Conclusion: The ISAKOS classification of meniscal tears provides sufficient interobserver reliability for pooling of data from inter-national clinical trials designed to evaluate the outcomes of treatment for meniscal tears. Keywords: meniscus; arthroscopy; multicenter; reliability Basic science and clinical studies have substantiated the crucial role of the menisci in maintaining knee joint.
A standardized meniscal tear classification would provide both improved clinical communication and uniform pooling of data for research and outcomes assessment of treatment for meniscal tears. The committee agreed upon a standard terminology to include in the classification and surgical documentation form. Further discussion will include criteria laid out in the ISAKOS classification with.
Thearthroscopic classification of meniscal lesions created by the ISAKOS was used. Thirty one arthroscopic videos, made between June and December 2013,with different meniscal tear characteristics were analyzedby three orthopedic surgeons (two specialists in knee surgery and a fellowship), twice at an interval of 30 days. The Kappa Coefficients (k) was used to assess the intraobserver.
The increasingly used ISAKOS arthroscopic meniscus tear classification system has been shown to provide sufficient interobserver reliability among the surgeons. However, the terminology is not in common use in the radiology world. In this article, the authors discuss the MR imaging appearances of meniscal tears based on ISAKOS classification on 2D and multiplanar 3D isotropic spin echo imaging.
Methods: Thearthroscopic classification of meniscal lesions created by the ISAKOS was used. Thirty one arthroscopic videos, made between June and December 2013,with different meniscal tear.
Classification. Bucket handle: Vertical longitudinal tear Radial: Tear involving the free margin of the meniscal tissue Horizontal cleavage: Horizontal tear in the meniscal tissue Degenerate: Tears with complex patterns; often combination of the other types Flap: Tear with oblique vertical cleavage (parrot beak) Explanation. Provide an explanation for key principles and pertinent aspects of.
There are different types of meniscal tears, describing the morphology of the injury. Identifying and accurately describing the type of meniscal tear can help the surgeon in patient education and planning of the surgical procedure. Meniscal tear types include 1,5,6: basic tears. longitudinally oriented tears. horizontal tear (cleavage tear).
Sometimes, a meniscal tear also causes a sensation that the knee gives way. A person with a torn meniscus can sometimes remember a specific activity during which the injury was sustained. A tear of the meniscus commonly follows a trauma which involves rotation of the knee while it was slightly bent. These maneuvers also exacerbate the pain after the injury; for example, getting out of a car is.
PD and MR-arthrogram after suture repair for meniscal tear: healed tear. Post-operative Meniscus 3 This patient also had a suture repair for meniscal tear. After a new injury, the PD-images show high signal unequivocally reaching the surface of the meniscus (seen on the original films, but not clearly seen on the compressed image on the left).
Flap Tear: A flap tear of the meniscus is an unusual pattern of a meniscal tear. In circumstances where the flap is causing symptoms of catching in the knee, the flap of the meniscus can usually be removed without removing much tissue at all. 5. Complex Tear: A complex tear means there is a combination of tear patterns. A complex tear often involves both radial and horizontal tear patterns.
The factors that were found to influence meniscal healing favourably were time from injury to surgery of less than eight weeks, peripheral location of the tear, patient age less than 30 years, tear length less than 2.5 cm, and tear in the lateral meniscus. In this series, 26% of the medial meniscal repairs failed, but only 11% of the lateral meniscal repairs failed. Simultaneous meniscal.
Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears.. Thirty one arthroscopic videos, made between June and December 2013,with different meniscal tear characteristics were analyzedby three orthopedic surgeons (two specialists in knee surgery and a fellowship), twice at an interval of 30 days. The Kappa Coefficients (k) was used to assess the intraobserver.
The pooled meta-analyses indicate that McMurray's will diagnose 61% of people presenting with a meniscal tear, Thessaly better at 75% and JLT best at 83%. False-positive findings are likely to be approximately 20% for all three tests. However, these results should be used with caution, due to the low number of included studies, poor quality of the studies and high levels of heterogeneity.
A horizontal meniscal tear, also known as a cleavage tear, is a type of meniscal tear in which the tear is oriented horizontally, parallel to the tibial plateau. These tears may be difficult to visualize on arthroscopy. Epidemiology They usuall.
Participants with meniscal tears were significantly older (46.43 years versus 40.36 years) and were more often male (74.5% male with a meniscal tear versus 43.9% male without a meniscal tear). There were also noticeable differences between participants with and without meniscal tears in pain severity on a visual analogue scale (VAS) scale (42.16 versus 53.42 points), performing sports (84.3.The latest evidence shows us that for the majority of people with a degenerative tear of their cartilage that time is the biggest factor in their recovery and an Arthroscopy (camera in the knee performed under general anaesthetic), does not provide any long-term benefit. This is particularly the case where there is more extensive wear and tear in the knee joint. This is something that is.PURPOSE: To establish a classification system for meniscal root tears by reporting the morphology of meniscal root tears from a consecutive series of arthroscopic surgeries. It was hypothesized that meniscal root tears could be grouped into types by distinct tear patterns and that recognition of tear pattern would affect treatment choice. STUDY DESIGN: Case series; Level of evidence, 4.