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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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4. RESULTS<br />

All of the MR images of the loaded and unloaded knee were achieved. Imaging the knee<br />

while flexed to 25 degrees and internally rotating the foot under axial loading required 3<br />

repeats before motion artifact could be eliminated from the MR images. No motion<br />

artifact or other distortion was present on any of the final scans and no abnormal<br />

pathology was identified upon inspection of the MR images.<br />

Table 1: Meniscal translation during passive knee flexion relative to the menisci<br />

position in the unloaded, fully extended knee.<br />

Knee flexion/<br />

degrees<br />

Medial Meniscus Lateral Meniscus<br />

Posterior<br />

translation/<br />

mm<br />

Medial<br />

translation/<br />

mm<br />

Posterior<br />

translation/<br />

mm<br />

Medial<br />

translation/<br />

mm<br />

25 3.2 0.4 1.0 -3.2<br />

50 3.3 1.3 4.5 -3.6<br />

130 10.6 1.3 9.2 -6.4<br />

Table 1 shows the posterior motion of both menisci relative to the fully extended knee<br />

during passive knee flexion. The medial meniscus remains stationary between 25 and 50<br />

degrees knee flexion having initially translated 3.3mm posteriorly from the neutral<br />

position before translating a further 7.3mm in deep knee flexion. The lateral meniscus is<br />

more linear in its translation in the posterior direction during knee flexion up to a<br />

maximum of 9.2 mm in deep knee flexion.<br />

Figure 1: 2D representation of 3D meniscal displacement with 25° (left) 50° (middle)<br />

and 130° (right) passive knee flexion. Blue represents the tibial plateau, black the<br />

position of the menisci in the neutral position and red represents the menisci position<br />

with flexion. The arrows represent the change in meniscus centroid location. Right on<br />

the figure is the posterior direction while up is the lateral direction.

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