The management of the popliteus hiatus during lateral meniscal transplantation

Yang, Jae Hyuk; Jeong, Hyeon-Il; Kim, Taik-Sun; Park, Sung-Chul; Yoon, Joonsung

doi:10.1016/j.knee.2012.04.007

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…The all‐inside repair technique is the most frequently used in current clinical practice [6, 31]. Previous authors have drawn attention to the concern that sutures placed in popliteus may become loose or cause pain and irritation with knee motion [23, 32, 33]. However, a literature search performed for the current study did not reveal any clinical studies to support this concept.…”

Section: Discussionmentioning

confidence: 85%

The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

Ouanezar

Blakeney

Latrobe

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 85%

The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

Ouanezar

Blakeney

Latrobe

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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“…The PFLM is composed of 3 distinct fasciculi, the anteroinferior, posterosuperior, and posteroinferior fasciculi, which are attached to the lateral meniscus at the popliteal hiatus. 1 The fibrous structures of the PFLM form a stable ligamentous complex around the popliteus tendon, and play an important role for the stability of lateral meniscus, 15-17 with serving as 2 piers of an arch bridge. The PFLM tears will lead to loss of normal peripheral hoop stresses and make the lateral meniscus subluxation.…”

Section: Discussionmentioning

confidence: 99%

Tears of the Popliteomeniscal Fascicles of the Lateral Meniscus: An Arthroscopic Classification

Zheng¹,

Xiao²,

Wu³

et al. 2020

CARTILAGE

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Objective To bring forward an arthroscopic classification of the popliteomeniscal fascicles of the lateral meniscus (PFLM) tears. Design Six fresh frozen knee joint samples of adult males were chosen, and the lateral meniscus at the popliteal hiatus region were measured to analyze their anatomic relationship. Patients who had received magnetic resonance imaging scan at knee joint before the surgery and diagnosed as PFLM tears by arthroscopy from April 2014 to October 2017 were selected. Data regarding the integrity of PFLM were prospectively recorded in a data registry. Tear morphology and treatment received were subsequently extracted by 2 independent reviewers from operative notes and arthroscopic surgical photos. Results The average length and thickness of the popliteal hiatus of the lateral meniscus were 2.09 ± 0.21 cm and 0.43 ± 0.08 cm, respectively. The average length of anterosuperior popliteomeniscal fascicle (APF) was 0.87 ± 0.18 cm, and the posterosuperior popliteomeniscal fascicle (PPF) was 0.72 ± 0.15 cm. A total of 36 PFLM tears in 36 patients were divided as type I (APF tear; n = 5, 13.9%), type II (PPF tear; n = 20, 55.6%), and type III (both APF and PPF tears; n = 11, 30.6%). All patients were treated with arthroscopic all-inside repair using a suture hook for the PFLM tears and follow-up for 21.1 months. All patients have done well with significantly improved Lysholm and International Knee Documentation Committee scores at the last follow-up relative to preoperative scores ( P < 0.01). Conclusion This study suggests to possibly classify the PFLM tears for clinical practice.

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“…On the other hand, there were 3 popliteomeniscal fascicles, which combined with the popliteus tendon form a peripheral hooplike attachment to the lateral meniscus but not to the medial meniscus. The popliteus complex provided both a static and dynamic connection between the lateral meniscus and the popliteus tendon and controlled the motion of the lateral meniscus during flexion and extension of the knee [ 19 – 22 ]. It was difficult to reconstruct both the static and dynamic connection for the lateral horizontal tear by meniscus repair.…”

Section: Discussionmentioning

confidence: 99%

Risk of total/subtotal meniscectomy for respective medial and lateral meniscus injury: correlation with tear type, duration of complaint, age, gender and ACL rupture in 6034 Asian patients

Jiang

Luo

et al. 2017

BMC Surg

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BackgroundTo evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury.MethodsThe data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33.6 ± 14.9 years and there were 4785 males and 2456 females with 3568 medial and 3673 lateral menisci. The decision tree approach was applied to investigate the correlation of the tear type, the duration of complaint, age, gender, ACL rupture and total/subtotal meniscectomy for respective medial and lateral meniscus.ResultsThe tear type was associated with both medial (χ2 = 70.901, P < 0.001) and lateral (χ2 = 268.019, P < 0.001) total/subtotal meniscectomy. The strongest risk of total/subtotal meniscectomy of both medial and lateral meniscus tear was shown for the complex tear followed by the longitudinal, oblique, horizontal and radial tear of the medial meniscus and followed by horizontal, longitudinal, radial and oblique tear of the lateral meniscus. The risk of total/subtotal medial meniscectomy was significantly elevated for the patients with complex tear and the age of ≤40 years old (χ2 = 21.028, P < 0.001) and those with the oblique, horizontal or radial tear accompanied by ACL rupture (χ2 = 6.631, P = 0.01). Besides, the duration of complaint was also associated with total/subtotal meniscectomy of the medial longitudinal tear with ACL rupture (χ2 = 17.155, P < 0.001). On the other side, the risk of total/subtotal lateral meniscectomy was significantly elevated for the complex tear of the female patients (χ2 = 5.877, P = 0.015) with no ACL rupture (χ2 = 50.501, P < 0.001). The ACL rupture was associated with a decreased risk of total/subtotal meniscectomy for all the types of the lateral meniscus (complex: χ2 = 50.501, P < 0.001; horizontal: χ2 = 20.897, P < 0.001; oblique: χ2 = 27.413, P < 0.001; longitudinal and radial: χ2 = 110.85, P < 0.001).ConclusionAnalyzing data from a big sample available in an Asian patient database, we found different risk factors associated with total/subtotal meniscectomy for respective medial and lateral meniscus. Identifying patients at high risk for total/subtotal meniscectomy may allow for interventions after meniscus injury.

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The management of the popliteus hiatus during lateral meniscal transplantation

Cited by 5 publications

References 14 publications

The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

Tears of the Popliteomeniscal Fascicles of the Lateral Meniscus: An Arthroscopic Classification

Risk of total/subtotal meniscectomy for respective medial and lateral meniscus injury: correlation with tear type, duration of complaint, age, gender and ACL rupture in 6034 Asian patients

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