POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
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