A new arthroscopic classification of degenerative medial meniscus root tear that correlates with meniscus extrusion on magnetic resonance imaging

Seong Il Bin, Tae Wan Jeong, Su Jin Kim, Dae Hee Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: To determine a new classification system for medial meniscus root tears (MMRT) based on arthroscopic findings. Methods: 24 knees (55%) belonged to the nondisplaced or overlapped group, and 20 knees (45%) to the widely displaced group. Absolute meniscal extrusion was defined as distance between outer edge of the articular cartilage of tibial plateau and meniscal outer edge. Relative extrusion was defined as extruded meniscus width divided by entire meniscal width, multiplied by 100. The proportion of knees with major (>. 3 mm) extrusion were compared in two groups, as were the severity of chondral wear and osteoarthritic change. Results: Absolute (4.6 mm vs. 3.7 mm, P = 0.006) and relative (46% vs. 39%, P = 0.042) extrusion of the medial meniscus were greater in widely displaced than in nondisplaced or overlapped group. Medial joint space width was significantly narrower in the widely displaced than in the nondisplaced or overlapped group (3.0 mm vs. 4.0 mm, P = 0.007). The widely displaced group had a 4° greater varus deformity, and higher rates of major extrusion (>. 3 mm), grade III or IV chondral wear in the medial femoral condyle (60% vs. 29%, P = 0.039) and medial compartment osteoarthritis (75% vs. 21%, P = 0.001) than did the nondisplaced or overlapped group. Conclusions: Widely displaced MMRT had greater meniscal extrusion and more severe chondral wear and osteoarthritis than did nondisplaced or overlapped MMRT. In this novel classification system, the stage of MMRT severity was associated with tear site displacement. Level of evidence: Case series (level IV).

Original languageEnglish
Pages (from-to)246-250
Number of pages5
JournalKnee
Volume23
Issue number2
DOIs
Publication statusPublished - 2016 Mar 1

Fingerprint

Tibial Meniscus
Tears
Magnetic Resonance Imaging
Cartilage
Knee
Osteoarthritis
Articular Cartilage
Thigh
Joints
Meniscus
Bone and Bones

Keywords

  • Arthroscopy
  • Displacement
  • Extrusion
  • Medial meniscus
  • Root tear

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

A new arthroscopic classification of degenerative medial meniscus root tear that correlates with meniscus extrusion on magnetic resonance imaging. / Bin, Seong Il; Jeong, Tae Wan; Kim, Su Jin; Lee, Dae Hee.

In: Knee, Vol. 23, No. 2, 01.03.2016, p. 246-250.

Research output: Contribution to journalArticle

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AB - Background: To determine a new classification system for medial meniscus root tears (MMRT) based on arthroscopic findings. Methods: 24 knees (55%) belonged to the nondisplaced or overlapped group, and 20 knees (45%) to the widely displaced group. Absolute meniscal extrusion was defined as distance between outer edge of the articular cartilage of tibial plateau and meniscal outer edge. Relative extrusion was defined as extruded meniscus width divided by entire meniscal width, multiplied by 100. The proportion of knees with major (>. 3 mm) extrusion were compared in two groups, as were the severity of chondral wear and osteoarthritic change. Results: Absolute (4.6 mm vs. 3.7 mm, P = 0.006) and relative (46% vs. 39%, P = 0.042) extrusion of the medial meniscus were greater in widely displaced than in nondisplaced or overlapped group. Medial joint space width was significantly narrower in the widely displaced than in the nondisplaced or overlapped group (3.0 mm vs. 4.0 mm, P = 0.007). The widely displaced group had a 4° greater varus deformity, and higher rates of major extrusion (>. 3 mm), grade III or IV chondral wear in the medial femoral condyle (60% vs. 29%, P = 0.039) and medial compartment osteoarthritis (75% vs. 21%, P = 0.001) than did the nondisplaced or overlapped group. Conclusions: Widely displaced MMRT had greater meniscal extrusion and more severe chondral wear and osteoarthritis than did nondisplaced or overlapped MMRT. In this novel classification system, the stage of MMRT severity was associated with tear site displacement. Level of evidence: Case series (level IV).

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KW - Medial meniscus

KW - Root tear

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