The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature

Journal of Orthopaedic Surgery and Research

Andrea Izzo¹  Donato Rosa¹  Alessio D’Addona²  Nicola Maffulli³  Giovanni Di Vico⁴ 

[1] A.O.U. Federico II, Department of Public Health, Section of Orthopaedics and Trauma Surgery, Via S. Pansini 5, 80131, Naples, Italy;A.O.U. Federico II, Department of Public Health, Section of Orthopaedics and Trauma Surgery, Via S. Pansini 5, 80131, Naples, Italy;Humanitas Clinical and Research Center-IRCCS, Via Alessandro Manzoni 56, 20089, Rozzano, MI, Italy;Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy;Centre for Sports and Exercise Medicine, Mile End Hospital, Barts and The London School of Medicine and Dentistry, 275 Bancroft Road, E1 4DG, London, UK;Department of Orthopaedics and Trauma Surgery, Clinica San Michele, Maddaloni, CE, Italy;

关键词: Popliteomeniscal;    Fascicles;    Postero-lateral corner;    Lateral meniscus;    Arthroscopy;    Repair;   

DOI  :  10.1186/s13018-021-02290-z

来源: Springer

【 摘 要 】

BackgroundPopliteomeniscal fascicles (PMF) are considered the posterolateral meniscocapsular extensions which connect the lateral meniscus to the edge of the tibia. PMFs disruption leads to hypermobility of the lateral meniscus with pain and locking sensation. Recognition and treatment of PMFs tear remain very challenging. The aim of this systematic review is to collect and analyse the articles concerning popliteomeniscal fascicle disruption from diagnosis to surgical approach.MethodsPubMed, Scopus, Web of Science and EMBASE were searched. Various combinations of the keywords “Popliteomeniscal Fascicles”, “Lateral Meniscus”, “Popliteal Hiatus”, “Posterolateral Corner”, “Tear” and “Surgical Repair” were used. The original literature search identified a total of 85 articles comprising of duplicates. The PRISMA guidilines were followed. Studies in English language and published in peer-reviewed journals were included. Articles with level of evidence I to IV were includedResultsA total of three articles were included in the qualitative analysis. All the articles included are retrospective case series, with a level of evidence IV. Studies concerning patients with pre-operative imaging MRI and clinical assessment, reporting surgical technique and clinical outcomes assessed by physical examination and/or subjective evaluation scales were analysed.ConclusionsMRI and the Figure-4 test allow to assess PMF tears pre-operatively. Arthroscopic evaluation constitutes the gold standard to confirm the diagnosis. Although surgery is considered resolutive for symptoms, there is still controversy about the most appropriate technique. Further higher quality studies are required.

【 授权许可】

CC BY