The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature
Abstract Background Popliteomeniscal 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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02290-z |
| _version_ | 1811280759788404736 |
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| author | Alessio D’Addona Andrea Izzo Giovanni Di Vico Donato Rosa Nicola Maffulli |
| author_facet | Alessio D’Addona Andrea Izzo Giovanni Di Vico Donato Rosa Nicola Maffulli |
| author_sort | Alessio D’Addona |
| collection | DOAJ |
| description | Abstract Background Popliteomeniscal 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. Methods PubMed, 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 included Results A 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. Conclusions MRI 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. |
| first_indexed | 2024-04-13T01:20:35Z |
| format | Article |
| id | doaj.art-01e724788171400a984fa664821b12eb |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T01:20:35Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-01e724788171400a984fa664821b12eb2022-12-22T03:08:46ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-02-011611910.1186/s13018-021-02290-zThe popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literatureAlessio D’Addona0Andrea Izzo1Giovanni Di Vico2Donato Rosa3Nicola Maffulli4A.O.U. Federico II, Department of Public Health, Section of Orthopaedics and Trauma SurgeryA.O.U. Federico II, Department of Public Health, Section of Orthopaedics and Trauma SurgeryDepartment of Orthopaedics and Trauma Surgery, Clinica San MicheleA.O.U. Federico II, Department of Public Health, Section of Orthopaedics and Trauma SurgeryDepartment of Musculoskeletal Disorders, University of SalernoAbstract Background Popliteomeniscal 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. Methods PubMed, 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 included Results A 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. Conclusions MRI 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.https://doi.org/10.1186/s13018-021-02290-zPopliteomeniscalFasciclesPostero-lateral cornerLateral meniscusArthroscopyRepair |
| spellingShingle | Alessio D’Addona Andrea Izzo Giovanni Di Vico Donato Rosa Nicola Maffulli The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature Journal of Orthopaedic Surgery and Research Popliteomeniscal Fascicles Postero-lateral corner Lateral meniscus Arthroscopy Repair |
| title | The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature |
| title_full | The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature |
| title_fullStr | The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature |
| title_full_unstemmed | The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature |
| title_short | The popliteomeniscal fascicles: from diagnosis to surgical repair: a systematic review of current literature |
| title_sort | popliteomeniscal fascicles from diagnosis to surgical repair a systematic review of current literature |
| topic | Popliteomeniscal Fascicles Postero-lateral corner Lateral meniscus Arthroscopy Repair |
| url | https://doi.org/10.1186/s13018-021-02290-z |
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