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Preoperative Diagnosis and Treatment Outcomes of Incarcerated Inferiorly Displaced Flap Tear of the Medial Meniscus: Comparison between Flap Tears with and without Incarcerated Fragment

Authors
 Min Jung  ;  Dong Hoon Lee  ;  Sung-Jae Kim  ;  Chong Hyuk Choi  ;  Sung-Hwan Kim  ;  Seokhwan Jin  ;  Kun-Bo Park 
Citation
 BioMed Research International, Vol.2018 : 5941057, 2018 
Journal Title
 BioMed Research International 
ISSN
 2314-6133 
Issue Date
2018
Abstract
The purpose of this study was to compare preoperative variables and postoperative outcomes between flap tears with and without incarceration of inferiorly displaced fragments of medial meniscus and find distinct features of incarcerated flap tear of medial meniscus to improve preoperative diagnosis. 79 patients who underwent partial meniscectomy for flap tear of medial meniscus were classified into two groups: group U, usual flap tear without incarcerated fragment; group I, flap tear with incarcerated inferiorly displaced fragment. Patient characteristics and preoperative variables including duration of symptom aggravation were investigated. A comprehensive physical examination including joint line tenderness was performed. Magnetic resonance imaging (MRI) examination was carried out on all patients. Clinical assessments were performed with functional scores including visual analogue scale (VAS), and radiologic evaluation was conducted. Preoperative values and postoperative outcomes measured at the minimum follow-up duration of 2 years were compared between the groups. The groups did not differ significantly regarding postoperative outcomes by functional and radiological evaluations (p > 0.05). In making preoperative diagnosis, sensitivity of diagnosis based solely on MR images was significantly lower in group I (68.8%) than that in group U (90.5%) (p = 0.040). The following clinical features differed significantly between the groups: Patients in group I had higher scores in preoperative VAS (group U = 6.6; group I = 7.7) (p = 0.011) and shorter duration of symptom aggravation (group U = 13.8 weeks; group I = 3.9 weeks) (p < 0.001). Joint line tenderness was positive more distinctly in group I (100%) than in group U (74.6%). If displaced flap tear was properly resected, improved outcomes did not differ regardless of incarceration of flap tear. In diagnosing incarcerated inferiorly displaced flap tear, sensitivity of diagnosis based solely on MR images could be low. Distinguishing clinical findings would be helpful in obtaining a more appropriate diagnosis.
Files in This Item:
T201801679.pdf Download
DOI
10.1155/2018/5941057
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
김성재(Kim, Sung Jae)
김성환(Kim, Sung Hwan) ORCID logo https://orcid.org/0000-0001-5743-6241
박건보(Park, Kun Bo) ORCID logo https://orcid.org/0000-0002-8839-4870
이동훈(Lee, Dong Hoon)
정민(Jung, Min)
진석환(Jin, Seokhwan)
최종혁(Choi, Chong Hyuk)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162468
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