Relationship between meniscal injury & articular cartilage defect in arthroscopy
Journal of the Korean Knee Society
;
: 180-185, 2002.
Article
in Korean
| WPRIM
| ID: wpr-730684
ABSTRACT
PURPOSE:
We studied to know the relationship between meniscal injury & defect of articular cartilage and its clinical importance. MATERIALS ANDMETHODS:
252 patients were selected, who undergone arthroscopic surgery for meniscal injury from May 1997 to December 2001. We excluded patients with severely progressed osteoarthritis or degenerative changes in simple X-ray. Physical examinations, simple X-rays, MRI & arthroscopic photographs were taken for all patients. And the results were analyzed according to age, duration from accident to operation and type of meniscal injuryRESULTS:
40 cases (15.9%) showed defects of articular cartilage with meniscal injury. Among them, 18 cases (45%) in femur, 10 cases (25%) in tibia, and 12 cases (30%) in both. Incidence of articular cartilage defect was significantly higher in patients over the age of forty (p<0.01) and in those with a history longer than six months (p<0.05). Posterior horn tears were associated with the highest incidence of articular cartilage defect, but were also associated with a longer history and with older patients.CONCLUSION:
In patients with meniscal injury, older age, long duration of symptom and tear at posterior horn have higher incidence of articular cartilage defect, especially femoral condyle. The reason for this is not entirely clear but these patients need close attention and early treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoarthritis
/
Physical Examination
/
Arthroscopy
/
Tibia
/
Magnetic Resonance Imaging
/
Cartilage, Articular
/
Incidence
/
Femur
/
Horns
Type of study:
Incidence study
/
Prognostic study
Limits:
Animals
/
Humans
Language:
Korean
Journal:
Journal of the Korean Knee Society
Year:
2002
Type:
Article
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