Knee Injuries

Miller, Robert H.; Azar, Frederick M.

doi:10.1016/b978-0-323-03329-9.50046-5

Cited by 18 publications

(25 citation statements)

References 864 publications

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“…The anterior horn inserts into the anterior intercondylar area with its fibers also blending with the ACL. The posterior horn has a more variable insertion but will typically insert anterior to the posterior horn of the medial meniscus through the ligament of Wrisberg, the ligament of Humphry, and from fascia covering the popliteus muscle .…”

Section: Anatomy Of Knee Meniscimentioning

confidence: 99%

“…The collagen is predominantly type I, with small quantities of types II, III, and V . The peripheral and deep arrangement of collagen is primarily circumferential, with radially arranged fibers being more common medially and superficially (Figure ). This arrangement is important in counteracting the compressive forces exerted by the tibia and femur, which are radially directed by converting them to traction forces and transmitting the forces circumferentially to their strong anterior and posterior horn attachments in the tibia by “hoop strain” .…”

Section: Anatomy Of Knee Meniscimentioning

confidence: 99%

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Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

Chirichella

Jow

Iacono

et al. 2019

PM&R

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The meniscal tear treatment paradigm traditionally begins with conservative measures such as physical therapy with referral for operative management for persistent or mechanical symptoms. As a result, the partial meniscectomy is performed more than any other orthopedic procedure in the United States. This treatment paradigm has shifted because the recent literature has supported the attempt to preserve or repair the meniscus whenever possible given its importance for the structural integrity of the knee joint and the risk of early osteoarthritis associated after meniscus excision. Choosing an appropriate management strategy depends on multiple factors such as patient demographics and location of the tear. Physical therapy remains a first-line treatment for knee pain secondary to meniscus tear and should be pursued in the setting of acute and chronic knee pain. Furthermore, there is a growing amount of evidence showing that elderly patients with complex meniscus tears in the setting of degenerative arthritis should not undergo arthroscopic surgery. Direct meniscus repair remains an option in ideal patients who are young, healthy, and have tears near the more vascular periphery of the meniscus but it is not suitable for all patients. Use of orthobiologics such as platelet-rich plasma and mesenchymal stem cells have shown promise in augmenting surgical repairs or as standalone treatments, although research for their use in meniscal tear management is limited.

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Section: Anatomy Of Knee Meniscimentioning

confidence: 99%

Section: Anatomy Of Knee Meniscimentioning

confidence: 99%

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

Chirichella

Jow

Iacono

et al. 2019

PM&R

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“…18 A new case was reported of bilateral hypoplasia of the medial meniscus not in association with other knee anomalies in a young woman as a consequence almost all the medial tibial plateau surface was uncovered. 19 Studies done by Brantigan et al 20 And Miller et al 21 say that the medial meniscus is much larger in diameter and thinner at the periphery. Studies by Pollard et al 22 and Shaffer et al 23 describe medial meniscus as semi-circular in shape with the posterior horn wider than the anterior horn.…”

Section: Discussionmentioning

confidence: 99%

“…Study by Greis et al 24 mentions that medial meniscus is C shaped; posterior horn is larger than anterior horn in anteroposterior dimension. Miller et al 21 …”

Section: Discussionmentioning

confidence: 99%

The Menisci of the Knee Joint in Human Foetuses of Manipur Populationa Morphological Study

L¹,

Devi²,

Singh³

2017

jemds

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BACKGROUNDThe menisci are two crescentic lamellae, which serve to deepen the surfaces of the articular fossae of the head of the tibia for reception of the condyles of the femur. The menisci share load and reduce contact stresses across the joint. Injuries are sustained more often by the medial than the lateral meniscus in the proportion of 4:1, 5:1 or even 20:1.The objectives of this study were to estimate the different shapes of the medial and lateral menisci, and the incidence of discoid meniscus of the knee joint in human foetuses of Manipur population. MATERIALS AND METHODSAfter taking formal permission from the Institutional Ethics Committee and concerned parents, the study was carried out on 200 foetal knee joints. The skin with fibrous capsule and the ligamentum patellae were cut. The cruciate ligaments were also cut and the menisci were exposed. The morphological variants of the shapes of the lateral and the medial menisci were macroscopically noted and classified. RESULTSOn the lateral menisci, 56% of them were C-shaped, 31% of them were crescent shaped, 8% were U-shaped and 5% were incomplete discoid. On the medial menisci, 79% were crescent shaped, 11% were C-shaped and 7% were V-shaped and 3% were incomplete discoid. No total discoid meniscus was observed in the study. CONCLUSIONThe majority of the knees showed C-shaped lateral meniscus and crescent-shaped medial meniscus.

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“…The first goal is to start gait training with an assistive device as needed for independent ambulation. Prolonged immobilization should be avoided for non-surgical cases [10]. In postoperative period, patient should undergo a heat treatment before exercise (to relax the tissues around the knee) and a cold treatment after exercise (to control the pain and swelling).…”

Section: Discussionmentioning

confidence: 99%

Giant Loose Body of Knee Joint Presenting as Accessory Patella<br/>—A Case Report

Pandey¹,

Pawar²,

Gupta³

et al. 2015

OJO

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Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Patients with loose bodies in knee joint presented to orthopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is managed surgically most of the times when it becomes symptomatic. The surgical technique most commonly utilized is arthroscopy. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. In review of literature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body.

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Knee Injuries

Cited by 18 publications

References 864 publications

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

The Menisci of the Knee Joint in Human Foetuses of Manipur Populationa Morphological Study

Giant Loose Body of Knee Joint Presenting as Accessory Patella<br/>—A Case Report

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Knee Injuries

Cited by 18 publications

References 864 publications

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics

The Menisci of the Knee Joint in Human Foetuses of Manipur Populationa Morphological Study

Giant Loose Body of Knee Joint Presenting as Accessory Patella&lt;br/&gt;—A Case Report

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Giant Loose Body of Knee Joint Presenting as Accessory Patella<br/>—A Case Report