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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
المؤلفون المشاركون
Kim, Sung-Hwan
Kim, Sung-Jae
Choi, Chong Hyuk
Jung, Min
Lee, Dong Hoon
Jin, Seokhwan
Park, Kun-Bo
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-23
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
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.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Jung, Min& Lee, Dong Hoon& Kim, Sung-Jae& Choi, Chong Hyuk& Kim, Sung-Hwan& Jin, Seokhwan…[et al.]. 2018. Preoperative Diagnosis and Treatment Outcomes of Incarcerated Inferiorly Displaced Flap Tear of the Medial Meniscus: Comparison between Flap Tears with and without Incarcerated Fragment. BioMed Research International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1127628
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Jung, Min…[et al.]. Preoperative Diagnosis and Treatment Outcomes of Incarcerated Inferiorly Displaced Flap Tear of the Medial Meniscus: Comparison between Flap Tears with and without Incarcerated Fragment. BioMed Research International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1127628
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Jung, Min& Lee, Dong Hoon& Kim, Sung-Jae& Choi, Chong Hyuk& Kim, Sung-Hwan& Jin, Seokhwan…[et al.]. Preoperative Diagnosis and Treatment Outcomes of Incarcerated Inferiorly Displaced Flap Tear of the Medial Meniscus: Comparison between Flap Tears with and without Incarcerated Fragment. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1127628
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1127628
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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