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

被引：6
作者：
Hada, Shinnosuke [1 ]
Kaneko, Haruka [1 ]
Liu, Lizu [1 ,2 ]
Aoki, Takako [2 ]
Takamura, Tomohiro [3 ,5 ]
Kinoshita, Mayuko [1 ]
Arita, Hitoshi [1 ]
Shiozawa, Jun [1 ]
Negishi, Yoshifumi [1 ]
Momoeda, Masahiro [1 ]
Kubota, Mitsuaki [1 ]
Aoki, Shigeki
Okada, Yasunori [4 ]
Ishijima, Muneaki [1 ,2 ]
机构：
[1] Juntendo Univ, Grad Sch Med, Dept Med Orthopaed & Motor Organ, 2-1-1 Hongo,Bunkyo Ku, Tokyo 1138421, Japan
[2] Juntendo Univ, Grad Sch Med, Sportol Ctr, Tokyo, Japan
[3] Juntendo Univ, Dept Radiol, Grad Sch Med, Tokyo, Japan
[4] Juntendo Univ, Grad Sch Med, Dept Pathophysiol Locomot Dis, Tokyo, Japan
[5] Shizuoka Prefectural Gen Hosp, Dept Radiol, Shizuoka, Japan
来源：
OSTEOARTHRITIS AND CARTILAGE OPEN | 2022年 / 4卷 / 04期
基金：
日本学术振兴会;
关键词：
Medial meniscus extrusion (MME); Osteophyte; Anterior cruciate ligament injury; Knee osteoarthritis; STAGE KNEE OSTEOARTHRITIS; JOINT SPACE WIDTH; CARTILAGE LOSS; ARTICULAR-CARTILAGE; MRI; REPLACEMENT; SCORE; DEGENERATION; PREDICTOR; SYNOVITIS;
D O I：
10.1016/j.ocarto.2022.100320
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Objective: Anterior cruciate ligament (ACL) injury is one of the causes for post-traumatic knee osteoarthritis (OA), and ACL reconstruction surgery is reportedly unable to prevent OA development. In early-stage knee OA, medial meniscus extrusion (MME) is closely correlated with tibial medial osteophyte width, which consists of bone and cartilage -parts. However, the relationship between MME and osteophyte in ACL-injured patients remains elusive. We examined MME and osteophyte and their relationship in ACL-injured patients before and after surgery. Design: Thirty ACL-injured patients who underwent surgery (30.7 years old, on average) were enrolled. Correlations between magnetic resonance imaging (MRI)-detected OA changes and MME before and after surgery (7.6 months interval) were analyzed. Results: MME (>3 mm) was present in 16.7% and 26.7% of the patients before and after surgery, respectively, and MME was significantly increased after surgery (2.4 +/- 1.3 mm) than before surgery (1.9 +/- 1.2 mm) (p < 0.0001). Full-length tibial osteophyte width measured by T2 mapping MRI was significantly increased after surgery (1.9 +/- 0.7 mm) than before surgery (1.4 +/- 0.6 mm) (p < 0.0001). Among OA structural changes, only medial tibial osteophyte width directly correlated with MME before surgery (beta = 0.962) (p < 0.001) and after surgery (beta = 0.928) (p = 0.001). All the patients with MME had medial tibial osteophyte before and after surgery. A direct correlation was observed between changes of MME and those of medial tibial osteophyte width before and after surgery (r = 0.63) (p < 0.0001). Conclusion: MME and medial tibial osteophyte were simultaneously increased after surgery. In addition to close correlation between MME and medial tibial osteophyte width, changes of MME and medial tibial osteophyte width before and after surgery were directly correlated.
引用
收藏
页数：8
相关论文
共 43 条
  • [41] Anatomical analysis of the anterior cruciate ligament femoral and tibial footprints
    Tsukada, Harehiko
    Ishibashi, Yasuyuki
    Tsuda, Eiichi
    Fukuda, Akira
    Toh, Satoshi
    [J]. JOURNAL OF ORTHOPAEDIC SCIENCE, 2008, 13 (02) : 122 - 129
  • [42] Osteophytes: relevance and biology
    van der Kraan, Peter M.
    van den Berg, Wim B.
    [J]. OSTEOARTHRITIS AND CARTILAGE, 2007, 15 (03) : 237 - 244
  • [43] Bone marrow lesions, subchondral bone cysts and subchondral bone attrition are associated with histological synovitis in patients with end-stage knee osteoarthritis: a cross-sectional study
    Yusup, A.
    Kaneko, H.
    Liu, L.
    Ning, L.
    Sadatsuki, R.
    Hada, S.
    Kamagata, K.
    Kinoshita, M.
    Futami, I.
    Shimura, Y.
    Tsuchiya, M.
    Saita, Y.
    Takazawa, Y.
    Ikeda, H.
    Aoki, S.
    Kaneko, K.
    Ishijima, M.
    [J]. OSTEOARTHRITIS AND CARTILAGE, 2015, 23 (11) : 1858 - 1864
12345