Popliteomeniscal fascicles tears with lateral meniscus instability: outcomes of arthroscopic surgical technique at mid-term follow-up.
All-inside
Arthroscopic repair
Meniscal instability
Popliteomeniscal fascicles
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
received:
06
10
2021
accepted:
16
05
2022
medline:
19
4
2023
pubmed:
5
8
2022
entrez:
4
8
2022
Statut:
ppublish
Résumé
The popliteomeniscal fascicles (PMFs) are a crucial part of the posterolateral corner of the knee. They provide stability to the lateral meniscus and stabilize the joint during tibial internal rotation. The clinical diagnosis of a torn PMFs is difficult, and magnetic resonance imaging (MRI) may be inconclusive as well. The aim of the present study was to report the outcomes of a continuous series of patients affected by PMF lesions and treated with an arthroscopic repair. Seventeen patients (average age of 22 ± 3.6 years) with PMF lesions and lateral meniscus instability were prospectively enrolled. All patients were evaluated with clinical examination, International Knee Documentation Committee (IKDC), Lysholm and Tegner scores and 1.5 T MRI. All patients had the same arthroscopic procedure consisting of meniscal repair with an all-inside meniscal repair system (mean 2.2 ± 0.77 anchors) and followed with the same postoperative protocol. All patients were available at a mean follow-up of 68 ± 24 months (range 49-84 months). Mean IKDC increased from 60.2 ± 13.5 to 83.1 ± 12, mean Lysholm score improved from 56.7 ± 8.2 to 89.8 ± 3.2, and mean Tegner score improved from 2.9 ± 1.3 to 6.5 ± 2. No intraoperative or postoperative complications were reported. MRI evaluation at 6-month follow-up showed successful healing of the menisco-popliteal fascicles in all cases. The diagnosis and treatment of tears of the PMFs is still debated. Diagnostic confirmation of tearing of the PMFs is usually determined at the time of arthroscopy. Meniscal repair with an all-inside meniscal repair system appears to be an excellent treatment option, since it yields good functional results at mid-term follow-up, no local complications, and complete radiographic healing at 6-month follow-up MRI. Further studies are needed to confirm these promising early results. Case series, 4.
Identifiants
pubmed: 35927338
doi: 10.1007/s00402-022-04486-2
pii: 10.1007/s00402-022-04486-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2573-2579Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Akita K, Nimura A, Fujishiro H, Tsukada S, Mochizuki T, Nakamura T (2015) Attachment area of fibres from the horns of lateral meniscus: anatomic study with special reference to the positional relationship of anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 25(2):368–373
pubmed: 26515773
Camarillo M, Johnson DL (2014) Popliteomeniscal fascicle tears. Orthopedics 37(3):187–190
doi: 10.3928/01477447-20140225-07
pubmed: 24598022
Carney J, Heckmann N, Mayer EN et al (2018) Should antibiotics be administered before arthroscopic knee surgery? A systematic review of the literature. World J Orthop 9(11):262–270
doi: 10.5312/wjo.v9.i11.262
pubmed: 30479973
pmcid: 6242731
Cohn AK, Mains DB (1979) Popliteal hiatus of the lateral meniscus. Anatomy and measurement at dissection of 10 specimens. Am J Sports Med 7(4):221–226
doi: 10.1177/036354657900700402
pubmed: 474859
Cooper DE (1999) Snapping popliteus tendon syndrome. A cause of mechanical knee popping in athletes. Am J Sports Med 27(5):671–674
doi: 10.1177/03635465990270052201
pubmed: 10496589
D’Addona A, di Vico G, Rosa D, Maffulli N (2021) The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature. J Orthop Surg Res 16(1):148
doi: 10.1186/s13018-021-02290-z
pubmed: 33610180
pmcid: 7896406
Fineberg MS, Duquin TR, Axelrod JR (2008) Arthroscopic visualization of the popliteus tendon. Arthroscopy 24(2):174–177
doi: 10.1016/j.arthro.2007.08.018
pubmed: 18237701
Georgoulis A, Tei MM, Speziali A, Cerulli G, Placella G (2015) Diagnostic value of the clinical investigation in acute meniscal tears combined with anterior cruciate ligament injury using arthroscopic findings as golden standard. Musculoskelet Surg 100(1):31–35
pubmed: 25683263
Kimura M, Shirakura K, Hasegawa A, Kobayashi Y, Udagawa E (1992) Anatomy and pathophysiology of the popliteal tendon area in the lateral meniscus: 2. Clin Investig Arthrosc 8(4):424–427
LaPrade RF (1997) Arthroscopic evaluation of the lateral compartment of knees with grade 3 posterolateral knee complex injuries. Am J Sports Med 25(5):596–602
doi: 10.1177/036354659702500502
pubmed: 9302462
LaPrade RF, Konowalchuk BK (2005) Popliteomeniscal fascicle tears causing symptomatic lateral compartment knee pain: diagnosis by the figure-4 test and treatment by open repair. Am J Sports Med 33(8):1231–1236
doi: 10.1177/0363546504274144
pubmed: 16000660
Li X, Facchetti L, Gersing AS, Guimaraes JB, Link TM, Schwaiger BJ (2018) Natural evolution of popliteomeniscal fascicle tears over 2 years and its association with lateral articular knee cartilage degeneration in patients with traumatic anterior cruciate ligament tear. Eur Radiol 28(8):3542–3549
doi: 10.1007/s00330-017-5279-9
pubmed: 29476215
pmcid: 7322767
Papalia R, Simonetta R, Di Vico G, Torre G, Saccone L, Espregueira-Mendes J, Denaro V (2016) Tears of popliteomeniscal fascicles, diagnostic and clinical implications. A review of the evidence. J Biol Regul Homeost Agents 30(4 Suppl 1):99–106
pubmed: 28002906
Peduto AJ, Nguyen A, Trudell DJ, Resnick DL (2008) Popliteomeniscal fascicles: anatomic considerations using MR arthrography in cadavers. AJR Am J Roentgenol 190(2):442–448
doi: 10.2214/AJR.07.2643
pubmed: 18212231
Shin HK, Lee HS, Lee YK, Bae KC, Cho CH, Lee KJ (2012) Popliteomeniscal fascicle tear: diagnosis and operative technique. Arthrosc Tech 1(1):e101-106
doi: 10.1016/j.eats.2012.04.004
pubmed: 23766962
pmcid: 3678649
Sasho T, Wada Y, Sakai H et al (2006) MRI of the popliteomeniscal fasciculi. Am J Roentgenol 186(2):460–466
doi: 10.2214/AJR.04.0068
Simonetta R, Di Vico G, Papalia R, Vasta S, Denaro V (2016) Arthroscopic all-inside treatment of popliteomeniscal fascicles tears: surgical technique and results from the first 6 consecutive patients. J Biol Regul Homeost Agents 30(4 Suppl 1):91–97
pubmed: 28002905
Simonian PT, Sussmann PS, Wickiewicz TL, Potter HG, van Trommel M, Weiland-Holland S, Warren RF (1997) Popliteomeniscal fasciculi and the unstable lateral meniscus: clinical correlation and magnetic resonance diagnosis. Arthroscopy 13(5):590–596
doi: 10.1016/S0749-8063(97)90185-7
pubmed: 9343647
Shin RH, Zhao C, Zobitz ME, Amadio PC, An KN (2008) Mechanical properties of intrasynovial and extrasynovial tendon fascicles. Clin Biomech 23(2):236–241
doi: 10.1016/j.clinbiomech.2007.09.008
Suganuma J, Mochizuki R, Inoue Y, Yamabe E, Ueda Y, Kanauchi T (2012) Magnetic resonance imaging and arthroscopic findings of the popliteomeniscal fascicles with and without recurrent subluxation of the lateral meniscus. Arthroscopy 28(4):507–516
doi: 10.1016/j.arthro.2011.08.311
pubmed: 22265047