• Title/Summary/Keyword: 내측 반월상 연골 파열

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Diagnostic Value of Sonographic Medial Meniscal Extrusion (초음파적 내측 반월상 연골 탈출의 진단 가치)

  • Kim, Jung-Man;Lee, Dong-Yeob;Koh, In-Jun;Lee, Un-Bong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.1
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    • pp.7-12
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    • 2009
  • Purpose: The purpose of this study was to correlate the degree of sonographic medial meniscal extrusion with MRI and arthroscopic findings. Materials and Methods: Out of these 32 patients, with medial meniscal tear who went on arthroscopic surgery, 14 patients had the medial meniscal tear and 18 patients had both lateral and medial meniscal tear. The extent of meniscal extrusion without meniscal tear was assesed in 24 patients who did not show meniscal tear on MRI. The extent of meniscal extrusion was measured between tibial medial joint line (excluded osteophyte) and the outer margin of the medial meniscus. Kellgren-Lawrence grading scale was assessed in plain X-ray image and the location of lesion was assessed during arthroscopic surgery. We also measured the extent of meniscal extrusion on MRI and sonography respectively, and compared each other. Results: There was significant difference between patients with medial meniscal tear and both lateral and medial meniscal tear, patients with medial meniscal tear, patients with both medial and lateral meniscal tear, patients without meniscal tear (P value<0.05). Conclusion: The Meniscus tear must be considered when sonography shows the meniscal extrusion more than 5 mm in length.

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Medial Meniscus Posterior Horn Root Tear in Adolescent during Sport Activity - A Case Report - (스포츠 운동중 청소년에서 발생한 내측 반월상 연골의 뿌리 파열 - 1예 보고-)

  • Cho, Jin-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.71-75
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    • 2013
  • Root tear of the posterior horn of the medial meniscus can occur from trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. It is common on middle age with or without minor trauma. We experienced a case of medial meniscus posterior horn root tear in 13 years old boy during baseball game. We performed 1 direct suture anchor repair for medial meniscus posterior horn root tear in adolescent and report clinical result.

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Arthroscopic Technique of Partial Meniscectomy for Bucket Handle Tear of Medial Meniscus using Posteromedial Portal (내측 반월상 연골판 양동이형 파열의 후내측 도달법을 이용한 관절경적 부분 절제술 - 수술 수기 -)

  • Ahn, Jin-Hwan;Lee, Jong-Yoon
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.1
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    • pp.71-75
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    • 2000
  • Purpose : To introduce arthroscopic partial meniscectomy fur bucket handle tear of medial meniscus using posteromedial portal, which is superior to arthroscopic partial meniscectomy using standard anterior portals commonly used. Method : After arthroscopic examination of the knee, we reduce the torn meniscus, advance the arthroscope into posteromedial compartment under arthroscopic visualization, we make posteromedial portal with reexamination of the compartment and perform arthroscopic partial meniscectomy. Conclusion : With the technique of arthroscopic partial meniscectomy using standard anterior portals, accurate partial meniscectomy can not be done because of inadequate visual field, associated meniscal injuries of posterior horn and cartilage lesion of posterior aspect of the medial femoral condyle can be missed, commonly posterior cruciate ligament can be injured and artificial damage to weight bearing surface of medial femoral condyle is possible. An arthroscopic partial meniscectomy using posteromedial portal is an excellent method fur bucket handle tear of medial meniscus.

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2 Separate Meniscal Cysts Arising from Tears of the Medial Meniscus - A case report - (내측 반월상 연골 파열에서 발생한 독립된 2개의 반월상 연골 낭종 - 1예 보고 -)

  • Suh, Mn-Sam;Park, Hyung-Taek;Kim, Sang-Hyo
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.214-217
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    • 2005
  • Meniscal cyst is an uncommon disease of knee joints, arising less frequently from medial meniscus than lateral. Most of they are accompanied with horizontal tear of meniscus. This is the case of 24 year old man who had 2 separate medial meniscal cysts with longitudinal tear on posterolateral side of medial meniscus without trauma. Treatment consisted of arthroscopic decompression of cysts and meniscal repair.

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MRI Study of the Degenerative Radial Tear of Medial Meniscus (내측 반월상 연골판 후각부의 퇴행성 파열에서 MRI를 이용한 두께의 변화)

  • Kwak, Ji Hoon;Sim, Jae Ang;Kim, Nam Ki;Lee, Beom Koo
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.2
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    • pp.108-112
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    • 2011
  • Purpose: To evaluate the thickness of the posterior horn of the medial meniscus accompanying with degenerative radial tear. Materials and Methods: We retrospectively reviewed 170 cases which show degenerative meniscal tear with variable degree of meniscal degeneration from February 2000 to February 2010. All cases were older than 40 years and 57 cases were men and 113 cases were women. Mean age were 55-year-old. We grouped the cases into 3 categories. Group A were composed with cases which showed horizontal and radial tear in posterior horn of medial meniscus. Group B showed horizontal tear only and group C showed intrasubstance degeneration without meniscal tear. Results: The mean thickness of medial meniscus posterior horn in group A, B, C were 7. 44 mm, 6.52 mm, 6.04 mm respectively. Group A showed significant increase of the thickness of medial meniscus posterior horn than group B, C. Group B also showed significant increase of thickness than group C. The degree of meniscal degeneration was highest in group A, which showed significant higher meniscal degeneration than group B and C, and, group B showed higher degeneration than group C, however, there was no statistically difference between group A and B regarding the degree of meniscal degeneration. Conclusion: The thickness of medial meniscus posterior horn was increased when accompanied with radial tear, which may elicit pain caused by meniscal impingement.

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Avulsion Fracture of the Anterior Medial Meniscus Root (내측 반월상연골 전방 기시부 견열 골절)

  • Min, Kyoung-Dae;Cho, Whi-Je;Kim, Kyoung-Bum
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.450-455
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    • 2020
  • Posterior root tear of the medial meniscus are well known. Although very rare, there are reports of anterior root tears of the medial meniscus but no reports on traumatic bony avulsion of the anterior medial meniscus root. This paper reports a case of an isolated bony avulsion of the anterior medial meniscus root, which was successfully repaired arthroscopically.

Abnormal insertion of the anterior horn of medial meniscus to misdiagnosis to horizontal tear - A case report - (횡 파열로 오인하게 하는 내측 반월상 연골 전각부의 비정상적 삽입 - 증례 보고 -)

  • Kim, Dong-Hee;Gwark, Ji-Yong;Park, Jin-Seung;Hwang, Sun-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.124-128
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    • 2011
  • Many types of meniscal anomalies have been reported. The authors encountered one case of anomalous insertion of the anterior horn of the medial meniscus to the anterior horn of the lateral meniscus, which ran up along the course of the transverse ligament. This anomalous band was detected in MRI of the knee as a horizontal tear of anterior horn of the lateral meniscus but found during the operation as a anomalous insertion of the anterior horn of the medial meniscus. We report the case with a review of the literature.

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Significance of Hyperechoic Cluster Formation of Medial Meniscus (내측 반월상 연골 초음파 상 고에코성 '무리'의 임상적 의의)

  • Kim, Jung-Man;Oh, Se-Kwan;Yu, Jong-Min;Kim, Pil-Sung;Kim, In-Bo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.72-76
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    • 2011
  • Purpose: To verify the sinificance of the hyperechoic cluster formation in medial meniscal tear on the sonography. Materials and Methods: The formation of hyperechoic cluster of the medial meniscus on the sonography were compared with the MRI and arthroscopic findings in 28 knees. Results: The cluster formation area coincided with the overlapped torn fragment of the meniscus in all cases. Conclusion: The hyperechoic cluster on the sonography reveals the position of the overlapped torn fragment.

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Bony Contusion of the Knees with Isolated Traumatic Meniscal Tears (외상성 반월상 연골 단독 손상에서 골타박)

  • Kim, Kyung-Chul;Lee, Ho-Jin;Koo, Bon-Seop
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.9-13
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    • 2004
  • Purpose: We studied the incidence rate and patterns of bony contusions of the knees with isolated traumatic meniscal tears. Materials and Methods: We analyzed retrospectively MRI scans and medical records of forty-two patients(42 knees) which had undergone operations for isolated traumatic meniscal tears. Mean age, 33.7 years, the number of patients with lateral, medial or both meniscal tears were 19, 18 and 5, respectively. Bony contusions were examined according to incidence, Location, and in relation to the types of meniscal tears. Results: Bony contusion was identified in 5 cases (11.9%) which had medial meniscal tear (4 cases0 or both meniscal tear (1 case). It was always located on the medial compartment of the joint. Bony contusion was found in the knee with various type of traumatic meniscal tears. Conclusion: Bony contusions in thd knees with isolated traumatic meniscal tear have very low incidence and they seem to disappear at or less than 12 months after the trauma. The bony contusions are mainly related to medial meniscal tear and located in the medial compartment of the joint.

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