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"Deep-frozen and cryopreserved meniscal allografts are the most frequently used ones in the clinical practice. The use of fresh grafts stays controversial but also has many followers."

"An application of sterilizing agents make the meniscal allograft free from the bacteria and viruses, but also it may cause serious structure changes. Therefore, choosing just one ideal method of meniscal allograft preservation and sterilization is complicated....."
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Cell Tissue Bank. 2014 Sep;15(3):307-17. doi: 10.1007/s10561-013-9396-7. Epub 2013 Sep 3.
Preservation and sterilization methods of the meniscal allografts: literature review.
Mickiewicz P1, Binkowski M, Bursig H, Wróbel Z.

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"To avoid errors in diagnosing meniscal tears, those interpreting MR examinations of the knee need to be aware of the attachments of the menisci and the normal variations in meniscal anatomy that may resemble a meniscal tear"
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AJR Am J Roentgenol. 2012 Sep;199(3):481-99. doi: 10.2214/AJR.12.8663.
How I diagnose meniscal tears on knee MRI.
De Smet AA.
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#knee   #meniscus  

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"The popliteus muscle-tendon unit forms robust attachments in the superior, inferior, medial, and lateral oblique aspects, highlighting its importance in posterolateral stability of the knee."
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AJR Am J Roentgenol. 2008 Feb;190(2):442-8. doi: 10.2214/AJR.07.2643.
Popliteomeniscal fascicles: anatomic considerations using MR arthrography in cadavers.
Peduto AJ1, Nguyen A, Trudell DJ, Resnick DL.
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#knee   #meniscus   #popliteus  

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"Radial tears of the medial meniscus posterior horn are common. Diagnosis of this tear is often difficult...."
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Arthroscopy. 2004 Apr;20(4):373-8.
Radial tears of the posterior horn of the medial meniscus.
Bin SI1, Kim JM, Shin SJ.
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#knee   #meniscus   #posteriorhorn  

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"All patients were found to have replication of their symptoms while placing the affected knee in the figure-4 position and were found to have lateral meniscal hypermobility due to tears of the popliteomeniscal fascicles on arthroscopic examination."
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Am J Sports Med. 2005 Aug;33(8):1231-6. Epub 2005 Jul 6.
Popliteomeniscal fascicle tears causing symptomatic lateral compartment knee pain: diagnosis by the figure-4 test and treatment by open repair.
LaPrade RF1, Konowalchuk BK.
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#knee   #meniscus   #popliteus  

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"Conventional radiographs are an unreliable method of evaluating for articular cartilage loss in patients with early osteoarthritis. Initial joint space narrowing on conventional radiographs is secondary to meniscal extrusion rather than thinning of articular cartilage in most cases."
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Clin Radiol. 1999 Aug;54(8):502-6.
Contribution of meniscal extrusion and cartilage loss to joint space narrowing in osteoarthritis.
Adams JG1, McAlindon T, Dimasi M, Carey J, Eustace S.
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#knee   #meniscus  

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"In the medial compartment, a posterior root tear of the medial meniscus caused a 25% increase in peak contact pressure compared with that found in the intact condition (p < 0.001). Repair restored the peak contact pressure to normal."
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J Bone Joint Surg Am. 2008 Sep;90(9):1922-31. doi: 10.2106/JBJS.G.00748.
Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy.
Allaire R1, Muriuki M, Gilbertson L, Harner CD.
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#knee   #meniscus   #meniscustears  

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"After partial meniscectomy rehabilitation protocol can be aggressive, because in the knee joint anatomical structure should not be protected during the healing phase"
"After meniscal sutures, there are two different rehabilitation approaches with regard to load granting, ROM recovery and sporting activities resumption timing.

Some authors in their studies allow a partial incremental loading for 4 weeks after surgery. Furthermore, knee joint is immobilizedin flexed position for 6 weeks after surgery and patient return to sports competitions is only after 5 or 6 months6.

Other authors have instead formulated a protocol for accelerated rehabilitation, with early full bearing as tolerated, no brace and immediate mobilization of the operated knee..."
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Muscles Ligaments Tendons J. 2012 Oct-Dec; 2(4): 295–301.
Published online Jan 21, 2013.
PMCID: PMC3666539
The meniscus tear: state of the art of rehabilitation protocols related to surgical procedures
Antonio Frizziero, Raffaello Ferrari, Erika Giannotti, Costanza Ferroni, Patrizia Poli, and Stefano Masiero
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#knee   #meniscus  

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"It is difficult to diagnose and treat popliteomeniscal fascicle tears. Furthermore, popliteomeniscal fascicle tears are difficult to identify with arthroscopy."
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Arthrosc Tech. 2012 Jun 23;1(1):e101-6. doi: 10.1016/j.eats.2012.04.004. Print 2012 Sep.
Popliteomeniscal fascicle tear: diagnosis and operative technique.
Shin HK1, Lee HS, Lee YK, Bae KC, Cho CH, Lee KJ.
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#knee   #meniscus  
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