Estudo anatômico da inserção femoral do ligamento cruzado posterior

Cury, Ricardo de Paula Leite; Severino, Nilson Roberto; Camargo, Osmar Pedro Arbix de; Aihara, Teruo; Neto, Leopoldo Viana Batista; Goarayeb, Dedley Nelson

doi:10.1590/s0102-36162011000500018

Cited by 7 publications

(1 citation statement)

References 24 publications

(19 reference statements)

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“…Human meniscal transplantation is no longer considered an experimental treatment since many clinical studies with hundreds of cases have been published on this topic in the international literature [6,14,[18][19][20][21][22] and several animal and basic science studies have been conducted [23][24][25]. Although most studies have shown good short-and medium-term results, long-term evidence shows that the procedure is not curative, and progression of osteoarthrosis is observed.…”

Section: Discussionmentioning

confidence: 99%

Should the meniscal height be considered for preoperative sizing in meniscal transplantation?

Netto

Kaleka

Toma

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Purpose and hypothesisIn preoperative sizing for meniscal transplantation, most authors take into consideration the length and width of the original meniscus, but not its height. This study aimed at evaluating (1) whether the meniscal height is associated with the meniscal length and width, (2) whether the heights of the meniscal segments are associated with the individual’s anthropometric data, (3) whether the heights of the meniscal segments are associated with each other in the same meniscus, and (4) the degree of symmetry of the meniscal dimensions between the right and left knees.MethodsIn this cross-sectional, observational study, two independent radiologists measured the meniscal length, width and height in knee magnetic resonance imaging scans obtained from 25 patients with patello-femoral pain syndrome. Reproducibility of measurements was calculated with intraclass correlation coefficients. Associations between the anthropometric data and the meniscal measurements, the meniscal length and width versus height, and the heights of the meniscal segments in the same meniscus were examined with Pearson’s correlation.ResultsInter-observer reliability was excellent (>0.8) for length and height and good (0.6–0.8) for width measurements. There was also excellent agreement (>0.8) for the length and width of the menisci in the right and left knees. The heights of the horns of the lateral meniscus showed good agreement (0.6–0.8), while the heights of the other meniscal segments had excellent agreement between the sides (>0.8). There were significant associations with generally low (r < 0.5) correlation between the heights of the meniscal segments and the lengths and widths of the menisci, between the meniscal height and anthropometric data, and between the heights of the meniscal segments in the same meniscus. Correlations between anthropometric data and meniscal length and width were generally high (r > 0.7).ConclusionsThere was excellent agreement between the meniscal dimensions of the right and left knees, and a weak association between the meniscal height with the meniscal width and length, between the height of the menisci with anthropometric data and between the heights of the segments in the same meniscus. The height of the meniscal segments may be a new variable in preoperative meniscal measurement.

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