Atypically Displaced Meniscal Tears: An Educational Review with Focus on MRI and Arthroscopy.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Paolo Spinnato, Paola Franceschi, Giuseppe Martinese, Anna Parmeggiani, Valerio D'Agostino, Silvia Ferraro, George R Matcuk, Stefano Zaffagnini, Alberto Grassi
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引用次数: 0

Abstract

This review article on atypically displaced meniscal tears serves as a critical reminder for radiologists and orthopedic surgeons. It highlights and details uncommon lesions that may be overlooked during MRI evaluation and/or arthroscopic exploration. The knowledge of their existence can enable radiologists to critically assess any meniscal abnormality, keeping in mind its possible arthroscopic presentation. This is essential for assisting the surgeon in making an accurate preoperative diagnosis. In fact, these atypical lesions pose great challenges to surgeons in terms of the technical aspects of their treatment. Often, they could require additional arthroscopic portals for their identification or the need for special devices or instrumentations for the repair. Knowing these challenges in advance is thus imperative for properly planning a proficient surgery. The correct diagnosis and description of tear patterns, including extent and location, allow optimal pre-operative planning with the choice of the indicated approach. Radiologists should know how to recognize menisci tears, even with atypical dislocation patterns. Particularly, in the case of 'minus' detection or thickness reduction in a meniscus, the possible displaced fragment should be carefully searched for, even in atypical sites.

非典型移位的半月板撕裂:以MRI和关节镜为重点的教育回顾。
这篇关于非典型移位半月板撕裂的综述文章对放射科医生和骨科医生来说是一个重要的提醒。它强调并详细说明了MRI评估和/或关节镜检查过程中可能忽略的不常见病变。了解它们的存在可以使放射科医生批判性地评估任何半月板异常,并牢记其可能的关节镜表现。这对于帮助外科医生做出准确的术前诊断至关重要。事实上,这些非典型病变在治疗的技术方面给外科医生带来了巨大的挑战。通常,他们可能需要额外的关节镜通道来识别或需要特殊的装置或器械进行修复。因此,提前了解这些挑战对于正确规划熟练的手术是必要的。正确的诊断和描述撕裂模式,包括范围和位置,允许最佳的术前计划和选择指征入路。放射科医生应该知道如何识别半月板撕裂,即使是非典型脱位。特别是,在半月板“负”检测或厚度减少的情况下,即使在非典型部位,也应仔细寻找可能移位的碎片。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinics and Practice
Clinics and Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
4.30%
发文量
91
审稿时长
10 weeks
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