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1.
J Orthop Trauma ; 36(12): 639-642, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36399676

RESUMO

OBJECTIVES: To report the clinical result of a series of patients who underwent intramedullary nailing (IMN) of tibial shaft fractures distal to a total knee arthroplasty (TKA). DESIGN: Retrospective case series. SETTING: Level-1 trauma center. PATIENTS/PARTICIPANTS: Patients who sustained a tibial shaft fracture distal to a TKA treated with an IMN. INTERVENTION: IMN of tibial shaft fractures distal to a TKA. MAIN OUTCOME MEASUREMENTS: Postoperative weight-bearing status, readmissions, and complications or failure of treatment within 90 days; Knee Injury and Osteoarthritis Outcome Scores at the final follow-up; failure of treatment; and revision surgery. RESULTS: Nine patients were included. The average age was 71.4 years (range 55-87 years). All TKAs were cemented. The average distance between the tibial keel and the cortical density of the tibial tubercle was 24.1 mm (range 19.5-26.7 mm). Six nails were inserted using an infrapatellar portal, 2 were inserted using a suprapatellar portal, and 1 was inserted using a lateral parapatellar approach. The median nail diameter was 10 mm (range 9-12 mm). All fractures were healed at the final follow-up. There were no infections or arthroplasty-related complications. Knee Injury and Osteoarthritis Outcome Scores ranged from 100% to 74% (median 82%). CONCLUSION: Overall, we report on the largest cohort in the literature undergoing IMN of a tibial shaft fracture distal to a TKA. We demonstrate that IMN of diaphyseal tibial fractures distal to a TKA can be performed safely. We additionally demonstrate that this treatment is highly effective in achieving fracture union with no arthroplasty-related complications. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.


Assuntos
Artroplastia do Joelho , Fixação Intramedular de Fraturas , Traumatismos do Joelho , Osteoartrite , Fraturas da Tíbia , Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Fixação Intramedular de Fraturas/efeitos adversos , Fraturas da Tíbia/diagnóstico por imagem , Fraturas da Tíbia/cirurgia , Fraturas da Tíbia/complicações , Artroplastia do Joelho/efeitos adversos , Estudos Retrospectivos , Traumatismos do Joelho/cirurgia , Osteoartrite/etiologia
2.
J Am Acad Orthop Surg ; 30(23): 1108-1115, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36400057

RESUMO

Multiligamentous knee injuries (MLKIs) are devastating injuries. The energy and severity of these injuries encompass a wide range from low-energy single-joint mechanisms to high-energy polytrauma settings. Currently, there is no consensus on surgical treatment approach, surgical timing, or the return to preinjury activity levels after injury. There does appear to be a difference in the rate of return to activity and level of activity based on whether the injury was sustained during sport, in a trauma setting, or while on active military duty. The purpose of this descriptive review was to summarize current concepts related to (1) the acute management of MLKIs; (2) the effect of concomitant neurovascular, meniscal, and chondral injury on MLKI outcomes; (3) the effect of surgical versus nonsurgical treatment of MLKI on outcomes; and (4) rates and predictors of return to sport, work, and active military service after an MLKI.


Assuntos
Traumatismos do Joelho , Militares , Traumatismo Múltiplo , Humanos , Traumatismos do Joelho/cirurgia , Traumatismos do Joelho/complicações , Traumatismo Múltiplo/cirurgia , Traumatismo Múltiplo/complicações
3.
J Am Acad Orthop Surg ; 30(22): e1461-e1466, 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-36326829

RESUMO

INTRODUCTION: Peroneal nerve injuries are rare injuries and usually associated with multiligamentous knee injuries (MLKIs) involving one or both cruciate ligaments. The purpose of our study was to perform a multicenter retrospective cohort analysis to examine the rates of peroneal nerve injuries and to see whether a peroneal nerve injury was suggestive of a particular injury pattern. METHODS: A retrospective chart review was conducted in patients who were diagnosed with MLKI at two level I trauma centers from January 2001 to March 2021. MLKIs were defined as complete injuries to two or more knee ligaments that required surgical reconstruction or repair. Peroneal nerve injury was clinically diagnosed in these patients by the attending orthopaedic surgeon. Radiographs, advanced imaging, and surgical characteristics were obtained through a chart review. RESULTS: Overall, 221 patients were included in this study. The mean age was 35.9 years, and 72.9% of the population was male. Overall, the incidence of clinical peroneal nerve injury was 19.5% (43 patients). One hundred percent of the patients with peroneal nerve injury had a posterolateral corner injury. Among patients with peroneal nerve injury, 95.3% had a complete anterior cruciate ligament (ACL) rupture as compared with 4.7% of the patients who presented with an intact ACL. There was 4.4 times of greater relative risk of peroneal nerve injury in the MLKI with ACL tear group compared with the MLKI without an ACL tear group. No statistical difference was observed in age, sex, or body mass index between patients experiencing peroneal nerve injuries and those who did not. CONCLUSION: The rate of ACL involvement in patients presenting with a traumatic peroneal nerve palsy is exceptionally high, whereas the chance of having a spared ACL is exceptionally low. More than 90% of the patients presenting with a nerve palsy will have sustained, at the least, an ACL and posterolateral corner injury. LEVEL OF EVIDENCE: IV, Case Series.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho , Traumatismos dos Nervos Periféricos , Neuropatias Fibulares , Humanos , Masculino , Adulto , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/complicações , Lesões do Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/diagnóstico , Nervo Fibular/lesões , Estudos Retrospectivos , Traumatismos do Joelho/cirurgia , Traumatismos dos Nervos Periféricos/complicações , Neuropatias Fibulares/etiologia , Neuropatias Fibulares/cirurgia , Paralisia
4.
Orthop Surg ; 14(11): 3111-3118, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36208008

RESUMO

OBJECTIVES: To present a new method consisting of cable cerclage and hook plate for fixating the comminuted inferior patellar pole fracture and evaluate the outcomes. METHODS: A total of 16 consecutive patients who were treated with the construct of a cable cerclage in combination with a hook plate between January 2018 and September 2020 were included in the study. Mechanism of injury, duration, and technical details of the operation were reviewed. Plain radiographs and computerized tomography (CT) scans were routinely taken to evaluate the fracture pattern. The primary outcome measures included bony healing time, pain intensity-numerical rating scale (PI-NRS), range of motion (ROM), and the Bostman score at the final follow-up. RESULTS: Eight males and eight females with an average age of 55.6 ± 12.0 years (range, 41 to 73 years) were included. Bony union was achieved in all the patients, with an average healing time of 10.8 ± 2.4 weeks (range, 8-16 weeks). With the average follow-up of 20.1 ± 5.3 months, 12 patients (75%) had no pain (PI-NRS score of 0), and the remaining four patients (25%) reported mild pain (three with a PI-NRS score of 1 and one with a score of 2). The final Bostman score was 27.8 ± 3.0 (range, 20-30) on average, and all the patients showed excellent or good results. The average range of motion was 127.5° ± 13.9° (range, 90°-140°). No implant failure or hardware irritation was found during the follow-up. CONCLUSION: The fixation of cable cerclage combined with hook plate resulted as a reliable method for managing the inferior patellar pole fractures, allowing immediate rehabilitation and weight-bearing.


Assuntos
Fraturas Ósseas , Fraturas Cominutivas , Traumatismos do Joelho , Masculino , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Fraturas Cominutivas/cirurgia , Fios Ortopédicos , Fixação Interna de Fraturas/métodos , Patela/cirurgia , Placas Ósseas , Fraturas Ósseas/cirurgia , Traumatismos do Joelho/cirurgia
5.
Int Orthop ; 46(12): 2927-2937, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36208340

RESUMO

PURPOSE: The use of metallic implants for the treatment of patella fractures often involves complications related to the hardware. As a result, there has been a considerable focus on the use of non-metallic implants. The aim of this study was to determine the differences in clinical outcomes, including the rates of complications and re-operations following the surgical management of patellar fractures with metallic versus non-metallic implants. METHODS: The systematic review was conducted in accordance with PRISMA guidelines. Two investigators independently applied the search strategy to PubMed, SCOPUS, Google Scholar, and Cochrane databases, limited to publications between 1st January 2000 to 30st September 2021. The search strategy identified studies in which there was a comparison between the clinical outcome of the metallic and non-metallic fixation. Meta-analysis was conducted according to the Cochrane Collaboration and Quality of Reporting of Meta-Analysis (QUORUM) guidelines. RESULTS: A total of 19 studies were selected for the systematic review and seven studies for the meta-analysis. Two hundred ninety-sixt patients formed the pooled study population for the meta-analysis. The outcomes evaluated in the meta-analysis were range of motion (ROM), complications, and re-operation rates. There was no significant difference between groups regarding ROM, but the risk ratio (RR) of re-operation (RR 0.19, 95% CI [0.09-0.41]) and complications (RR 0.30, 95% CI [0.17-0.55]) was significantly in favor of fixation with non-metallic implants. CONCLUSION: The use of non-metallic implants for fixation of patella fractures was associated with significantly lower risk of complications and re-operations than fixation with metallic implants, without any difference between groups with respect to the final range of motion or functional outcome measures.


Assuntos
Fraturas Ósseas , Traumatismos do Joelho , Humanos , Patela/cirurgia , Fraturas Ósseas/cirurgia , Fixação Interna de Fraturas/efeitos adversos , Fixação Interna de Fraturas/métodos , Reoperação , Traumatismos do Joelho/cirurgia , Resultado do Tratamento
6.
Magn Reson Imaging Clin N Am ; 30(4): 703-722, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36243513

RESUMO

In this article, we describe the postoperative appearances of the reconstructed ligaments of the knee focusing on the anterior cruciate ligament (ACL). The expected evolving signal alterations of the graft over time are also reviewed. The postoperative appearance of the ligamentous reconstruction in patients with multiligamentous knee injuries (MLKI) and isolated PCL tears are also discussed.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho , Ligamento Cruzado Posterior , Ligamento Cruzado Anterior/patologia , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/diagnóstico por imagem , Lesões do Ligamento Cruzado Anterior/patologia , Lesões do Ligamento Cruzado Anterior/cirurgia , Humanos , Traumatismos do Joelho/diagnóstico por imagem , Traumatismos do Joelho/cirurgia , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Imageamento por Ressonância Magnética/métodos , Ligamento Cruzado Posterior/lesões , Ligamento Cruzado Posterior/patologia , Ligamento Cruzado Posterior/cirurgia
7.
Magn Reson Imaging Clin N Am ; 30(4): 723-731, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36243514

RESUMO

Surgery to treat a torn meniscus is a common orthopedic procedure, and radiologists are frequently asked to image patients with new or recurrent knee pain after meniscus surgery. However, surgery alters the MR imaging appearance of the meniscus, making the diagnosis of recurrent tear a diagnostic challenge. This article reviews relevant anatomy of the meniscus, surgical techniques used to treat meniscus tear, the roles of conventional MR imaging and MR arthrography to assess the postoperative meniscus, and the key MR imaging findings to distinguish the intact postoperative meniscus from recurrent tear.


Assuntos
Traumatismos do Joelho , Menisco , Lesões do Menisco Tibial , Humanos , Traumatismos do Joelho/diagnóstico por imagem , Traumatismos do Joelho/cirurgia , Imageamento por Ressonância Magnética/métodos , Meniscos Tibiais/diagnóstico por imagem , Meniscos Tibiais/cirurgia , Lesões do Menisco Tibial/diagnóstico por imagem , Lesões do Menisco Tibial/cirurgia
8.
J Orthop Surg Res ; 17(1): 446, 2022 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-36209223

RESUMO

BACKGROUND: There is conflicting clinical evidence whether platelet-rich plasma (PRP) therapies could translate to an increased meniscus healing rate and improved functional outcomes. The objective of this systematic review and meta-analysis was to compare the failure rate and patient-reported functional outcomes in meniscus repair augmented with and without PRP. METHODS: We comprehensively searched the PubMed, Web of Science, Medline, Embase, and Cochrane Library databases to identify studies that compared the clinical efficacy of meniscus repair performed with PRP versus without PRP. The primary outcome was the meniscus repair failure rate, while the secondary outcomes were knee-specific patient-reported outcomes, including the International Knee Documentation Committee (IKDC) score, Lysholm knee scale, visual analog scale, Tegner activity level score, Western Ontario and McMaster Universities Osteoarthritis Index score, Single Assessment Numeric Evaluation score, and Knee injury and Osteoarthritis Outcome Score. Furthermore, subgroup analyses were performed by stratifying the studies according to the PRP preparation technique to investigate the potential sources of heterogeneity among studies. RESULTS: Our meta-analysis included nine studies (two RCTs and seven non-RCTs) with 1164 participants. The failure rate in the PRP group was significantly lower than that in the non-PRP group [odds ratio: 0.64, 95% confidence interval (CI) (0.42, 0.96), P = 0.03]. Furthermore, the PRP group was associated with a statistically significant improvement in the visual analog scale for pain [Mean difference (MD): - 0.76, 95% CI (- 1.32, - 0.21), P = 0.007] and Knee injury and Osteoarthritis Outcome Score-symptom [MD: 8.02, 95% CI (2.99, 13.05), P = 0.002] compared with the non-PRP group. However, neither the IKDC score nor the Lysholm knee scale showed any differences between the two groups. In addition, the results of subgroup analyses favored PRP over platelet-rich fibrin matrix (PRFM) regarding the IKDC score. CONCLUSIONS: Although meniscus repairs augmented with PRP led to significantly lower failure rates and better postoperative pain control compared with those of the non-PRP group, there is insufficient RCT evidence to support PRP augmentation of meniscus repair improving functional outcomes. Moreover, PRP could be recommended in meniscus repair augmentation compared with PRFM. PRFM was shown to have no benefit in improving functional outcomes.


Assuntos
Traumatismos do Joelho , Menisco , Osteoartrite do Joelho , Osteoartrite , Plasma Rico em Plaquetas , Humanos , Injeções Intra-Articulares , Traumatismos do Joelho/cirurgia , Osteoartrite do Joelho/cirurgia , Resultado do Tratamento
9.
Clin Sports Med ; 41(4): 611-625, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36210162

RESUMO

Evaluation and management of multiligament knee injuries (MLKI) require a comprehensive understanding of anatomy and biomechanics. In addition to a thorough history and physical examination, stress radiographs provide a reliable method to assess knee stability. Single-stage anatomic reconstruction techniques should be performed, as they restore native knee kinematics and enable early knee range of motion and superior outcomes.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho , Lesões do Ligamento Cruzado Anterior/diagnóstico , Lesões do Ligamento Cruzado Anterior/cirurgia , Atletas , Humanos , Joelho , Traumatismos do Joelho/diagnóstico , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia , Amplitude de Movimento Articular
10.
Clin Sports Med ; 41(4): 671-685, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36210165

RESUMO

Three-dimensional motion capture systems may improve evaluation, treatment, and rehabilitation of knee injuries, because quantitative assessment of the knee improves understanding of biomechanical mechanisms. The benefit of using motion analysis in pediatric sports medicine is that it allows closer and more focused evaluation of sports injuries using kinematics, kinetics, and electromyogram with physical and imaging to determine what is happening dynamically during sports. Future research investigating knee injuries should focus on identifying risk factors, assessing the effectiveness of surgical and nonsurgical interventions, and developing return to sport/rehabilitation protocols. The literature is focused on motion capture in adults with knee injuries.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos em Atletas , Traumatismos do Joelho , Adolescente , Adulto , Lesões do Ligamento Cruzado Anterior/cirurgia , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/cirurgia , Criança , Humanos , Joelho , Traumatismos do Joelho/diagnóstico , Traumatismos do Joelho/reabilitação , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia
11.
Clin Sports Med ; 41(4): 687-705, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36210166

RESUMO

According to epidemiology studies, the majority of youth sports injuries presenting to primary care, athletic trainers, and emergency departments impact the musculoskeletal system. Both acute and overuse knee injuries can contribute to sports attrition before high school. Effective rehabilitation of knee injuries ensures a timely return to sports participation and minimizes the negative physical, psychological, and social consequences of becoming injured. The following article provides rehabilitation and returns to play strategies for postsurgical and nonsurgical injuries of the young athlete's knee.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Traumatismos do Joelho , Sistema Musculoesquelético , Esportes , Adolescente , Traumatismos em Atletas/epidemiologia , Criança , Humanos , Traumatismos do Joelho/cirurgia , Sistema Musculoesquelético/lesões
12.
Ann Intern Med ; 175(11): JC130, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36315941

RESUMO

SOURCE CITATION: Noorduyn JCA, van de Graaf VA, Willigenburg NW, et al. Effect of physical therapy vs arthroscopic partial meniscectomy in people with degenerative meniscal tears: five-year follow-up of the ESCAPE randomized clinical trial. JAMA Netw Open. 2022;5:e2220394. 35802374.


Assuntos
Traumatismos do Joelho , Lesões do Menisco Tibial , Humanos , Meniscectomia , Lesões do Menisco Tibial/cirurgia , Traumatismos do Joelho/cirurgia , Artroscopia , Articulação do Joelho , Meniscos Tibiais/cirurgia
15.
Kathmandu Univ Med J (KUMJ) ; 20(77): 47-50, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36273290

RESUMO

Background The meniscus plays an important role in maintaining healthy articular cartilage. Meniscus tear, one of the common intra-articular knee lesions, is treated by either debridement or repair. Objective This study aims at identifying the early outcome of meniscus tears treated by debridement or repair. This study also elaborates on the spectrum of meniscal injuries presented in a tertiary care hospital in Nepal. Method A retrospective descriptive cross-sectional study was conducted at Orthopedic Department of Dhulikhel Hospital from February 2018 until January 2020 among patients who underwent knee arthroscopies for meniscal tears treated either by debridement or repair. Patients having intra articular fractures, osteochondral injuries and multi-ligament injuries were excluded. The meniscal tears were classified according to location and type of tear. Those patients who had at least one-year of follow up were evaluated with Lysholm score for functional outcome. Data were compiled and analyzed with Microsoft Excel 2011. Result One hundred and ten cases of meniscal tears were managed over the study period. Ninty-three cases could be traced for outcome evaluation, which included 50 cases of meniscal debridement and 43 cases of meniscal repair. The mean Lysholm score of the patients who received debridement was 81.5 (SD 10.4) and those who received meniscal repair was 84.9 (SD 9.1) (p=0.105). The population distribution was found to be similar in both the groups according to age and sex distribution and associated ligamentous injuries. Conclusion Good functional outcome was seen for meniscal tears managed with debridement or repair in at least one year follow up and could not establish one modality of management better than the other.


Assuntos
Traumatismos do Joelho , Lesões do Menisco Tibial , Humanos , Lesões do Menisco Tibial/cirurgia , Meniscos Tibiais , Estudos Retrospectivos , Estudos Transversais , Nepal , Traumatismos do Joelho/cirurgia , Hospitais
16.
Eur J Med Res ; 27(1): 171, 2022 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-36071511

RESUMO

PURPOSE: To investigate the effect of modified Laprade technique on the reconstruction of posterolateral structure of knee and anterolateral ligament of knee in the treatment of posterolateral injury of knee. METHODS: From December 2013 to June 2020, multiple ligament injury patients who received surgery in our hospital were collected in this research. These patients underwent a modified Laprade technique for posterolateral structural reconstruction of the knee. Lysholm scores of patients pre- and post-operation were recorded. RESULT: The operations of the observation group or the control group patients were completed. There were no significant differences in gender, age, preoperative knee range of motion and preoperative Lysholm score. At the time of follow-up 1 month after operation, there was no significant difference in knee range of motion, dial-up test angle and Lysholm score between the observation and the control group. When followed up 1 year after operation, the Lysholm score of the observation group was higher than that of the control group. The difference was statistically significant. The same situation occurred in the range of motion of the knee in both groups. However, there was still no significant difference between the two groups in the dial-up test 1 year after operation, whether the knee flexion was 30° or 90°. CONCLUSION: For patients with posterolateral structure injury of knee, the modified Laprade technique is a feasible surgical technique.


Assuntos
Instabilidade Articular , Traumatismos do Joelho , Humanos , Instabilidade Articular/cirurgia , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia , Ligamentos , Amplitude de Movimento Articular
17.
J ISAKOS ; 7(3): 33-38, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-36178394

RESUMO

Preservation of the meniscus in bucket handle medial meniscal tears (BHMMTs) and posterior meniscocapsular (ramp) lesions is challenging. Current efforts are being made in the scientific community to (1) introduce new ways of gaining easier and better field of view over the repair site and (2) increase the chance of meniscal healing through effective augmentation procedures. The current note introduces a way to achieve good exposure of posterior knee compartments and proposes an augmentation technique that involves exposing the local non-articulating subchondral cancellous bone and making in situ clots.


Assuntos
Traumatismos do Joelho , Lesões do Menisco Tibial , Artroscopia/métodos , Humanos , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia , Meniscos Tibiais/cirurgia , Lesões do Menisco Tibial/cirurgia
18.
Acta Orthop ; 93: 783-793, 2022 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-36173141

RESUMO

BACKGROUND AND PURPOSE: A doubling of arthroscopic meniscal procedures was observed in Denmark from 2000 to 2011, but arthroscopic meniscal procedures for degenerative meniscal tears are no longer recommended. We performed an updated investigation of Danish meniscal procedure trends in the private and public healthcare sectors in Denmark from 2006 to 2018, including trends for other arthroscopic knee procedures. PATIENTS AND METHODS: We extracted data on the 5 most commonly registered arthroscopic knee procedures (diagnostic arthroscopy, meniscal surgery, anterior cruciate ligament reconstruction, synovectomy, and cartilage resection) from the Danish National Patient Register from January 1, 2006 to December 31, 2018, linked with the Danish Population Statistic Register, to obtain data on age and sex. RESULTS: 414,253 arthroscopic knee procedures were registered during 315,290 surgeries on 244,113 individual patients in the study period. For meniscal procedures, the highest incidence was observed in 2010 (319 per 105 persons/year, 95% CI 314-323) and the lowest in 2018 (173 per 105 persons/year, CI 169-176), corresponding to relative decrease of 46% from 2010 to 2018. Remaining arthroscopic procedures also showed declining trends, with lowest incidence for all procedures in 2018. INTERPRETATION: A large decrease in the incidence for arthroscopic meniscal procedures was observed from 2010 to 2018, possibly in response to mounting evidence of limited benefit of this procedure for degenerative knee disease. All other investigated arthroscopic knee procedures also declined in the same period.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho , Menisco , Lesões do Menisco Tibial , Lesões do Ligamento Cruzado Anterior/epidemiologia , Lesões do Ligamento Cruzado Anterior/cirurgia , Artroscopia/métodos , Dinamarca/epidemiologia , Humanos , Traumatismos do Joelho/epidemiologia , Traumatismos do Joelho/cirurgia , Meniscos Tibiais/cirurgia , Menisco/cirurgia , Lesões do Menisco Tibial/diagnóstico , Lesões do Menisco Tibial/epidemiologia , Lesões do Menisco Tibial/cirurgia
19.
Scanning ; 2022: 9991523, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36105549

RESUMO

In order to solve the problem of observing and analyzing the clinical value of MRI diagnosis in patients with knee sports injury and guiding clinical targeted treatment, the author proposed a sports injury prevention method in sports training teaching based on MRI image observation. This method retrospectively analyzed the imaging data of 101 patients with knee joint MRI examination due to osteoarthritis, sports injury and synovitis in joint surgery, and arthroscopic exclusion of true meniscus tear, MR multisequence and multiplane scans were performed to observe the anatomical features of TGL and MFL images and the occurrence rate of the lateral meniscus "false tear sign," and the χ 2 test was used to compare the occurrence rate of "pseudo-tear sign" between genders and sides. Experimental results show that the incidence of TGL on MRI was about 67.3% (68/101), and the incidence of "pseudo-tear sign" in the anterior horn of the lateral meniscus caused by TGL was 2.9% (2/68). The overall appearance rate of MFL on MRI was 91.1% (92/101), the appearance rate of plate anterior ligament (HL) was 13.9% (14/101), and the occurrence rate of "pseudo-tear sign" in the posterior horn of the lateral meniscus caused by HL was 7.1% (1/14). The occurrence rate of the posterior ligament (WL) was 77.2% (78/101), and the incidence of "pseudo-tear sign" in the posterior horn was 20.5% (16/78). According to the shape and course of TGL and MFL on MRI, and the direction and position of the lateral meniscus pseudotear, combined with MRI sagittal plane and coronal plane observation, it can effectively identify the true and false attributes of lateral meniscus anterior and posterior horn tears, thereby reducing unnecessary surgical treatment.


Assuntos
Traumatismos em Atletas , Traumatismos do Joelho , Lesões do Menisco Tibial , Artroscopia/métodos , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/prevenção & controle , Feminino , Humanos , Traumatismos do Joelho/diagnóstico por imagem , Traumatismos do Joelho/prevenção & controle , Traumatismos do Joelho/cirurgia , Imageamento por Ressonância Magnética , Masculino , Educação Física e Treinamento , Estudos Retrospectivos , Tecnologia
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