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Lateral Meniscus Injuries

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Football Traumatology

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Abstract

In case of lateral meniscal tear, care must be taken to save meniscal tissues at all costs. In the young individual the repair needs to be pushed as in the older aged patient adequate limited resection becomes the rule.

In case of stable knees, long term results suggest the partial lateral meniscus resection to be well tolerated. In the ACL deficient knee, ligament repair has become the rule in the young patient as in these instances ab initio, the lateral meniscus is rarely involved.

In case of chronic symptomatic lateral meniscectomy, partial replacement present with clear functional improvement.

In case of total meniscectomy and chronic symptomatic joint line pain – as may be the case after discoid meniscal resection – lateral meniscal allograft transplantation is an optimal indication to avoid inevitable joint line degeneration, even in the well aligned knee joint.

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References

  1. Messner K, Gao J (1998) The menisci of the knee joint. Anatomical and functional characteristics and a rationale for clinical treatment. J Anat 193:161–178

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Kohn D, Moreno B (1995) Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy 11:96–103

    Article  CAS  PubMed  Google Scholar 

  3. Kim Y, Chung I, Yoo W et al (1997) Anatomy and magnetic resonance imaging of the posterolateral structures of the knee. Clin Anat 10:397–404

    Article  CAS  PubMed  Google Scholar 

  4. Petersen W, Tillmann B (1995) Age-related blood and lymph supply of the knee menisci. A cadaver study. Acta Orthop Scand 66:308–312

    Article  CAS  PubMed  Google Scholar 

  5. Arnoczky S, Warren R (1982) Microvasculature of the human meniscus. Am J Sports Med 10:90–95

    Article  CAS  PubMed  Google Scholar 

  6. Day B, Mackenzie W, Shim S et al (1985) The vascular and nerve supply of the human meniscus. Arthroscopy 1:58–62

    Article  CAS  PubMed  Google Scholar 

  7. Locker B, Hulet C, Vielpeau C (1992) Lésions traumatiques des ménisques du genou. Editions Techniques Encycl Med Chir (Paris) Appareil Locomoteur, 14084, A10, 12p

    Google Scholar 

  8. Dorfmann H, Juan LH, Bonvarlet JP et al (1987) Lésions dégénératives du ménisque interne en arthroscopie. Rev Rhum 54:4

    Google Scholar 

  9. Chatain F, Robinson AH, Adeleine P et al (2001) The natural history of the knee following arthroscopic medial meniscectomy. Knee Surg Sports Traumatol Arthrosc 9:15–18

    Article  CAS  PubMed  Google Scholar 

  10. Van De Berg BC, Lecouvet FE, Poilvache P et al (2000) Dual-detector spiral CT arthrography of the knee: accuracy for detection of meniscal abnormalities and unstable meniscal tears. Radiology 216:851–857

    Article  Google Scholar 

  11. Oei EH, Nikken JJ, Verstijnen AC et al (2003) MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology 226:837–848

    Article  PubMed  Google Scholar 

  12. De Haven KE, Black KP, Griffiths HJ (1989) Open meniscus repair. Technique and two to nine year results. Am J Sports Med 6:788

    Google Scholar 

  13. Chambat P, Aït S, Selmi T et al (2000) Varus tibial osteotomy. Oper Tech Sports Med 8:44–47

    Article  Google Scholar 

  14. Cannon WD, Vittori JM (1992) The incidence of healing in arthroscopic meniscal repairs in anterior cruciate ligament reconstructed knees versus stable knees. Am J Sports Med 20:176–181

    Article  PubMed  Google Scholar 

  15. Daniel DM, Stone ML, Bobson BE (1994) Fate of the anterior cruciate ligament injured patients

    Google Scholar 

  16. Hulet C, Souquet D, Pierre A (2004) Arthroscopic treatment of 105 lateral meniscal cysts. Arthroscopy 20:831–836

    Article  PubMed  Google Scholar 

  17. Billot N (2004) Résultats des réparations méniscales des lésions verticales longitudinales sur genou stable. Symposium de la SFA 2003 sous la direction de P Beaufils et X Cassard. Rev Chir Orthop 90(S8):3S67–3S69)

    Google Scholar 

  18. Beaufils P, Bamberg A, Pujol N (2004) Clivage horizontal sur genou stable chez le jeune athlète. Symposium de la SFA 2003 sous la direction de P Beaufils et X. Cassard. Rev Chir Orthop 90(S8):3S69–3S72

    Google Scholar 

  19. Hulet et al (2014) (ref: Christophe Hulet, Jacques Minnetrait, Philippe Beaufils, Pierre Chamba, Patrick Giant, Philippe Hardi, Jean-Francois Botelle, Elvire Servien, Romain Zail, SFA, Clinical and radiographic results of 89 arthroscopic lateral meniscectomies in stable knees with a minimum follow-up of 20 years – ASFT-D-14-00240)

    Google Scholar 

  20. Tabib W, Beaufils P, Prudhon JL (1993) Ménisectomies externes arthroscopiques sur genou avec ligament croisé antérieur sain. J Traumatol Sport 10:19–26

    Google Scholar 

  21. Chatain F, Adeleine P, Chambat P et al (2003) A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knee: 10 year minimum follow-up. Arthroscopy 10:842–849

    Article  Google Scholar 

  22. Charrois O, Ayral X, Beaufils P (1998) Chondrolyse rapide après méniscectomie externe arthroscopique. Rev Chir Orthop 84:88–92

    CAS  PubMed  Google Scholar 

  23. Beauvis P et al (2006) Le ménisque latéral de l’adulte. Rev Chir Orthop 92(5):2S 169–2S 194

    Google Scholar 

  24. Aglietti P, Menchetti PP (2000) Distal femoral varus osteotomy in the valgus osteoarthritis knee. Am J Knee Surg 13:89–95

    CAS  PubMed  Google Scholar 

  25. Bouyarmane H, Beaufils P, Pujol N et al (2014) Polyurethane scaffold in lateral meniscus segmental defects: clinical outcomes at 24 months follow-up. Orthop Traumatol Surg Res 100(1):153–157

    Article  CAS  PubMed  Google Scholar 

  26. Marti R, Verhagen R, Kerkhoffs G et al (2001) Proximal tibial varus osteotomy: indications, techniques and five to twenty-one-year result. J Bone Joint Surg Am 83:164–170

    PubMed  Google Scholar 

  27. Verdonk R, Verdonk P, Heinrichs EL (2010) Polyurethane meniscus implant. In: Beaufils F, Verdonk R (eds) The meniscus. Springer, Heidelberg, pp 389–394

    Chapter  Google Scholar 

  28. Zaffagnini S, Muccioli GMM, Lopomp N et al (2011) Prospective long-term outcome of the medial collagen meniscus implant versus partial medial meniscectomy. Am J Sports Med 39:977–985

    Article  PubMed  Google Scholar 

  29. Verdonk P, Van Laer M, Atar ML et al (2010) titel verwijzing?? In: Beaufils F, Verdonk R (eds) The meniscus. Springer, Heidelberg, pp 349–363

    Chapter  Google Scholar 

  30. Verdonk P, Demurie A, Almqvist KF et al (2005) Transplantation of viable meniscal allograft: survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am 87:715–724

    Article  PubMed  Google Scholar 

  31. Stone KR, Walgenbach AW, Turek TJ et al (2006) Meniscus allograft survival in patients with moderate to severe unicompartmental arthritis: a 2 to 7-year follow-up. Arthroscopy 22:469–478

    Article  PubMed  Google Scholar 

  32. Rodeo SA (2001) Meniscal allografts – where do we stand? Am J Sports Med 29:246–261

    CAS  PubMed  Google Scholar 

  33. Verdonk P, Demurie A, Almqvist KF et al (2006) Transplantation of viable meniscal allograft. J Bone Joint Surg Am 88(S1):109–118

    PubMed  Google Scholar 

  34. Goble EM, Verdonk R, Kohn D (1999) Arthroscopic and open surgical techniques for meniscus replacement – meniscal allograft transplantation and tendon autograft transplantation. Scan J Med Sci Sports 9:168–176

    Article  CAS  Google Scholar 

  35. Wirth CJ, Peters G, Milachowski KA et al (2002) Long-term results of meniscal allograft transplantation. Am J Sports Med 30:174–181

    PubMed  Google Scholar 

  36. Noyes FR, Barber-Westin SD, Rankin M (2004) Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg 86A:1392–1404

    Google Scholar 

  37. van Arkel ER, Goei R, de Ploeg I et al (2000) Meniscal allografts: evaluation with magnetic resonance imaging and correlation with arthroscopy. Arthroscopy 16:517–521

    Article  PubMed  Google Scholar 

  38. van Arkel ER, de Boer HH (2002) Survival analysis of human meniscal transplantation. J Bone Joint Surg 84B:227–231

    Article  Google Scholar 

  39. Sekiya JK, West RV, Groff YJ et al (2006) Clinical outcomes following isolated lateral meniscal allograft transplantation. Arthroscopy 22:771–780

    Article  PubMed  Google Scholar 

  40. von Lewinski G, Milachowski KA, Weismeier K et al (2007) Twenty-years results of combined meniscal allograft transplantation, anterior cruciate ligament reconstruction and advancement of the medial collateral ligament. Knee Surg Sports Traumatol Arthrosc 15:1072–1082

    Article  Google Scholar 

  41. Milachowski KA, Weismeier K, Wirth CJ (1989) Homologous meniscus transplantation. Experimental and clinical results. Int Orthop 13:1–11

    Article  CAS  PubMed  Google Scholar 

  42. Dienst M, Kohn D (2006) Die allogene Meniskustransplantation – allogenic meniscus transplantation. Oper Orthop Traumatol 5:463–480

    Article  Google Scholar 

  43. Wittvrouw E, Thys Y (2010) Rehabilitation after meniscectomy. In: Beaufils F, Verdonk R (eds) The meniscus. Springer, Heidelberg, pp 147–154

    Chapter  Google Scholar 

  44. Lederman E (2002) Harmonic techniques. Churchill Living-Stone, Edingburgh

    Google Scholar 

  45. Palmieri-Smith RM, Kreinbrink J, Ashton-Miller JA et al (2007) Quadriceps inhibition induced by an experimental knee joint effusion affects knee joint mechanics during a single-legged drop landing. Am J Sports Med 35:1269–1275

    Article  PubMed  Google Scholar 

  46. Becker R, Brettschneider O, Grobel KH (1995) Distraction forces on repaired bucket-handle lesions in the medial meniscus. Am J Sports Med 34:1941–1947

    Article  Google Scholar 

  47. Richards DP, Barber FA, Herbert MA (2005) Compressive loads in longitudinal lateral meniscus tears: a biomechanical study in porcine knees. Arthroscopy 21:1452–1456

    Article  PubMed  Google Scholar 

  48. Boisrenoult P, Pujol N (2010) Arthroscopic techniques with bald plugs. In: Beaufils F, Verdonk R (eds) The meniscus. Springer-Verlag, Heidelberg, pp 343–347

    Chapter  Google Scholar 

  49. Barrie HJ (1979) The pathogenesis and significance of meniscal cysts. J Bone Joint Surg (Br) 61:184–189

    Google Scholar 

  50. Ferrer-Rocca O, Vilalta C (1980) Lesions of the meniscus. Part 1: macroscopic and histologic findings. Clin Orthop 146:289–300

    Google Scholar 

  51. Ferrer-Rocca O, Vilalta C (1980) Lesions of the meniscus. Part 2: horizontal cleavages and lateral cysts. Clin Orthop 146:301–307

    Google Scholar 

  52. Hulet C, Schiltz D, Locker B, Beguin J et al (1998) Les kystes du ménisque latéral: étude rétrospective de 105 kystes traits par arthroscopie avec 5 ans de recul. Rev Chir Orthop 84:531–538

    CAS  PubMed  Google Scholar 

  53. Hulet C, Menetrey J, Beaufils et al (2014) Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years. Knee Surg Sports Traumatol Arthrosc (Epub ahead of print)

    Google Scholar 

  54. Reagan WD, Mcconkey JP, Loomer RL et al (1989) Cysts of the lateral meniscus: arthroscopy versus arthroscopy plus open cystectomy. Arthroscopy 5:274–281

    Article  CAS  PubMed  Google Scholar 

  55. Pedowitz EA, Feagin JA, Rajagopalan S (1996) A surgical algorithm for treatment of cystic degeneration of the meniscus. Arthroscopy 12:209–216

    Article  CAS  PubMed  Google Scholar 

  56. Chambat P, Neyret P, la SFA (1997) Résultats à 10 ans des méniscectomies arthroscopiques sur genou stable. Ann Soc Fr Arthroscop 95–154

    Google Scholar 

  57. Ramadier JO, Beaufils P, Dupont JY et al (1983) Ménisectomies arthroscopiques. Résultats à court et à moyen terme. Rev Chir Orthop 69:581–590

    CAS  PubMed  Google Scholar 

  58. Tabib W, Beaufils P, Prudhon JL et al (1993) Ménisectomies externs arthroscopiques. Résultats à court et à moyen terme de 95 ans. J Trauma Sport 10:19–26

    Google Scholar 

  59. Jaureguito JW, Elliot JS, Lietner T et al (1995) The effects of partial lateral meniscectomy in an otherwise normal knee: a retrospective review of functional, clinical and radiographic results. Arthroscopy 11:29–36

    Article  CAS  PubMed  Google Scholar 

  60. Chassaing V, Parier J, Artigala P (1985) L’arthroscopie opératoire dans le traitement du kyste du ménisque externe. J Med Lyon 66:449–453

    Google Scholar 

  61. Maffuli N, Petricciuolo F, Pintore E (1991) Lateral meniscal cyst: arthroscopic management. Med Sci Sports Exerc 23:779–782

    Google Scholar 

  62. Beaufils P, Frank A (1995) L’arthroscopie dans les lesions méniscales dégéneratives et dans l’arthrose fémoro-tibiale avérée. Ann Orthop Ouest 27:19–21

    Google Scholar 

  63. Barthel T, Pesch R, Lippert M et al (1995) Arthroskopische Behandlung des lateralen Scheibemeniskus. Arthroskopie 8:12–18

    Google Scholar 

  64. Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Clin Orthop Relat Res 167:19–28

    PubMed  Google Scholar 

  65. Monleau J, Leon A, Cugat R et al (1998) Ring-shaped lateral meniscus. Arthroscopy 14:502–504

    Article  Google Scholar 

  66. Smillie I (1948) The congenital discoid meniscus. J Bone Joint Surg (Br) 30:671–682

    Google Scholar 

  67. Watanabe M, Takeda S, Ikeuchi H (1979) Atlas of arthroscopy. Springer, Berlin

    Google Scholar 

  68. Rao PS, Rao SK, Paul R (2001) Clinical radiologic, and arthroscopic assessment of discoid lateral meniscus. Arhtroscopy 17:275–277

    Article  Google Scholar 

  69. Pellacci F, Montanari G, Prosperi P et al (1992) Lateral discoid meniscus: treatment and results. Arthroscopy 8:526–530

    Article  CAS  PubMed  Google Scholar 

  70. Hayashi LK, Yamaga H, Ida K et al (1988) Arthroscopic meniscectomy for discoid lateral meniscus in children. J Bone Joint Surg Am 70:1945–1500

    Google Scholar 

  71. Aichroth PM, Patel DV, Marx CL (1991) Congenital discoid lateral meniscus in children. A follow-up study and evolution of management. J Bone Joint Surg (Br) 73:932–936

    CAS  Google Scholar 

  72. Matsumoto H, Suda Y, Otani T et al (2000) Meniscoplasty for osteochondritis dissecans of bilateral lateral femoral condyle combined with discoid meniscus: case report. J Trauma 49:964–966

    Article  CAS  PubMed  Google Scholar 

  73. Kaplan EB (1957) Discoid lateral meniscus of the knee joint; nature, mechanism, and operative treatment. J Bone Joint Surg Am 39:77–87

    PubMed  Google Scholar 

  74. Kim SJ, Yoo JH, Kim HK (1996) Arthroscopic one-piece excision technique for the treatment of symptomatic lateral discoid meniscus. Arthroscopy 12:752–755

    Article  CAS  PubMed  Google Scholar 

  75. Dickhaut SC, Delee JC (1982) The discoid lateral-meniscus syndrome. J Bone Joint Surg Am 64:1068–1073

    CAS  PubMed  Google Scholar 

  76. Rosenberg TD, Paulus LE, Parkter RD et al (1987) Discoid lateral meniscus: case report of arthroscopic attachment of a symptomatic Wrisberg-ligament type. Arthroscopy 3:277–282

    Article  CAS  PubMed  Google Scholar 

  77. Bellier G, Dupont J, Larrain M et al (1989) Lateral discoid menisci in children. Arthroscopy 5:52–56

    Article  CAS  PubMed  Google Scholar 

  78. Vandermeer RD, Cunningham FK (1989) Arthroscopic treatment of the discoid lateral meniscus: results of long-term follow-up. Arthroscopy 5:101–109

    Article  CAS  PubMed  Google Scholar 

  79. Chambat P, Neyret P (1996) Résults à long terme des méniscectomies arthroscopiques. Annales du congrès de la Société Française d’Arthroscopie

    Google Scholar 

  80. Youm T, Chen AL (2004) Discoid lateral evaluation and treatment. Am J Orthop 33:234–238

    PubMed  Google Scholar 

  81. Adachi N, Ochi M, Uchio Y et al (2004) Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear. Arthroscopy 20:536–542

    Article  PubMed  Google Scholar 

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Acknowledgment

This chapter is based on the long personal clinical and surgical experience of the author but also on the SOFCOT 2005 round table on the lateral meniscus, coordinated by P. Beaufils and P. Hardy.

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  1. Gent State University, St Pietersnieuwstraat, 9000, Ghent, Belgium

    Rene Verdonk

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  1. Rene Verdonk
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Correspondence to Rene Verdonk .

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  1. Knee Orthopaedics and Sport Traumatology Unit, Humanitas Research-IRCCS, Milan, Italy

    Piero Volpi

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Verdonk, R. (2015). Lateral Meniscus Injuries. In: Volpi, P. (eds) Football Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-18245-2_21

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  • DOI: https://doi.org/10.1007/978-3-319-18245-2_21

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