resections do not affect anterior knee joint stability].</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Meniscus injuries lead to increased knee joint instability. Currently, however, it is unclear whether a relevant medial meniscus part resection leads to an increased ventral tibia translation with intact anterior cruciate ligament. The aim of our study was therefore to clinically examine the stabilizer function of at least 30% resected medial meniscus for anterior tibial translation.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In this prospective study, 18 patients with unilateral medial meniscus lesion were treated before and after arthroscopic medial meniscus resection. They were treated on the healthy and on the sick leg through the use of two different apparatus methods (dynamic translation measurement using hamstring reflex apparatus and KT-1000 arthrometers) as well as a functional test (computer-supported dynamic posturography (CDP)) and a clinical hop test. Further, the mean values for significance using non-parametric Wilcoxon test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After completing all the studies, we were not able to detect any significant differences in our study that would indicate increased ventral instability in the knee joint after arthroscopic medial meniscus resection.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Inner meniscal partial resection does not lead to increased ventral knee instability in intact VKB. Whether in patients with instability (feeling) after partial meniscus resection, a rotation instability is the cause or whether further injuries or disturbances in the capsular ligament apparatus are present, must be examined in further studies. Anterior knee joint instability cannot be adequately explained according to our study.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lang</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. email@dr-patricia-lang.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hanel</LastName>
<ForeName>Cornelia</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Friemert</LastName>
<ForeName>Benedikt</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Riesner</LastName>
<ForeName>Hans-Joachim</ForeName>
<Initials>HJ</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Achatz</LastName>
<ForeName>Gerhard</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Palm</LastName>
<ForeName>Hans-Georg</ForeName>
<Initials>HG</Initials>
<AffiliationInfo><Affiliation>Unfallchirurgische Forschungsgruppe, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>ger</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Innenmeniskusresektionen beeinflussen nicht die anteriore Kniegelenksstabilität.</VernacularTitle>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Orthopade</MedlineTA>
<NlmUniqueID>0331266</NlmUniqueID>
<ISSNLinking>0085-4530</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D016118" MajorTopicYN="N">Anterior Cruciate Ligament</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000070598" MajorTopicYN="N">Anterior Cruciate Ligament Injuries</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007593" MajorTopicYN="Y">Joint Instability</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007717" MajorTopicYN="N">Knee</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007719" MajorTopicYN="N">Knee Joint</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008592" MajorTopicYN="N">Menisci, Tibial</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000070600" MajorTopicYN="N">Tibial Meniscus Injuries</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anterior cruciate ligament</Keyword>
<Keyword MajorTopicYN="N">Meniscectomy</Keyword>
<Keyword MajorTopicYN="N">Meniscus, medial</Keyword>
<Keyword MajorTopicYN="N">Rotation</Keyword>
<Keyword MajorTopicYN="N">Tibia</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>12</Month>
<Day>1</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>6</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>12</Month>
<Day>1</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31784795</ArticleId>
<ArticleId IdType="doi">10.1007/s00132-019-03840-4</ArticleId>
<ArticleId IdType="pii">10.1007/s00132-019-03840-4</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Allemagne</li>
</country>
<region><li>Bade-Wurtemberg</li>
<li>District de Tübingen</li>
</region>
<settlement><li>Ulm</li>
</settlement>
<orgName><li>Université d'Ulm</li>
</orgName>
</list>
<tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Lang, Patricia" sort="Lang, Patricia" uniqKey="Lang P" first="Patricia" last="Lang">Patricia Lang</name>
</region>
<name sortKey="Achatz, Gerhard" sort="Achatz, Gerhard" uniqKey="Achatz G" first="Gerhard" last="Achatz">Gerhard Achatz</name>
<name sortKey="Friemert, Benedikt" sort="Friemert, Benedikt" uniqKey="Friemert B" first="Benedikt" last="Friemert">Benedikt Friemert</name>
<name sortKey="Hanel, Cornelia" sort="Hanel, Cornelia" uniqKey="Hanel C" first="Cornelia" last="Hanel">Cornelia Hanel</name>
<name sortKey="Palm, Hans Georg" sort="Palm, Hans Georg" uniqKey="Palm H" first="Hans-Georg" last="Palm">Hans-Georg Palm</name>
<name sortKey="Riesner, Hans Joachim" sort="Riesner, Hans Joachim" uniqKey="Riesner H" first="Hans-Joachim" last="Riesner">Hans-Joachim Riesner</name>
</country>
</tree>
</affiliations>
</record>
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