Arthroscopic All-Inside Medial Meniscus Extrusion Reduction

C้hernchujit, Bancha; Agrawal, Sumit

doi:10.1016/j.eats.2019.01.008

Cited by 11 publications

(5 citation statements)

References 11 publications

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“…In a case report, Chernchujit and Agrawal 14 used a similar technique with a double-loaded suture anchor for centralization of an extruded medial meniscus in a >50-year-old patient with a traumatic posterior meniscal tear. The anchor-based fixation technique is appropriate in cases where release of the peripheral attachment of the meniscus is performed to reduce the extrusion (Crane classification subtype B).…”

Section: Resultsmentioning

confidence: 99%

Meniscal Extrusion: A Narrative Review

Gajjar

Solanki²,

Shanmugasundaram³

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Meniscal extrusion, referred to as an external displacement of the meniscus, is a commonly encountered but often overlooked magnetic resonance imaging finding in the knee joint. Meniscal extrusion alters the biomechanical properties of the meniscus, leading to accelerated cartilage degeneration and early osteoarthritic changes. The literature contains discrepancies about meniscal extrusion on topics ranging from definition to diagnosis. This narrative review outlines the pathogenesis, natural history, diagnosis, and treatment of meniscal extrusion. Purpose: To review the current literature on meniscal extrusion, from pathogenesis to treatment, and to provide recommendations for future research. Study Design: Narrative review. Methods: A computer-based search of the PubMed, Ovid Medline, and Cochrane Library databases was used to perform a comprehensive literature review on meniscal extrusion. A total of 81 studies was ultimately included in the review. Results: The literature review highlighted the current ambiguity in definition, difficulty in clinical diagnosis, and low level of awareness of this condition. This review covers all aspects related to meniscal extrusion and identifies many of its lesser known aspects. Conclusion: In the current literature, meniscal extrusion remains a lesser known albeit common condition because of its relatively silent nature along with lack of knowledge among orthopaedic surgeons. Further studies are warranted to provide better understanding and management of this condition.

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Section: Resultsmentioning

confidence: 99%

Meniscal Extrusion: A Narrative Review

Gajjar

Solanki²,

Shanmugasundaram³

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…Both suture anchor (direct) and transtibial pullout (indirect) techniques have been popularized for arthroscopic repair of meniscal root tears, the most common cause for extrusion 66 . While the suture anchor repair typically involves an all-inside technique with a suture anchor and additional sutures secured at the root attachment, the transtibial approach involves drilling a tunnel through the tibia to the native root attachment, shuttling sutures that are cinched to the torn meniscus through the tunnel, and then securing the sutures to the anterior aspect of the tibia 66,69,70 . Small case-control and cohort studies have demonstrated favorable clinical outcomes following meniscal repair utilizing either repair method, although the persistence and progression of extrusion remains a risk 66,69,[71][72][73][74][75] .…”

Section: Meniscal Repairmentioning

confidence: 99%

Meniscal Extrusion

et al. 2022

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Pathologic meniscal extrusion can compromise meniscal function, leading to increased contact forces in the tibiofemoral compartment and the acceleration of osteoarthritic changes.» Extrusion is typically defined as radial displacement of $3 mm outside the tibial border and is best diagnosed via magnetic resonance imaging, although ultrasonography has also demonstrated encouraging diagnostic utility.» Surgical management of meniscal extrusion is based on the underlying etiology, the patient's symptom profile, the preexisting health of the articular surface, and the risk of future chondral injury and osteoarthritis.

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“…As mentioned above, the meniscal extrusion might not reduce after meniscal root repair regarding of technique. Thus, there were many techniques adding to the repair procedure to prevent meniscus displacement during flexion and extension of the knee [66][67][68]. There was a study of centralization the meniscus in rat knee by Ozeki et al The study concluded that centralization improved the medial meniscus extrusion and delayed cartilage degeneration [69].…”

Section: Reduction or Centralization Of Medial Meniscus Extrusionmentioning

confidence: 99%

Medial Meniscus Root Tear: Current Update Review

Itthipanichpong¹,

Moonwong²

2022

Arthroscopy

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This chapter mainly focuses on medial meniscus posterior root tear which is the point of attention nowadays because it is the common degeneration process and can lead to early-onset osteoarthritis of the knee without treatment. The biomechanics of the medial meniscus root tear is similar to total meniscectomy. Hence, early detection and diagnosis will lead to better outcome. Most cases with medial meniscus root tear also have degenerative change of the knee. Meniscal extrusion is a common finding in magnetic resonance imaging (MRI) which represent impairing of hoop stress function of the meniscus. Patient selection and understanding of the natural history of the disease is a particularly important. Options for the treatment including conservative treatment, surgical treatment such as partial meniscectomy, meniscus root repair, or reduction of meniscal extrusion. Outcome of these treatments are variable depending on the condition of the patients. Long term outcome of surgical treatment revealed lower rate of knee replacement compared with conservative treatment.

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Arthroscopic All-Inside Medial Meniscus Extrusion Reduction

Cited by 11 publications

References 11 publications

Meniscal Extrusion: A Narrative Review

Meniscal Extrusion: A Narrative Review

Meniscal Extrusion

Medial Meniscus Root Tear: Current Update Review

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