نویسندگان

1 Assistant professor of Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran.

2 Assistant Professor, Orthopedics Department, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

3 Medical student, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran.

چکیده

چکیده
بود. )PCL( هدف: هدف از این مطا عه بررسی ویوع و ا گوهای پارگی منیس همراه با ضایعا رباط صلیبی خلفی
قرار گرفتند، در این مطا عه وارد PCL که تحت عمل جراحی بازسازی PCL روش: 11 بیمار با تش یص پارگی مزمن
ودند.پرونده بیماران بررسی ود.محل و درجه آسیب غضروف، محل و ا گوی پارگی منیس ، فاصله بین تش یص و عمل جراحی
و روش درمانی جمع آوری ود.
16 ماه بود. فاصله زمانی بین بروز تروما و جراحی در بیماران /73 ± 33/ نتایج: میانگین فاصله زمانی بین بروز تروما و جراحی 1
10 ماه بود. پارگی منیس در 07 بیمار /76 ± 0/ 04 ماه و در بیماران بدون پارگی منیس 1 /6 ±4/ مبتلا به پارگی منیس 16
1( در منیس خارجی وجود داوت.وایع / 03 ( در منیس داخلی و در 1 بیمار )% 1 /% 33 (. در 11 مورد ) 5 / مشاهده ود )% 3
ترین محل پارگی منیس پارگی ریشه و عمدتاً کندگی ریشه ای بود. از این تعداد ، 6 بیمار دچار کندگی ریشه خلفی منیس
17 ( مشاهده ود. / داخلی وده بودند.ضایعا غضروف در 14 بیمار )% 3
پارگی کندگی منیس ،PCL نتیجه گیری: بر اساس مطا عه حاضر، وایع ترین ا گوی پارگی منیس در بیماران مبتلا به پارگی
داخلی است که ممکن است با گذوت زمان بیشتر وود.
 

کلیدواژه‌ها

عنوان مقاله [English]

Patterns of Meniscus Tears Associated with Posterior Cruciate Ligament Lesions

نویسندگان [English]

  • Mohammadreza Minator Sajjadi 1
  • Adel Ebrahimpour 2
  • Mohammad Ali Okhovatpour 1
  • Reza Zandi 1
  • Hooria Emami 3

1

2

3

چکیده [English]

AbstractAbstract
Purpose: The aim of this study was to assess the incidence and patterns of meniscus tear accompanying the posterior cruciate ligament (PCL) lesion.
Method: 81 patients with a diagnosis of chronic PCL tear that underwent PCL reconstruction surgery were included in the study. The patients’ files were reviewed. The location and grade of cartilage damage, the location and pattern of meniscus tears, the interval between diagnosis and surgical procedure, and the treatment method were collected.
Result: The average interval between the incidence of trauma and surgery was 16.73±33.1 months. The interval between the incidence of trauma and surgery in patients with meniscal tear was 24.6±4.86 months and in patients without meniscal tear was 12.76±2.1 months Meniscal tear was detected in 27 patients (33.3). It was in medial meniscus in 19 (23.5%) and in lateral menisci in eight (9.9%) patients. The most common site of meniscal tear was root tear and mostly avulsion of meniscus root. Of these, 6 patients had posterior root avulsion of medial menisci. Cartilage lesions were detected in 14 patients (17.3%).
Conclusion: Based on the present study. The most common pattern of meniscal tear in cases of PCL tear is posterior medial meniscus avulsion tear. Such a tear deteriorates overtime.
 

کلیدواژه‌ها [English]

  • Keywords: Posterior cruciate ligament
  • posterior cruciate ligament reconstruction
  • meniscal injury
  • Cartilage lesions
  • Arthroscopy
1- Pache S, Aman ZS, Kennedy M, Nakama GY, Moatshe
G, Ziegler C, et al. Posterior cruciate ligament:
current concepts review. Arch Bone Jt Surg.
2018;6:8-18.
2- Logan M, Williams A, Lavelle J, Gedroyc W, Freeman
M. The effect of posterior cruciate ligament
deficiency on knee kinematics. Am J Sports Med.
2004;32:1915-22.
3- Jackman T, LaPrade RF, Pontinen T, Lender PA.
Intraobserver and interobserver reliability of the
kneeling technique of stress radiography for the
evaluation of posterior knee laxity. Am J Sports Med.
2008;36:1571-6.
4- LaPrade CM, Civitarese DM, Rasmussen MT, LaPrade
RF. Emerging updates on the posterior cruciate
ligament: a review of the current literature. Am J
Sports Med. 2015;43:3077-92.
5- Pearsall AWt, Hollis JM. The effect of posterior
cruciate ligament injury and reconstruction on
meniscal strain. Am J Sports Med. 2004;32:1675-80.
6- Krutsch W, Zellner J, Baumann F, Pfeifer C, Nerlich
M, Angele P. Timing of anterior cruciate ligament
reconstruction within the first year after trauma and
its influence on treatment of cartilage and meniscus
pathology. Knee Surg Sports Traumatol Arthrosc.
2017;25:418-25.
7- Granan LP, Bahr R, Lie SA, Engebretsen L. Timing of
anterior cruciate ligament reconstructive surgery
and risk of cartilage lesions and meniscal tears: a
cohort study based on the Norwegian National Knee
Ligament Registry. Am J Sports Med. 2009;37:955-
61.
8- Colney SL, Devi SS, Singh TN. The menisci of the knee
joint in human foetuses of manipur population--a
morphological study. J Evol Med Dent Sci.
2017;6(67):4810-5.
9- Rochecongar G, Plaweski S, Azar M, Demey G, Arndt
J, Louis ML, et al. Management of combined anterior
or posterior cruciate ligament and posterolateral
corner injuries: a systematic review. Orthop
Traumatol Surg Res. 2014;100:S371-8.
10-Maak TG, Wickiewicz TL. Management of chronic
tibial subluxation in the multiple-ligament injured
knee. In: Fanelli G, Editors. The multiple ligament
injured knee. New York, NY: Springer; 2013.
11-MacDonald P, Miniaci A, Fowler P, Marks P, Finlay B.
A biomechanical analysis of joint contact forces in
the posterior cruciate deficient knee. Knee Surg
Sports Traumatol Arthrosc. 1996;3:252-5.
12-Hooper PO, 3rd, Silko C, Malcolm TL, Farrow LD.
Management of posterior cruciate ligament tibial
avulsion injuries: a systematic review. Am J Sports
Med. 2018;46:734-42.
13-Sajjadi M, Okhovatpour M, Ebrahimpour A, Zandi R,
Kafi-Abadi M, Sadighi M. Anterior cruciate ligament
reconstruction surgery timing with respect to
meniscal-chondral damage. Arch Trauma Res.
2018;7:87-91.
14-Hagino T, Ochiai S, Senga S, Yamashita T, Wako M,
Ando T, et al. Meniscal tears associated with anterior
cruciate ligament injury. Arch Orthop Trauma Surg.
2015;135:1701-6.
15-Gao SG, Zhang C, Zhao RB, Liao Z, Li YS, Yu F, et al.
Effect of partial and complete posterior cruciate
ligament transection on medial meniscus: A
biomechanical evaluation in a cadaveric model.
Indian J Orthop. 2013;47:493-9.
16-Castle TH, Jr., Noyes FR, Grood ES. Posterior tibial
subluxation of the posterior cruciate-deficient knee.
Clin Orthop Relat Res. 1992:193-202.
17-Greis PE, Bardana DD, Holmstrom MC, Burks RT.
Meniscal injury: I. Basic science and evaluation. J Am
Acad Orthop Surg. 2002;10:168-76.
18-Logan M, Dunstan E, Robinson J, Williams A, Gedroyc
W, Freeman M. Tibiofemoral kinematics of the
anterior cruciate ligament (ACL)-deficient
weightbearing, living knee employing vertical access
open "interventional" multiple resonance imaging.
Am J Sports Med. 2004;32:720-6.
19-Anderson CJ, Ziegler CG, Wijdicks CA, Engebretsen L,
LaPrade RF. Arthroscopically pertinent anatomy of
the anterolateral and posteromedial bundles of the
posterior cruciate ligament. J Bone Joint Surg Am.
2012;94:1936-45.