In vivo morphometry of menisci of the knee in South Indians: a preliminary study
Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surg...
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Published in | Biomedical Journal Vol. 37; no. 1; pp. 14 - 17 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Medknow Publications and Media Pvt. Ltd
2014
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Abstract | Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surgery.
Eighty menisci from 40 knee joints were analysed in each of three regions, the anterior horn, the mid body and the posterior horn. The thickness and width of the menisci were measured in sagittal and coronal T1-weighted and T2-weighted MRI images and analysed statistically.
The mean thickness of medial meniscus at the anterior horn, mid body, and posterior horn were 6.3 ± 1.1 mm, 5.2 ± 1.3 mm, and 6.9 ± 1.1 mm, respectively. The respective values for the lateral meniscus were 4.8 ± 0.7 mm, 6.4 ± 1.1 mm, and 7.0 ± 0.9 mm. The mean width of medial meniscus at the anterior horn, mid body, and posterior horn were 10.5 ± 1.2 mm, 7.8 ± 1 mm and 13.9 ± 0.9 mm, respectively. The widths of lateral meniscus at the same regions were 11.8 ± 1.4 mm, 8.6 ± 1.2 mm, and 12.0 ± 0.9 mm, respectively. The lateral meniscus was significantly wider than medial at the anterior horn and mid body (p = 0.00). In contrast, the posterior horn of medial meniscus was significantly wider than lateral meniscus. Both menisci were significantly wider at their posterior horn, followed by the anterior horn and were significantly narrower at their mid body.
The present study provides new information on the meniscal thickness and width in South Indians that can be used in planning of orthopaedic and arthroscopic surgeries of the knee joint. However, the study needs to be analyzed with a large sample size for the better interpretation. |
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AbstractList | Background: Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surgery. Methods: Eighty menisci from 40 knee joints were analysed in each of three regions, the anterior horn, the mid body and the posterior horn. The thickness and width of the menisci were measured in sagittal and coronal T1-weighted and T2-weighted MRI images and analysed statistically. Results: The mean thickness of medial meniscus at the anterior horn, mid body, and posterior horn were 6.3 +- 1.1 mm, 5.2 +- 1.3 mm, and 6.9 +- 1.1 mm, respectively. The respective values for the lateral meniscus were 4.8 +- 0.7 mm, 6.4 +- 1.1 mm, and 7.0 +- 0.9 mm. The mean width of medial meniscus at the anterior horn, mid body, and posterior horn were 10.5 +- 1.2 mm, 7.8 +- 1 mm and 13.9 +- 0.9 mm, respectively. The widths of lateral meniscus at the same regions were 11.8 +- 1.4 mm, 8.6 +- 1.2 mm, and 12.0 +- 0.9 mm, respectively. The lateral meniscus was significantly wider than medial at the anterior horn and mid body (p = 0.00). In contrast, the posterior horn of medial meniscus was significantly wider than lateral meniscus. Both menisci were significantly wider at their posterior horn, followed by the anterior horn and were significantly narrower at their mid body. Conclusion: The present study provides new information on the meniscal thickness and width in South Indians that can be used in planning of orthopaedic and arthroscopic surgeries of the knee joint. However, the study needs to be analyzed with a large sample size for the better interpretation. Background: Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surgery. Methods: Eighty menisci from 40 knee joints were analysed in each of three regions, the anterior horn, the mid body and the posterior horn. The thickness and width of the menisci were measured in sagittal and coronal T1-weighted and T2-weighted MRI images and analysed statistically. Results: The mean thickness of medial meniscus at the anterior horn, mid body, and posterior horn were 6.3 ± 1.1 mm, 5.2 ± 1.3 mm, and 6.9 ± 1.1 mm, respectively. The respective values for the lateral meniscus were 4.8 ± 0.7 mm, 6.4 ± 1.1 mm, and 7.0 ± 0.9 mm. The mean width of medial meniscus at the anterior horn, mid body, and posterior horn were 10.5 ± 1.2 mm, 7.8 ± 1 mm and 13.9 ± 0.9 mm, respectively. The widths of lateral meniscus at the same regions were 11.8 ± 1.4 mm, 8.6 ± 1.2 mm, and 12.0 ± 0.9 mm, respectively. The lateral meniscus was significantly wider than medial at the anterior horn and mid body (p = 0.00). In contrast, the posterior horn of medial meniscus was significantly wider than lateral meniscus. Both menisci were significantly wider at their posterior horn, followed by the anterior horn and were significantly narrower at their mid body. Conclusion: The present study provides new information on the meniscal thickness and width in South Indians that can be used in planning of orthopaedic and arthroscopic surgeries of the knee joint. However, the study needs to be analyzed with a large sample size for the better interpretation. Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surgery. Eighty menisci from 40 knee joints were analysed in each of three regions, the anterior horn, the mid body and the posterior horn. The thickness and width of the menisci were measured in sagittal and coronal T1-weighted and T2-weighted MRI images and analysed statistically. The mean thickness of medial meniscus at the anterior horn, mid body, and posterior horn were 6.3 ± 1.1 mm, 5.2 ± 1.3 mm, and 6.9 ± 1.1 mm, respectively. The respective values for the lateral meniscus were 4.8 ± 0.7 mm, 6.4 ± 1.1 mm, and 7.0 ± 0.9 mm. The mean width of medial meniscus at the anterior horn, mid body, and posterior horn were 10.5 ± 1.2 mm, 7.8 ± 1 mm and 13.9 ± 0.9 mm, respectively. The widths of lateral meniscus at the same regions were 11.8 ± 1.4 mm, 8.6 ± 1.2 mm, and 12.0 ± 0.9 mm, respectively. The lateral meniscus was significantly wider than medial at the anterior horn and mid body (p = 0.00). In contrast, the posterior horn of medial meniscus was significantly wider than lateral meniscus. Both menisci were significantly wider at their posterior horn, followed by the anterior horn and were significantly narrower at their mid body. The present study provides new information on the meniscal thickness and width in South Indians that can be used in planning of orthopaedic and arthroscopic surgeries of the knee joint. However, the study needs to be analyzed with a large sample size for the better interpretation. BACKGROUNDSince the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci using Magnetic Resonance Imaging (MRI) to establish standard dimensions of the normal medial and lateral meniscus as an aid to orthopaedic surgery.METHODSEighty menisci from 40 knee joints were analysed in each of three regions, the anterior horn, the mid body and the posterior horn. The thickness and width of the menisci were measured in sagittal and coronal T1-weighted and T2-weighted MRI images and analysed statistically.RESULTSThe mean thickness of medial meniscus at the anterior horn, mid body, and posterior horn were 6.3 ± 1.1 mm, 5.2 ± 1.3 mm, and 6.9 ± 1.1 mm, respectively. The respective values for the lateral meniscus were 4.8 ± 0.7 mm, 6.4 ± 1.1 mm, and 7.0 ± 0.9 mm. The mean width of medial meniscus at the anterior horn, mid body, and posterior horn were 10.5 ± 1.2 mm, 7.8 ± 1 mm and 13.9 ± 0.9 mm, respectively. The widths of lateral meniscus at the same regions were 11.8 ± 1.4 mm, 8.6 ± 1.2 mm, and 12.0 ± 0.9 mm, respectively. The lateral meniscus was significantly wider than medial at the anterior horn and mid body (p = 0.00). In contrast, the posterior horn of medial meniscus was significantly wider than lateral meniscus. Both menisci were significantly wider at their posterior horn, followed by the anterior horn and were significantly narrower at their mid body.CONCLUSIONThe present study provides new information on the meniscal thickness and width in South Indians that can be used in planning of orthopaedic and arthroscopic surgeries of the knee joint. However, the study needs to be analyzed with a large sample size for the better interpretation. |
Audience | General |
Author | Dinesh, K V N Dhananjaya, K V N Prashanth, K U Murlimanju, B V Prabhu, Latha V Poornima, Vinaya Mitra, Prasanna Ullal, Sonali Saralaya, Vasudha V |
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Cites_doi | 10.1016/j.arthro.2007.06.018 |
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References | Yoon (key-10.4103/2319-4170.117889-4) 2011 Chivers (key-10.4103/2319-4170.117889-3) 2009 key-10.4103/2319-4170.117889-8 Murlimanju (key-10.4103/2319-4170.117889-13) 2012 Murlimanju (key-10.4103/2319-4170.117889-9) 2010 Kurosaka (key-10.4103/2319-4170.117889-1) 1999 Haut (key-10.4103/2319-4170.117889-6) 2000 Almeida (key-10.4103/2319-4170.117889-10) 2004 Pollard (key-10.4103/2319-4170.117889-5) 1995 Stone (key-10.4103/2319-4170.117889-14) 1994 Dienst (key-10.4103/2319-4170.117889-7) 2007 Kale (key-10.4103/2319-4170.117889-12) 2006 key-10.4103/2319-4170.117889-15 Rico (key-10.4103/2319-4170.117889-16) 1997 Bloecker (key-10.4103/2319-4170.117889-17) 2012 Braz (key-10.4103/2319-4170.117889-11) 2010 Erbagci (key-10.4103/2319-4170.117889-2) 2004 |
References_xml | – start-page: 28 volume-title: The normal menisci: In vivo MRI measurements year: 2004 ident: key-10.4103/2319-4170.117889-2 publication-title: Surg Radiol Anat contributor: fullname: Erbagci – start-page: 1541 volume-title: Importance of independent measurement of width and length of lateral meniscus during preoperative sizing for meniscal allograft transplantation year: 2011 ident: key-10.4103/2319-4170.117889-4 publication-title: Am J Sports Med contributor: fullname: Yoon – start-page: 62 volume-title: Meniscus morphometric study in humans year: 2010 ident: key-10.4103/2319-4170.117889-11 publication-title: J Morphol Sci contributor: fullname: Braz – start-page: 271 volume-title: Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear year: 1999 ident: key-10.4103/2319-4170.117889-1 publication-title: Int Orthop contributor: fullname: Kurosaka – ident: key-10.4103/2319-4170.117889-8 – start-page: 34 volume-title: Effect of lateral meniscal allograft sizing on contact mechanics of the lateral tibial plateau: An experimental study in human cadaveric knee joints year: 2007 ident: key-10.4103/2319-4170.117889-7 publication-title: Am J Sports Med contributor: fullname: Dienst – start-page: 353 volume-title: Morphometric differences between the medial and lateral meniscus in healthy men: A three dimensional analysis using magnetic resonance imaging year: 2012 ident: key-10.4103/2319-4170.117889-17 publication-title: Cells Tissues Organs contributor: fullname: Bloecker – start-page: 975 volume-title: Anatomic variations of the shape of the menisci: A neonatal cadaver study year: 2006 ident: key-10.4103/2319-4170.117889-12 publication-title: Knee Surg Sports Traumatol Arthrosc contributor: fullname: Kale – start-page: 641 volume-title: 3D MRI volume sizing of knee meniscus cartilage year: 1994 ident: key-10.4103/2319-4170.117889-14 publication-title: Arthroscopy contributor: fullname: Stone – start-page: 228 volume-title: Use of roentgenography and magnetic resonance imaging to predict meniscal geometry determined with a three-dimensional coordinate digitizing system year: 2000 ident: key-10.4103/2319-4170.117889-6 publication-title: J Orthop Res contributor: fullname: Haut – start-page: 319 volume-title: Anatomy and physical examination of the knee menisci: A narrative review of the orthopedic literature year: 2009 ident: key-10.4103/2319-4170.117889-3 publication-title: J Can Chiropr Assoc contributor: fullname: Chivers – start-page: 684 volume-title: Radiographic sizing for meniscal transplantation year: 1995 ident: key-10.4103/2319-4170.117889-5 publication-title: Arthroscopy contributor: fullname: Pollard – start-page: 105 volume-title: Clinically oriented morphometric study of medial and lateral menisci of the knee joint in adult cadavers year: 2012 ident: key-10.4103/2319-4170.117889-13 publication-title: Clin Ter contributor: fullname: Murlimanju – start-page: 181 volume-title: Morphometric study of menisci of the knee joint year: 2004 ident: key-10.4103/2319-4170.117889-10 publication-title: Int J Morphol contributor: fullname: Almeida – start-page: 10 volume-title: Localización de lasrupturas meniscales en nuestro médio year: 1997 ident: key-10.4103/2319-4170.117889-16 publication-title: Rev Mex Ortop Traumato contributor: fullname: Rico – start-page: 1167 volume-title: Morphometric analysis of the menisci of the knee joint in South Indian human foetuses year: 2010 ident: key-10.4103/2319-4170.117889-9 publication-title: Int J Morphol contributor: fullname: Murlimanju – ident: key-10.4103/2319-4170.117889-15 doi: 10.1016/j.arthro.2007.06.018 |
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Snippet | Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the menisci... Background: Since the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of... BACKGROUNDSince the in vivo morphometric data on the menisci of the knee joint of Indian subjects are scarce, we hereby studied the width and thickness of the... |
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SubjectTerms | Adult Arthroscopy - methods Asian Continental Ancestry Group Female Humans Knee Knee - pathology Knee - surgery Knee Joint - pathology Knee Joint - surgery Magnetic Resonance Imaging - methods Male Medical examination menisci Menisci, Tibial - pathology Menisci, Tibial - surgery meniscus Meniscus (Anatomy) Methods Morphometrics (Biology) morphometry thickness width Young Adult |
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Title | In vivo morphometry of menisci of the knee in South Indians: a preliminary study |
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