A Study Of The Special Features Of The Meniscal Tear

Authors

  • Orgil Zorigtbaatar Department of the Traumatology and Orthopedics, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
  • Gonchigsuren Dagvasumberel Department of Orthopedic Surgery, Grandmed Hospital, Ulaanbaatar, Mongolia
  • Naranbat Lkhagvasuren Department of the Traumatology and Orthopedics, School of Medicine, Mongolian National University of Medical Sciences,Ulaanbaatar, Mongolia
  • Baatarjav Sosor National Trauma and Orthopedic Research Center, Ulaanbaatar, Mongolia https://orcid.org/0000-0003-1817-1636

DOI:

https://doi.org/10.24079/cajms.2023.06.004

Keywords:

Knee, Joint, Meniscus, Arthroscopy, Surgery, Lesion

Abstract

Objectives: Arthroscopic meniscectomy is a treatment with good short-term results. To prevent the long-term adverse effects of meniscal tear injuries, it is necessary to study the unique features, such asthedemographic characteristics of the injury, the cause of the occurrence, and the type and location of the tear.
Methods: We conducted the hospital-based prospective study and involved 103 patients who underwent arthroscopic knee surgery at The National Trauma Orthoped ic Research Center and Grandmed Hospital in Mongolia between 2020 and 2022. We classified Cooper’s classification based on MRI results. Moreover, the type and location of the meniscal tear were finally determined by the diagnosis after arthroscopic surgery.
Results: Out of 103 patients, the mean age of the participants was 34.4±8.6 (18-48 years); males were 61.2% (n=63), and 87.7% (n=93) of tears were located in the medial meniscus, respectively. Among the types of tears, the most frequent were the vertical tears, especially the Radial/Transverse and Vertical/Longitudinal 20% (n=18) tears.
Conclusion: The causes of meniscal tears are mainly injuries. Men are injured more by sports injuries and women by domestic injuries. The type and location of the isolated meniscal tears differ from those of the meniscal tears.

Abstract
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Author Biography

Orgil Zorigtbaatar, Department of the Traumatology and Orthopedics, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia

Department of Orthopedic Surgery, Grandmed Hospital, Ulaanbaatar, Mongolia.

References

Fabricant P, Clinical and Demographic Predictors of Short-term Recovery From Arthroscopic Partial Meniscectomy (2009). Yale Medicine Thesis Digital Library. 405. http://elischolar.library.yale.edu/ymtdl/405.

Javidan P, Ahmed M, Kaar SG. Arthroscopic release of the deep medial collateral ligament to assist in exposure of the medial tibiofemoral compartment. Arthrosc Tech. 2014;3(6):e699701. https://doi.org/10.1016/j.eats.2014.09.002 PMid:25685677 PMCid:PMC4314541

Rai MF, McNulty AL. Meniscus beyond mechanics: Using biology to advance our understanding of meniscus injury and treatment. Connect Tissue Res. 2017;58(3-4):221-224. https://doi.org/10.1080/03008207.2017.1312921 PMid:28355098

Rubman MH, Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears. Am J Sports Med. 1998;26(1):87-95. https://doi.org/10.1177/03635465980260013301 PMid:9474408

Donald H. Operative arthroscopy. 4th ed. Lippincott Williams & Wilkins; 2016.

Suh CY, Lee YJ, Shin JS, et al. Analysis of medical service use of knee osteoarthritis and knee meniscal and ligament injuries in Korea: a cross-sectional study of national patient sample data. BMC Musculoskelet Disord. 2017;18(1):438. https://doi.org/10.1186/s12891-017-1795-7 PMid:29126382 PMCid:PMC5681826

Laprell H, Stein V, Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. Arthroscopy. 2002;18(4):387-93. https://doi.org/10.1053/jars.2002.30639 PMid:11951197

Pengas I. Menisectomy and osteoarthrosis. Dissertation. University of Dundee; 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.585492.

Fitzgibbons RE, Shelbourne KD. "Aggressive" nontreatment of lateral meniscal tears seen during anterior cruciate ligament reconstruction. Am J Sports Med. Mar-Apr 1995;23(2):156-9. https://doi.org/10.1177/036354659502300205 PMid:7778698

Abram SGF, Judge A, Beard DJ, Price AJ. Adverse outcomes after arthroscopic partial meniscectomy: a study of 700 000 procedures in the national Hospital Episode Statistics database for England. Lancet. 2018;392(10160):2194-2202. https://doi.org/10.1016/S0140-6736(18)31771-9 PMid:30262336

Sonne-Holm S, Fledelius I, Ahn NC. Results after meniscectomy in 147 athletes. Acta Orthop Scand. Apr 1980;51(2):303-9. https://doi.org/10.3109/17453678008990803 PMid:6893641

Englund M, Guermazi A, Gale D, et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359(11):1108-15. https://doi.org/10.1056/NEJMoa0800777 PMid:18784100 PMCid:PMC2897006

Terzidis IP, Christodoulou A, Ploumis A, Givissis P, Natsis K, Koimtzis M. Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation. Am J Sports Med. 2006;34(7):1170-5. https://doi.org/10.1177/0363546506287939 PMid:16685089

Togtmol M. Results of arthroscopic surgery. Presented at: Combination is Key to the Future; 2015; Ulaanbaatar, Mongolia.

Togtmol M. Results of knee joint injury and its arthroscopic surgery. Ach Medical University; 2021.

Ebrahimi N, Jalaie S, Salsabili N, Ansari NN, Naghdi S. Knee Injury and Osteoarthritis Outcome Score in patients with isolated meniscus injury; Validity and reliability. J Res Med Sci. 2017;22:55. https://doi.org/10.4103/jrms.JRMS_941_16 PMid:28567074 PMCid:PMC5426089

Fabricant PD, Rosenberger PH, Jokl P, Ickovics JR. Short-term recovery predictions differ from long-term outcomes after arthroscopic partial meniscectomy. Arthroscopy. Jul 2008;24(7):769-78. https://doi.org/10.1016/j.arthro.2008.02.015 PMid:18589265 PMCid:PMC2546867

Hede A. Treatment of meniscal lesions in the knee. Epidemiological, clinical, and experimental aspects. Dan Med Bull. Jun 1993;40(3):317-31.

Metcalf MH, Barrett GR. Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees. Am J Sports Med. Apr-May 2004;32(3):675-80. https://doi.org/10.1177/0095399703258743 PMid:15090384

Smith JP, 3rd, Barrett GR. Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med. Jul-Aug 2001;29(4):415-9. https://doi.org/10.1177/03635465010290040501 PMid:11476378

Dandy DJ. The arthroscopic anatomy of symptomatic meniscal lesions. J Bone Joint Surg Br. Jul 1990;72(4):628-33. https://doi.org/10.1302/0301-620X.72B4.2380218 PMid:2380218

Poehling GG, Ruch DS, Chabon SJ. The landscape of meniscal injuries. Clin Sports Med. Jul 1990;9(3):539-49. https://doi.org/10.1016/S0278-5919(20)30705-5 PMid:2379242

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Published

2023-06-30

How to Cite

Zorigtbaatar, O., Dagvasumberel, G., Lkhagvasuren, N., & Sosor, B. (2023). A Study Of The Special Features Of The Meniscal Tear. Central Asian Journal of Medical Sciences, 9(2), 22–31. https://doi.org/10.24079/cajms.2023.06.004

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