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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2015

01.01.2015 | Knee

Evaluation of the morphological variations of the meniscus: a cadaver study

verfasst von: Keinosuke Ryu, Takanori Iriuchishima, Midori Oshida, Akiyoshi Saito, Yuki Kato, Yasuaki Tokuhashi, Shin Aizawa

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2015

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Abstract

Purpose

The purpose of this study was to reveal the prevalence of the subtypes of the meniscus using human cadaver knees.

Methods

Four hundred and thirty-seven cadaveric knees in 219 subjects (formalin fixed, Japanese population) with a median age of 83 years (54–97) were included in this study. All soft tissues surrounding the knee, excluding the meniscus, were resected, and macroscopic assessment of the meniscus was performed. Meniscus subtypes were classified as: (1) normal meniscus, (2) complete discoid, (3) incomplete discoid, (4) ring-shaped, and (5) double-layered.

Results

All subtypes of the meniscus were observed in the lateral meniscus. Complete discoid lateral meniscus was observed in 27 knees (6.2 %), incomplete discoid lateral meniscus was observed in 139 knees (31.8 %), ring-shaped lateral meniscus was observed in 4 knees (0.9 %), and double-layered meniscus was observed in 2 knees (0.5 %).

Conclusion

This study reports the accurate prevalence of ring-shaped and double-layered meniscus. None of the subtypes were detected in the medial meniscus in this study. For clinical relevance, the results of this study can be useful in assisting the diagnosis of meniscus tear in clinical situations.
Literatur
1.
Zurück zum Zitat Akgün I, Heybeli N, Bagatur E, Karadeniz N (1998) Bilateral discoid medial menisci: an adult patient with symmetrical radial tears in both knees. Arthroscopy 14:512–517PubMedCrossRef Akgün I, Heybeli N, Bagatur E, Karadeniz N (1998) Bilateral discoid medial menisci: an adult patient with symmetrical radial tears in both knees. Arthroscopy 14:512–517PubMedCrossRef
2.
Zurück zum Zitat Arnold MP, Van Kampen A (2000) Symptomatic ring-shaped lateral meniscus. Arthroscopy 16:852–854PubMedCrossRef Arnold MP, Van Kampen A (2000) Symptomatic ring-shaped lateral meniscus. Arthroscopy 16:852–854PubMedCrossRef
3.
Zurück zum Zitat Atay OA, Aydingöz U, Doral MN, Tetik O, Leblebicioğlu G (2002) Symptomatic ring-shaped lateral meniscus: magnetic resonance imaging and arthroscopy. Knee Surg Sports Traumatol Arthrosc 10:280–283PubMedCrossRef Atay OA, Aydingöz U, Doral MN, Tetik O, Leblebicioğlu G (2002) Symptomatic ring-shaped lateral meniscus: magnetic resonance imaging and arthroscopy. Knee Surg Sports Traumatol Arthrosc 10:280–283PubMedCrossRef
4.
Zurück zum Zitat Bae JH, Lim HC, Hwang DH, Song JK, Byun JS, Nha KW (2012) Incidence of bilateral discoid lateral meniscus in an Asian population: an arthroscopic assessment of contralateral knees. Arthroscopy 28:936–941PubMedCrossRef Bae JH, Lim HC, Hwang DH, Song JK, Byun JS, Nha KW (2012) Incidence of bilateral discoid lateral meniscus in an Asian population: an arthroscopic assessment of contralateral knees. Arthroscopy 28:936–941PubMedCrossRef
5.
Zurück zum Zitat Casscells SW (1978) Gross pathological change in the knee joint of the aged individual: a study of 300 cases. Clin Orthop Relat Res 132:225–232PubMed Casscells SW (1978) Gross pathological change in the knee joint of the aged individual: a study of 300 cases. Clin Orthop Relat Res 132:225–232PubMed
6.
Zurück zum Zitat Chen LX, Ao YF, Yu JK, Miao Y, Leung KK, Wang HJ, Lin L (2013) Clinical features and prognosis of discoid medial meniscus. Knee Surg Sports Traumatol Arthrosc 21:398–402PubMedCrossRef Chen LX, Ao YF, Yu JK, Miao Y, Leung KK, Wang HJ, Lin L (2013) Clinical features and prognosis of discoid medial meniscus. Knee Surg Sports Traumatol Arthrosc 21:398–402PubMedCrossRef
7.
Zurück zum Zitat Flouzat-Lachaniette CH, Pujol N, Boisrenoult P, Beaufils P (2011) Discoid medial meniscus: report of four cases and literature review. Orthop Traumatol Surg Res 97:826–832PubMedCrossRef Flouzat-Lachaniette CH, Pujol N, Boisrenoult P, Beaufils P (2011) Discoid medial meniscus: report of four cases and literature review. Orthop Traumatol Surg Res 97:826–832PubMedCrossRef
8.
Zurück zum Zitat Ginés-Cespedosa A, Monllau JC (2007) Symptomatic ring-shaped medial meniscus. Clin Anat 20:994–995PubMedCrossRef Ginés-Cespedosa A, Monllau JC (2007) Symptomatic ring-shaped medial meniscus. Clin Anat 20:994–995PubMedCrossRef
9.
Zurück zum Zitat Hwang SH, Jung KA, Lee WJ, Yang KH, Lee DW, Carter A, Park CH, Hunter DJ (2012) Morphological changes of the lateral meniscus in end-stage lateral compartment osteoarthritis of the knee. Osteoarthr Cartil 20:110–116PubMedCrossRef Hwang SH, Jung KA, Lee WJ, Yang KH, Lee DW, Carter A, Park CH, Hunter DJ (2012) Morphological changes of the lateral meniscus in end-stage lateral compartment osteoarthritis of the knee. Osteoarthr Cartil 20:110–116PubMedCrossRef
10.
Zurück zum Zitat Kaplan EB (1957) Discoid lateral meniscus of the knee joint. J Bone Joint Surg Am 39:77–87PubMed Kaplan EB (1957) Discoid lateral meniscus of the knee joint. J Bone Joint Surg Am 39:77–87PubMed
11.
Zurück zum Zitat Karataglis D, Dramis A, Learmonth DJA (2006) Double-layered lateral meniscus. A rare anatomical aberration. Knee 13:415–416PubMedCrossRef Karataglis D, Dramis A, Learmonth DJA (2006) Double-layered lateral meniscus. A rare anatomical aberration. Knee 13:415–416PubMedCrossRef
12.
Zurück zum Zitat Kato Y, Oshida M, Aizawa S, Saito A, Ryu J (2004) Discoid lateral menisci in Japanese cadaver knees. Mod Rheumatol 14:154–159PubMedCrossRef Kato Y, Oshida M, Aizawa S, Saito A, Ryu J (2004) Discoid lateral menisci in Japanese cadaver knees. Mod Rheumatol 14:154–159PubMedCrossRef
14.
Zurück zum Zitat Makris EA, Hadidi P, Athanasiou KA (2011) The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials 32:7411–7431PubMedCentralPubMedCrossRef Makris EA, Hadidi P, Athanasiou KA (2011) The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials 32:7411–7431PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Pandey V, Dinesh KV, Acharya KK, Rao PS (2010) Ring meniscus mistaken for incomplete discoid meniscus: a case report and review of literature. Knee Surg Sports Traumatol Arthrosc 18:543–545PubMedCrossRef Pandey V, Dinesh KV, Acharya KK, Rao PS (2010) Ring meniscus mistaken for incomplete discoid meniscus: a case report and review of literature. Knee Surg Sports Traumatol Arthrosc 18:543–545PubMedCrossRef
16.
Zurück zum Zitat Pauli C, Grogan SP, Patil S (2011) Macroscopic and histopathologic analysis of human knee menisci in aging and osteoarthritis. Osteoarthr Cartil 19:1132–1141PubMedCentralPubMedCrossRef Pauli C, Grogan SP, Patil S (2011) Macroscopic and histopathologic analysis of human knee menisci in aging and osteoarthritis. Osteoarthr Cartil 19:1132–1141PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Suzuki S, Mita F, Ogishima H (1991) Double layered meniscus: a newly found anomaly. Arthroscopy 7:267–271PubMedCrossRef Suzuki S, Mita F, Ogishima H (1991) Double layered meniscus: a newly found anomaly. Arthroscopy 7:267–271PubMedCrossRef
18.
19.
Zurück zum Zitat Takayama K, Kuroda R, Matsumoto T, Araki D, Fujita N, Tei K, Mifune Y, Oe K, Matsushita T, Kubo S, Kinoshita K, Matsumoto A, Kurosaka M (2009) Bilateral double-layered lateral meniscus: a report of two cases. Knee Surg Sports Traumatol Arthrosc 17:1336–1339PubMedCrossRef Takayama K, Kuroda R, Matsumoto T, Araki D, Fujita N, Tei K, Mifune Y, Oe K, Matsushita T, Kubo S, Kinoshita K, Matsumoto A, Kurosaka M (2009) Bilateral double-layered lateral meniscus: a report of two cases. Knee Surg Sports Traumatol Arthrosc 17:1336–1339PubMedCrossRef
20.
Zurück zum Zitat Wang Q, Liu X, Liu S, Bai Y (2011) Double-layered lateral meniscus. Knee Surg Sports Traumatol Arthrosc 19:2050–2051PubMedCrossRef Wang Q, Liu X, Liu S, Bai Y (2011) Double-layered lateral meniscus. Knee Surg Sports Traumatol Arthrosc 19:2050–2051PubMedCrossRef
21.
Zurück zum Zitat Watanabe M, Takada S, Ikeuchi H (1969) Atlas of arthroscopy. Igaku-Shoin, Tokyo Watanabe M, Takada S, Ikeuchi H (1969) Atlas of arthroscopy. Igaku-Shoin, Tokyo
22.
Zurück zum Zitat Watson-Jones R (1930) Specimen of internal semilunar cartilage as a complete disc. Proc R Soc Med 23:1588–1589 Watson-Jones R (1930) Specimen of internal semilunar cartilage as a complete disc. Proc R Soc Med 23:1588–1589
Metadaten
Titel
Evaluation of the morphological variations of the meniscus: a cadaver study
verfasst von
Keinosuke Ryu
Takanori Iriuchishima
Midori Oshida
Akiyoshi Saito
Yuki Kato
Yasuaki Tokuhashi
Shin Aizawa
Publikationsdatum
01.01.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2015
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2612-y

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