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Results for “Tibial Meniscus Injuries”

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At least 19 recordsLinked to original sources
PubMed1994

Tibial plateau fractures: a study of associated soft tissue injuries.

Tibial plateau fractures can occur concomitant with injuries to the collateral and cruciate ligaments, menisci, and surrounding nerves and arteries. The purpose of this article is to record the frequency of these soft tissue injuries with tibial plateau fractures. Patients with plateau fractures were entered into a prospective protocol consisting of radiographic evaluation, Schatzker classification, pre- and postfixation stress testing, and diagnostic arthroscopy. Thirty tibial plateau fractures were evaluated in this study. There was a 56% (17 of 30) frequency of associated soft tissue injuries in this series of tibial plateau fractures. The medial collateral ligaments were injured in 20% (six of 30), the lateral collateral ligaments in 3% (one in 30), the menisci in 20% (six in 30), the peroneal nerve in 3% (one in 30), and the anterior cruciate ligaments in 10% (three in 30). Schatzker type IV and type II fracture patterns were associated with the highest frequency of soft tissue injuries. Medical collateral ligament injuries were most commonly associated with Schatzker type II fracture patterns. Menisci were most commonly injured with Schatzker type IV fracture patterns. Based on the findings, routine arthroscopy should be indicated in nondisplaced Schatzker type I fractures. Pre- and postfixation stress testing should be performed to diagnose collateral and cruciate ligament injuries.

Adult↗
PubMed2005

[Meniscuses and ligaments injuries in tibial plateau fractures in comparative evaluation of clinical, intraoperative and MR examination].

The diagnosis of the meniscal and ligament injuries accompanying the tibial plateau fractures is difficult and unconvincing. Thus the capsular, ligament and meniscal injuries coexisting with this kind of fractures were questioned for many years. Introducing of MR afforded for the precise evaluation of the bone as well as the soft tissue injury. This article demonstrates the results of MR images of 112 patients with the acute proximal tibia fractures. The number and the degree of the meniscal and ligament injury were estimated and intraoperative verification of MR was made in 66 patients qualified for an operative procedure. The attempt to find the correlation between the type of the fracture and the meniscal and ligament injury was made according to Schatzker classification. MR images revealed that the bone injury was accompanied by the ligament or meniscal injury in 88%. Most commonly the partial tears (77% considering ligament injuries and 70% considering meniscal injuries) occurred. The most frequent extracapsular and intracapsular injury was MCL tear (70%) and LM tear (56%) respectively. No correlation between the type of the fracture and the soft tissue injury was found.

Adolescent↗
PubMed1987

[Meniscus sonography--alternative to invasive meniscus diagnosis?].

Sonographic visualization of the meniscus as well as the detection and evaluation of its lesions presupposes use of the 7.5 MHz transducer of a sector scan. All lesions applied by means of a scalpel to cadaver knees could be pictured and evaluated in this way. In a clinical study, there was agreement between sonographic and surgical findings in 86 out of 91 patients (94%). The arthrography carried out in addition in 50 of these patients had a lower precision (88%) than sonography (98%). Agreement between the results of sonography and arthrography was found in 87 out of 98 patients (89%). The complete freedom from risk and high precision support the application of sonography in diagnosis of meniscus lesions. It can thus replace arthrography in this indication.

Arthrography↗
PubMed1998

Internal derangement of the knee after ipsilateral femoral shaft fracture: MR imaging findings.

OBJECTIVE: This study uses magnetic resonance (MR) imaging to delineate the types and frequencies of injuries seen in the knee after ipsilateral femoral shaft fracture. We also compare the results of the orthopedic knee examination with the MR findings. DESIGN AND PATIENTS: MR imaging of the ipsilateral knee was performed on 34 patients with closed femoral shaft fractures. Indications for knee MR imaging included knee pain at the time of fracture, soft tissue swelling or an effusion of the knee, or a positive knee examination under anesthesia. The patients had a mean age of 27 years and all were stabilized with intramedullary nails. Imaging was performed a mean time of 2.5 days after surgery. All patients had knee examinations done under anesthesia, and the MR results were compiled and compared with the clinical examinations. RESULTS: Ninety-seven percent of patients demonstrated knee effusions. Twenty-seven percent of patients demonstrated meniscal tears, with the posterior horn of the medial meniscus most frequently torn. The medial collateral ligament was the most frequent site of ligamentous injury (38%) followed by the posterior cruciate ligament (21%). Fifty percent of patients had injuries of the extensor mechanism. Bone bruises were noted in 32% of patients. Articular cartilage injuries were confined to the patella in four cases. One occult tibial plateau fracture and one meniscocapsular separation were seen. CONCLUSIONS: There is a common incidence of both ligamentous and meniscal injury to the knee after ipsilateral femoral shaft fracture. MR imaging can be useful in assessing the extent of injury, and may reveal findings unsuspected after clinical examination of the knee.

Adult↗