Popliteomeniscal fascicles tears with lateral meniscus instability: outcomes of arthroscopic surgical technique at mid-term follow-up

Vico, G. di; R, Simonetta; Correra, G.; Corona, Katia; Proietti, Lidia; Morris, Brent J.; Cerciello, Simone

doi:10.1007/s00402-022-04486-2

Cited by 6 publications

(35 citation statements)

References 17 publications

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“…In the next step, after removing the duplicate records, 93 articles underwent initial screening based on their title and abstract, of which 58 studies were excluded and the rest of the studies were evaluated for full‐text eligibility, which led to the exclusion of 15 other articles for the following reasons: five technical notes [10, 39, 44, 46, 50], eight articles for having a study population other than interest (LM tear, Wrisberg type of LM or injury in other PLC structures) [6, 9, 13–15, 27, 30, 32], one study for not mentioning the treatment [45], and one study [54] for having the same population with an included article by Zheng et al [53]. Eventually, 20 studies were included for the qualitative synthesis [3, 8, 11, 12, 17, 19, 22, 24, 29, 31, 33–35, 40–43, 49, 53].…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of the cases ranged from 9.5 to 37.7. Eight studies only reported cases that had some level of sports activity varying from recreational to professional [3,8,11,17,35,40,42,49]. In four studies [7,24,31,33], some patients were involved in sports activity, and the study by Van Steyn et al only reported patients with no sports activity [43].…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Diagnostic portals of arthroscopy have been discussed in 10 articles including six studies using anteromedial and anterolateral portals for diagnostic arthroscopy [19,24,34,40,49,53], one study using anteromedial or anterolateral [42], one study using anteromedial [22] and one study using anterolateral, anteromedial and posterolateral portals [35]. The study by Dancy et al reported using three knee arthroscopy portals including the anterolateral portal; however, the two remaining portals were not specified [7].…”

Section: Preoperative Evaluationsmentioning

confidence: 99%

“…Regarding clinical outcome scores, the Tegner score was reported in three studies [19,42,49], two of which showed improvement following meniscal repair [19,49]. Results on pre-and postoperative IKDC scores were included in three studies.…”

Section: Outcome Assessmentmentioning

confidence: 99%

“…Results on pre-and postoperative IKDC scores were included in three studies. While Steinbacher et al reported only the mean postoperative IKDC in study groups, all four studies announced improvement after therapeutic intervention [22,42,49,53]. A total of five studies evaluated the mean pre-and postoperative Lysholm scores, in which the reported postoperative scores have been increased at the follow-up [19,22,34,49,53].…”

Section: Outcome Assessmentmentioning

confidence: 99%

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Hypermobile lateral meniscus: A systematic review of current treatment options

Vosoughi,

Mafhoumi,

Gouravani

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe reliable data on the incidence of hypermobile lateral meniscus (HLM) and its clinical manifestations, diagnostic methods and therapeutic approaches are limited. This systematic study aimed to review available treatment options for HLM and the outcomes of each approach.MethodsA systematic search was performed in four electronic databases (PubMed, EMBASE, Scopus, Web of Science) to identify studies in which arthroscopically confirmed cases of HLM were treated surgically or nonsurgically, and the required data comprising study characteristics, patient data, treatment approaches and outcome measures were extracted from eligible studies.ResultsTwenty studies with a total of 212 patients (138 males and 74 females) and 219 knees were included. The most frequently reported symptoms were locking sensations, knee pain, giving way and snapping. Treatments used by the studies were: radiofrequency energy in two studies; arthroscopic partial meniscectomy in one study; open surgery in two studies; and arthroscopic meniscal repair in 17 studies. Eleven studies used an all‐inside repair method and an inside‐out meniscal repair was reported in eight studies. Three studies reported the usage of posterior arthroscopy for therapeutic or diagnostic approaches. Evaluation of symptom resolution was the main outcome measurement for which almost all of the studies stated relief of symptoms after intervention.ConclusionDespite the lack of definite consensus about the most appropriate intervention for HLM, therapeutic preference was directed towards arthroscopic all‐inside and inside‐out repair techniques. Although the surgeon's decision remains the key factor in choosing the most suitable treatment option for each individual, posterior arthroscopic meniscal repair may be considered as a better option for HLM treatment according to the findings of this review.Level of EvidenceLevel IV.

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Section: Resultsmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

Section: Preoperative Evaluationsmentioning

confidence: 99%

Section: Outcome Assessmentmentioning

confidence: 99%

Section: Outcome Assessmentmentioning

confidence: 99%

See 3 more Smart Citations

Hypermobile lateral meniscus: A systematic review of current treatment options

Vosoughi,

Mafhoumi,

Gouravani

et al. 2024

Knee surg. sports traumatol. arthrosc.

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Surgical treatment of popliteomeniscal fascicles tears is associated with better patient-reported outcome measures. A systematic review and meta-analysis

Masoni

Giustra

Bosco

et al. 2023

Eur J Orthop Surg Traumatol

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Purpose Popliteomeniscal fascicles (PMFs) are a component of the popliteal hiatus complex in the knee, and their injury primarily affects young athletes participating in sports activities involving twisting movements. The identification of PMFs tears presents a challenge, often accompanied by lateral pain and a locking sensation. The objective of this systematic review (SR) and meta-analysis is to enhance the suspicion and recognition of PMFs tears, aiming to facilitate the treatment of this condition, particularly in symptomatic young patients. Methods A comprehensive search, focused on studies examining PMFs injuries and their treatment, was conducted in four databases, PubMed, Scopus, Embase, and Web of Science. The ROBINS-I tool was used to evaluate the risks of bias. The PRISMA flow diagram was used to conduct the research and select the included studies. A meta-analysis was conducted for the Lysholm score, the Tegner Activity Scale, and the subjective IKDC score. The present SR and meta-analysis was registered on PROSPERO. Results Five clinical studies were included in the final analysis, comprising 96 patients. All the patients underwent a preoperative MRI assessment and a diagnostic arthroscopy to detect the PMFs tears, with a subsequent surgical procedure either open or arthroscopically performed. Surgery was associated with the resolution of symptoms. A statistically significant improvement in the Lysholm score (p: 0.0005) and the subjective IKDC score (p: 0.003) after the surgical procedure with respect to the preoperative evaluation was found. Conclusion This SR and meta-analysis showed a significant improvement in the Lysholm score and subjective IKDC score following surgery for PMFs tears. However, controversy persists regarding the optimal surgical approach, with current literature favoring arthroscopic procedures. Level of evidence IV.

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Anterior Mobility of the Posterior Horn of the Lateral Meniscus Is Associated With Abnormal Magnetic Resonance Imaging Findings of Anteroinferior Popliteomeniscal Fascicle and Posterosuperior Popliteomeniscal Fascicle as Well as a Clinical History of Catching or Locking Symptoms

Suganuma,

Mochizuki

2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Popliteomeniscal fascicles tears with lateral meniscus instability: outcomes of arthroscopic surgical technique at mid-term follow-up

Cited by 6 publications

References 17 publications

Hypermobile lateral meniscus: A systematic review of current treatment options

Hypermobile lateral meniscus: A systematic review of current treatment options

Surgical treatment of popliteomeniscal fascicles tears is associated with better patient-reported outcome measures. A systematic review and meta-analysis

Anterior Mobility of the Posterior Horn of the Lateral Meniscus Is Associated With Abnormal Magnetic Resonance Imaging Findings of Anteroinferior Popliteomeniscal Fascicle and Posterosuperior Popliteomeniscal Fascicle as Well as a Clinical History of Catching or Locking Symptoms

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