Highlights a New Clinical Sign Which Point Out a Meniscus Posterior Luxation Because of a MCA-type DLM
Conditions
Keywords
discoid lateral meniscus, children, instability, arthroscopy, repair, lack of flexion, flexion block knee
Brief summary
Highlighted during the clinical examination of a knee flexion asymmetry, and related to the intraoperative meniscal observations on DLM. Search for a link between asymmetric bending defect and posterior shift in MCA-type DLM. Analysis of all patients with symptomatic DLM.
Interventions
DIAGNOSTIC_TESTFind a link between lack of knee flexion and meniscal posterior luxation fixed
Measure the full flexion angle of the knee using a goniometer. Measure the heel-buttom distance. All measurements are carried out in bilateral and comparative ways. Search for the meniscal position on MRI and intraoperatively: no shift, anterior, medial, posterior shift.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* \< 18 yo * Symptomatic discoid lateral meniscus
Exclusion criteria
* Osteochondritis dissecans (OCD) * Asymptomatic and partial DLM observed during arthroscopic exploration for other reasons * Revision knee surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Meniscal posterior shift per-operative | During surgery for MCA-type DLM | Visualization of a dislocated posterior meniscus during arthroscopy, before any reduction or meniscoplasty procedure |
Countries
France
Outcome results
None listed