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Bony morphology of the knee and non-traumatic meniscal tears: Is there a role for meniscal impingement?

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Abstract

Objective

Meniscal tears are an important cause of morbidity. The aim of this study was to examine the relationship between non-traumatic meniscal tears and the intrinsic bony morphology of the knee.

Methods

A retrospective analysis of 160 knee MRI scans in 150 patients was carried out who met the following criteria: (a) age between 20 and 45 years, (b) no history of knee trauma, surgery, infection, metabolic bone disease, and (c) no collateral or cruciate ligamentous injury. The medial tibial slope (MTS), lateral tibial slope (LTS), medial tibial plateau depth (MTPD), and medial and lateral femoral condylar offset ratios were calculated. The anterior horn, body, and posterior horn of the menisci were graded as 0 (no tear), 1 and 2 (degenerative changes), or 3 (definitive tear). One-way ANOVA and linear regression was used for statistical analysis.

Results

In patients with grade 3 tears of the posterior horn of the medial meniscus, there was a significant association with shallower MTS (p < 0.05), smaller medial femoral offset ratio (p < 0.05) and smaller lateral femoral offset ratio (p < 0.05). Patients with grade 3 tears of anterior horn of the lateral meniscus had a significant association with shallower LTS (p < 0.05). No significant association was seen between MTPD and meniscal tears.

Conclusions

Our results suggest an association between bony morphology of the knee and non-traumatic meniscal tears. Shallower MTS and LTS may result in impingement of posterior horn of medial meniscus and anterior horn of lateral meniscus, respectively. Future kinematic studies will be needed to help confirm our findings.

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References

  1. Rytter S, Jensen LK, Bonde JP, Jurik AG, Egund N. Occupational kneeling and meniscal tears: a magnetic resonance imaging study in floor layers. J Rheumatol. 2009;36:1512–9.

    Article  PubMed  Google Scholar 

  2. Englund M, Guermazi A, Gale D, et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359:1108–15.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Bhattacharyya T, Gale D, Dewire P, et al. The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee. J Bone Joint Surg Am. 2003;85-A:4–9.

    PubMed  Google Scholar 

  4. Baker P, Reading I, Cooper C, Coggon D. Knee disorders in the general population and their relation to occupation. Occup Environ Med. 2003;60:794–7.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Church S, Keating JF. Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change. J Bone Joint Surg (Br). 2005;87:1639–42.

    Article  CAS  Google Scholar 

  6. McGuire DA, Barber FA, Hendricks SD. Meniscal impingement syndrome. Arthroscopy. 1996;12(6):675–9.

    Article  CAS  PubMed  Google Scholar 

  7. Hudek R, Schmutz S, Regenfelder F, Fuchs B, Koch PP. Novel measurement technique of the tibial slope on conventional MRI. Clin Orthop Relat Res. 2009;467(8):2066–72.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Johal P, Hassaballa MA, Eldridge JD, Porteous AJ. The posterior condylar offset ratio. Knee. 2012;19(6):843–5.

    Article  PubMed  Google Scholar 

  9. Cinotti G, Sessa P, Ripani FR, et al. Correlation between posterior offset of femoral condyles and sagittal slope of the tibial plateau. J Anat. 2012;221(5):452–8.

    Article  CAS  PubMed  Google Scholar 

  10. Cooper DE, Arnoczky SP, Warren RF. Meniscal repair. Clin Sports Med. 1991;10(3):529–48.

    CAS  PubMed  Google Scholar 

  11. Baker P, Coggon D, Reading I, et al. Sports injury, occupational physical activity, joint laxity, and meniscal damage. J Rheumatol. 2002;29:557–63.

    PubMed  Google Scholar 

  12. Snoeker BA, Bakker EW, Kegel CA, Lucas C. Risk factors for meniscal tears: a systematic review including meta-analysis. J Orthop Sports Phys Ther. 2013;43(6):352–67.

    Article  PubMed  Google Scholar 

  13. Metcalf MH, Barrett GR. Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees. Am J Sports Med. 2004;32(3):675–80.

    Article  PubMed  Google Scholar 

  14. Terzidis IP, Christodoulou A, Ploumis A, et al. Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation. Am J Sports Med. 2006;34(7):1170–5.

    Article  PubMed  Google Scholar 

  15. Messner K, Gao J. The menisci of the knee joint. Anatomical and functional characteristics, and a rationale for clinical treatment. J Anat. 1998;193:161–78.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Masouros SD, McDermott ID, Amis AA, Bull AM. Biomechanics of the meniscus-meniscal ligament construct of the knee. Knee Surg Sports Traumatol Arthrosc. 2008;16(12):1121–32.

    Article  CAS  PubMed  Google Scholar 

  17. Giffin JR, Vogrin TM, Zantop T, et al. Effects of increasing tibial slope on the biomechanics of the knee. Am J Sports Med. 2004;32(2):376–82.

    Article  PubMed  Google Scholar 

  18. Freeman MA, Pinskerova V. The movement of the normal tibio-femoral joint. J Biomech. 2005;38(2):197–208.

    Article  CAS  PubMed  Google Scholar 

  19. Hashemi J, Chandrashekar N, Mansouri H, et al. Shallow medial tibial plateau and steep medial and lateral tibial slopes: new risk factors for anterior cruciate ligament injuries. Am J Sports Med. 2010;38(1):54–62.

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Medical Imaging, Royal University Hospital, and College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, Saskatchewan, S7N 0W8, Canada

    Nasir Khan, Patrick McMahon & Haron Obaid

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  1. Nasir Khan
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  2. Patrick McMahon
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  3. Haron Obaid
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Correspondence to Haron Obaid.

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Khan, N., McMahon, P. & Obaid, H. Bony morphology of the knee and non-traumatic meniscal tears: Is there a role for meniscal impingement?. Skeletal Radiol 43, 955–962 (2014). https://doi.org/10.1007/s00256-014-1867-9

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  • DOI: https://doi.org/10.1007/s00256-014-1867-9

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