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POSTER ABSTRACTS - ISAKOS

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increased until 48W and the MM decreased in<br />

120W (P < 0.01). No significant feature of DT was<br />

observed. IT of LC, MC and LTP, which was the<br />

highest in 3W, significantly decreased in 8W (P <<br />

0.01) and the value was maintained until 120W.<br />

Contrary to them, IT of MTP was the lowest in 3W.<br />

It slightly and insignificantly increased in 8W, then<br />

it was maintained until 48W and significantly<br />

increased in 120W (P < 0.01). Actual thickness of<br />

cartilage observed was agreed with the data of IT.<br />

Discussion: Ultrasonic evaluation revealed<br />

maturation-dependent change of cartilage,<br />

especially in MM and IT. In any sites, stiffness of<br />

cartilage, which was represented as MM, was low<br />

in 3W. Although most of data indicated that<br />

cartilage became stiff in 24W or 48W, there were<br />

some differences after 48W. In LC, MC and MTP,<br />

MM was significantly or insignificantly decreased<br />

in 48W or 120W, i.e. the cartilage became soft, but<br />

in LTP, MM was maintained the value after 24W,<br />

i.e. the cartilage maintained stiff. Data of surface<br />

irregularity, which was represented as DT,<br />

revealed that the surface of cartilage was smooth<br />

regardless of maturation. Results of IT indicated<br />

that thin cartilage of MTP in 3W became thick in<br />

120W, which is late stage of maturation, and that<br />

thick cartilage of LC, MC and LTP became thin in<br />

8W, which is early stage of maturation.<br />

Conclusion: Although the number of animals was<br />

limited, maturation-dependent change in stiffness<br />

and thickness was revealed. The differences in the<br />

maturation-dependent change at the 4 sites may<br />

suggest which site is easy to be affected after the<br />

late stage (120W) of maturation.<br />

E-poster #720<br />

Arthroscopic Analysis of the Lateral Meniscal<br />

Variants<br />

Hee-Soo Kyung, Daegu, KOREA, Presenter<br />

Yong-Gu Kim, MD, Daegu, KOREA<br />

Joo-Chul Ihn, MD, Daegu, KOREA<br />

Seong-Ki Park, MD, Daegu, KOREA<br />

Kyungpook National University Hospital, Daegu,<br />

KOREA<br />

OBJECTIVES: The purpose of this study was<br />

arthroscopic analysis of the lateral meniscal<br />

variants.<br />

METHODS: 164 cases of 158 patients were<br />

analyzed in recent 10 years. This was 13.6% of the<br />

arthroscopic surgery and 28.2% of the arthroscopic<br />

meniscectomy in the same period. Male was 85,<br />

female 79 cases. The mean age was 27.9 years(3-<br />

62). Left side was 69, right side 81 cases. and 14<br />

cases(8.5%) were bilateral. We classified the types<br />

as complete, incomplete, Wrisberg, and ringshaped<br />

type. The tear pattern was simple<br />

transverse tear, complex transverse tear,<br />

longitudinal tear, complex tear, radial tear and<br />

central-wear tear. We also compared MRI and<br />

arthroscopic findings between ring-shaped<br />

meniscus and central-wear type of discoid<br />

meniscus.<br />

RESULTS: There were complete type 131 cases<br />

(79.9%), incomplete type 25 cases(15.2%), ringshaped<br />

meniscus 4 cases(2.4%), and Wrisberg<br />

type 4 cases(2.4%). About tear pattern, transverse<br />

tear was most common 54 cases(32.9%) with<br />

simple transverse tear 33 cases(20.1%) and<br />

complex transverse tear 21 cases(12.8%). And<br />

there were longitudinal 37 cases(22.6%), centralwear<br />

27 cases(16.4%), complex tear 14 cases(8.5%)<br />

and radial tear 12 cases(7.3%). Discoid meniscus<br />

without evidence of any tear were 20 cases<br />

(12.2%). We performed subtotal meniscectomy 77<br />

cases, partial 43 cases, total 24 cases and no<br />

resection 20 cases. Twelve patients(13 knees,<br />

7.9%) had osteochondritis dissecans of lateral<br />

femoral condyle: nine patients(10 knees) of them<br />

had central tear, two patients(2 knees) of them<br />

had simple horizontal tear, and one patient (1<br />

knee) had ring-shaped meniscus. Among 31 knees<br />

with central tear or ring-shaped meniscus, we<br />

reviewed 25 MR images, which were interpreted to<br />

all bucket-handle type tear of normal meniscus by<br />

trauma.<br />

CONCLUSIONS: Careful history about trauma and<br />

careful reading of MRI finding were very important<br />

for diagnosis of the discoid meniscus. It was<br />

essential to distinguish ring-shaped meniscus or<br />

central tear of discoid meniscus from the buckethandle<br />

tear of normal meniscus.<br />

E-poster #721<br />

Radial Displacement of the Torn Medial<br />

Meniscus on MRI<br />

Yoshiki Shiozaki, Sakai, Osaka, JAPAN, Presenter<br />

Shuji Horibe, Sakai, Osaka, JAPAN<br />

Takashi Natsu-ume, Sakai, Osaka, JAPAN<br />

Keisuke Kita, Suita, Osaka, JAPAN<br />

Konsei Shino, Habikino, Osaka, JAPAN<br />

Osaka Rosai Hospital, Sakai, Osaka, JAPAN<br />

INTRODUCTION: Radial displacement of the<br />

medial meniscus is considered loss of the<br />

meniscal function resulting in progression of<br />

varus osteoarthritis. However, either its etiology<br />

or correlation to osteoarthritis is unknown. The

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