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Morphological changes of the lateral meniscus in end-stage lateral compartment osteoarthritis of the knee.

Abstract：

OBJECTIVE:The aim of this study was to evaluate the morphological changes of the lateral meniscus in end-stage lateral compartment osteoarthritis (OA) of the knee. METHODS:One hundred fifty-eight knee joints from 133 patients that subsequently underwent total knee joint arthroplasty from January 2008 to December 2009 were enrolled. There were 26 men and 107 women. Their ages ranged from 56 to 81 (mean 67.4 ± 6.5 years). All study participants had complete obliteration of the lateral joint space identified by weight-bearing radiography. Meniscal position was assessed by measuring meniscal subluxation and meniscal height. The meniscal morphology was assessed using a modification of the whole-organ magnetic resonance imaging score (WORMS). The frequency of different meniscal morphology and their respective positions was calculated. RESULTS:The predominant type (42.4%, 53.8% and 52.5% in the anterior horn, mid-body and posterior horn, respectively) of abnormal meniscal morphology was a complete maceration/destruction or complete resection. The anterior horn of non-macerated lateral meniscus was more subluxed than that of the non-macerated medial meniscus in patients with lateral OA. CONCLUSION:This study suggests that the lateral meniscus in persons with end-stage lateral OA are mostly macerated or destroyed. Also, unlike isolated end-staged medial compartment OA, the anterior horn of the lateral meniscus in isolated end-stage lateral OA is commonly affected.

journal_name

Osteoarthritis Cartilage

journal_title

Osteoarthritis and cartilage

authors

Hwang SH,Jung KA,Lee WJ,Yang KH,Lee DW,Carter A,Park CH,Hunter DJ

doi

10.1016/j.joca.2011.11.005

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

110-6

issue

2

eissn

1063-4584

issn

1522-9653

pii

S1063-4584(11)00310-4

journal_volume

20

pub_type

杂志文章

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