Medial meniscus extrusion is directly correlated with medial tibial osteophyte in patients received reconstruction surgery for anterior cruciate ligament injury: A longitudinal study

Hada, S.; Kaneko, Haruka; Liu, Lizu; Aoki, Takako; Takamura, Tomohiro; Kinoshita, M.; Arita, Hitoshi; Shiozawa, Jun; Negishi, Y.; Momoeda, M.; Kubota, Mitsuaki; Aoki, Shigeki; Okada, Yasunori; Ishijima, Muneaki

doi:10.1016/j.ocarto.2022.100320

Cited by 11 publications

(7 citation statements)

References 43 publications

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“…Osteophyte is known to develop in the short term under some special conditions. We have recently reported that patients who had anterior cruciate ligament injury and underwent ligament reconstruction surgery develop osteophytes at ∼7 months on average after the surgery [ 38 ]. In addition, meniscal tear is known to be the strongest structural risk factor for development of tibiofemoral osteophytes in the middle-aged subjects with K-L grade 0 [ 39 ], suggesting the involvement of local biomechanical factors in early osteophyte formation.…”

Section: Discussionmentioning

confidence: 99%

“…The present study has some potential limitations. First, we used the PPDFS method by pseudo-colorization of PDFS images [ 23 , 38 ]. Accuracy of this method was confirmed by comparison of the PPDFS images with T2 mapping MRI images and histology of the surgically removed knee joint tissues obtained from patients with symptomatic knee OA, but not normal subjects [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior meniscus extrusion is associated with anterior tibial osteophyte width in knee osteoarthritis – The Bunkyo Health Study

Adili¹,

Kaneko²,

Aoki³

et al. 2023

Osteoarthritis and Cartilage Open

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anterior meniscus extrusion is associated with anterior tibial osteophyte width in knee osteoarthritis – The Bunkyo Health Study

Adili¹,

Kaneko²,

Aoki³

et al. 2023

Osteoarthritis and Cartilage Open

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“…Furthermore, poor repair of the ligament of Wrisberg post-injury may heighten the risk of lateral meniscus displacement over time, possibly triggering changes in our measurements, akin to those seen with meniscus dislocation (39). In addition, anterior cruciate ligament injuries have been identi ed as potential precursors for post-traumatic OA (40). As previously mentioned, the predictive validity of utilizing meniscus extrusion measurements for forecasting ROA development can be contentious; however, research from several scholars has established a correlation between meniscus extrusion and the escalation of knee ROA, knee discomfort, total knee arthroplasty in knee arthritis patients, and structural advancement (9,41).…”

Section: Discussionmentioning

confidence: 99%

Predicting incident radiographic knee osteoarthritis through quantitative meniscal lesion parameters: the Osteoarthritis Initiative

Bo,

Liu,

et al. 2023

Preprint

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Background: This study investigates the potential of novel meniscal parameters as predictive factors for incident radiographic knee osteoarthritis (ROA) over a span of four years, as part of the Osteoarthritis Initiative (OAI) study. Methods: A subset of 178 knees (from 176 patients ) from the OAI study, with incident ROA (Kellgren Lawrence Grade (KLG) 0 or 1 at baseline (BL), evolving into KLG 2 or above by year 4), were matched for gender, age and radiographic status on a one-to-one basis with 178 control knees (from 178 patients) that did not develop incident ROA (KLG 0 or 1 at BL, KLG<2 by year 4). Mean distance from medial-to-lateral meniscal lesions [Mean(MLD)], mean value of tibial plateau width [Mean(TPW)] and the mean of the relative percentage of the medial to lateral meniscal lesions distance [Mean(RMLD)] were evaluated through coronal T2-weighted turbo spin echo (TSE) MRI. Conditional logistic regression analyses were used to assess the risk of incident ROA associated with novel meniscus parameters after adjustment for covariates. Sensitivity analysis was performed for P-0 (the visit when ROA was identified on radiographs), P-1(one year prior to P-0) and the incidence of ROA at baseline (enrollment period). Results: Mean(MLD) and Mean(RMLD) were significantly greater for incident knees compared to no incident knees at BL P-1and P-0. [Mean(MLD), Mean(RMLD); (42.56-49.73) mean ± (7.70-9.52) mm SD vs (38.14-40.78) mean ± (5.51-7.05)mm SD; (58.61-68.95) mean ± (8.52-11.40) mm SD vs (52.52-56.35) mean ± (6.53-7.85)mm SD, respectively]. The baseline meniscus measurement parameters included Mean(MLD), Mean(TPW), and Mean(RMLD). Baseline Mean(MLD) and Mean(RMLD), [Adjusted OR, 95%CI: 1.11(1.07 to 1.16) and 1.13(1.09 to 1.17), respectively], were associated with incident ROA during 4 years, However, Mean(TPW) [Adjusted OR, 95%CI: 0.98(0.94 to 1.02)] was not associated with incident ROA during 4 years. At baseline, Mean (MLD) and Mean (RMLD) were significantly different between the case and control groups. While Mean(TPW) at P-1 and P-0 was not associated with the risk of incident ROA, Mean(MLD) and Mean(RMLD) at P-1 and P-0 were significantly positively associated with the risk of incident ROA. Conclusions: Compared to the control group, Mean(MLD) and Mean(RMLD) at baseline, P-1 and P-0 were higher in the case group, and significant differentiation of these measures was observed among the groups. These novel meniscus parameters alterations could be an important imaging biomarker to predict the occurrence of ROA.

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“…Surgery, which involves creating bone holes in the joint, generates mechanical stress similar to intra-articular fractures that contribute to knee OA onset and progression [ 5 ]. Other issues include the lengthy rehabilitation period required for ACL reconstruction, muscle strength reduction due to tendon harvesting, and postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

“…However, long-term observational studies on the onset and progression of degenerative knee joint diseases (knee osteoarthritis (OA)) indicate risks associated with both conservative and surgical therapies [4]. Surgery, which involves creating bone holes in the joint, generates mechanical stress similar to intra- articular fractures that contribute to knee OA onset and progression [5]. Other issues include the lengthy rehabilitation period required for ACL reconstruction, muscle strength reduction due to tendon harvesting, and postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

Conservative Treatment Using Platelet-Rich Plasma for Acute Anterior Cruciate Ligament Injuries in Highly Active Patients: A Retrospective Survey

Hada,

Yoshida

et al. 2024

Cureus

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Background The recommended treatment for anterior cruciate ligament (ACL) injuries in active, sports-oriented patients is reconstructive surgery in order to regain stability and prevent secondary meniscal injuries. However, ACL reconstruction requires a long recovery period and poses issues such as decreased muscle strength due to tendon harvesting and postoperative osteoarthritis (OA) progression, thereby raising significant expectations for the advancement of conservative treatments. Recent studies have shown that platelet-rich plasma (PRP) therapy, which utilizes the tissue repair-promoting property of platelets, is effective for ACL injuries. Methods We administered PRP therapy within six weeks after ACL injury in patients who expressed the desire for an early return to sports through conservative care. After the treatment, patients wore a simple brace that limited deep flexion but placed no restrictions on weight bearing. Four months was the standard goal established for returning to pre-injury condition, and, depending on the target level, timing, and knee condition, we adjusted the additional PRP treatments and rehabilitation approach, gradually authorizing the patients’ return to sport. We assessed the ligament repair status by magnetic resonance imaging (MRI) just before the full return to sports. A retrospective survey was conducted to evaluate the status of ligament repair and the condition of return-to-sport in patients with ACL injuries who underwent conservative treatment using PRP. Results The average patient age was 32.7 years and the average treatment was 2.8 PRP sessions. MRI evaluations confirmed that ligament continuity was regained in all cases. All the patients returned to their pre-injury level (Tegner Activity Scale 7.0) in an average of 139.5 days, but there was one instance of re-rupture following the return to sports. Conclusion All patients with ACL injury who underwent PRP therapy regained ligament continuity and returned to sport successfully with only one case of re-rupture.

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Medial meniscus extrusion is directly correlated with medial tibial osteophyte in patients received reconstruction surgery for anterior cruciate ligament injury: A longitudinal study

Cited by 11 publications

References 43 publications

Anterior meniscus extrusion is associated with anterior tibial osteophyte width in knee osteoarthritis – The Bunkyo Health Study

Anterior meniscus extrusion is associated with anterior tibial osteophyte width in knee osteoarthritis – The Bunkyo Health Study

Predicting incident radiographic knee osteoarthritis through quantitative meniscal lesion parameters: the Osteoarthritis Initiative

Conservative Treatment Using Platelet-Rich Plasma for Acute Anterior Cruciate Ligament Injuries in Highly Active Patients: A Retrospective Survey

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