Learning objectives
Describe imaging features associated with an all-inside meniscal repair using magnetic resonance imaging (MRI).
Demonstrate a crucial new element in the evaluation of meniscal repair,
through the use of suture tracks and anchors location.
Background
Menisci have a crucial role in knee biomechanics and the preservation of the integrity of the joint surface.
Currently,
the key to meniscal injuries treatment is the preservation of as much meniscal tissue as possible,
to reduce osteoarthrosis [1].
Late generations of the all-inside suture technique are the most used nowadays because they are easy to use,
avoidance of an accessory incision,
shorter operating times and less risk of neurovascular injuries [2].
The ideal tear to be repaired with sutures is a vertical,
longitudinal,
in...
Findings and procedure details
Magnetic resonance imaging (MRI) has demonstrated high sensibility and specificity in the diagnosis of meniscal lesions,
however,
accurate identification between normal cicatrization processes and re-tear is still challenging [11].
Accurate assessment of the postoperative knee on magnetic resonance imaging (MRI) requires a proper understanding of the procedures performed,
the normal postoperative imaging appearance as well as the potential complications,
and their imaging appearance [12].
In this regard,
the evaluation of meniscal suture tracks and anchors location has proven in our hands to be a key...
Conclusion
Evaluation of suture tracks and anchors location on all-inside meniscal repair has proven to be a key element in the characterization of the operated meniscus.
We have seen new patterns of tears associated with all-inside meniscal repair which seems associated with the repair technique.
In our knowledge,
none of these findings has been described in the medical literature.
Personal information
Dr.
Gonzalo Serrano Belmar.
MSK Radiology Fellowship Clínica Alemana / Universidad del Desarrollo.
MSK Radiology Research Fellowship University of California San Diego.
Department of Radiology Clínica Alemana de Santiago.
[email protected]
References
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