Evaluation of Medial Meniscal Extrusion Using Radiography
Recently, there has been increasing interest in medial meniscal extrusion (MME), but few reports have evaluated MME via X-ray. In this study, the amount of MME and meniscal height at the medial border of the tibia were measured via X-ray with gradation processing. The extrusion length divided by the...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/16/5268 |
| _version_ | 1797584335362064384 |
|---|---|
| author | Shohei Murata Hiroaki Kijima Kimio Saito Hidetomo Saito Takanori Miura Manabu Akagawa Hiroaki Tsukamoto Kana Sasaki Toshihito Ebina Koji Nozaka Naohisa Miyakoshi |
| author_facet | Shohei Murata Hiroaki Kijima Kimio Saito Hidetomo Saito Takanori Miura Manabu Akagawa Hiroaki Tsukamoto Kana Sasaki Toshihito Ebina Koji Nozaka Naohisa Miyakoshi |
| author_sort | Shohei Murata |
| collection | DOAJ |
| description | Recently, there has been increasing interest in medial meniscal extrusion (MME), but few reports have evaluated MME via X-ray. In this study, the amount of MME and meniscal height at the medial border of the tibia were measured via X-ray with gradation processing. The extrusion length divided by the meniscal height yields the meniscal extrusion ratio, which was used as an index. In addition, the medial meniscal length of the part protruding from the medial border of the tibia on MRI was measured as an absolute value. Then, the correlation between the meniscal extrusion ratio and the amount of MME on MRI was examined, and there was a strong correlation between the meniscal extrusion ratio via X-ray and the amount of MME on MRI (correlation coefficient 0.860, <i>p</i> < 0.0001). The cut-off value of the meniscal extrusion ratio via X-ray for positive meniscal extrusion on MRI was 0.50, with an AUC of 0.9825, sensitivity of 0.9063, and specificity of 0.8663. From the present study, it was possible to measure the extrusion length and meniscal height via gradation processing, with X-ray and without MRI, and to calculate the meniscal extrusion ratio, which strongly correlates with the amount of MME on MRI. |
| first_indexed | 2024-03-10T23:50:24Z |
| format | Article |
| id | doaj.art-5f2b1e144cd5464bb7980bec99377a76 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:50:24Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5f2b1e144cd5464bb7980bec99377a762023-11-19T01:40:37ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216526810.3390/jcm12165268Evaluation of Medial Meniscal Extrusion Using RadiographyShohei Murata0Hiroaki Kijima1Kimio Saito2Hidetomo Saito3Takanori Miura4Manabu Akagawa5Hiroaki Tsukamoto6Kana Sasaki7Toshihito Ebina8Koji Nozaka9Naohisa Miyakoshi10Akita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanAkita Sports Arthroscopy Knee Group (ASAKG), 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Kakunodate General Hospital, 3 Iwase, Senboku 014-0394, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanRecently, there has been increasing interest in medial meniscal extrusion (MME), but few reports have evaluated MME via X-ray. In this study, the amount of MME and meniscal height at the medial border of the tibia were measured via X-ray with gradation processing. The extrusion length divided by the meniscal height yields the meniscal extrusion ratio, which was used as an index. In addition, the medial meniscal length of the part protruding from the medial border of the tibia on MRI was measured as an absolute value. Then, the correlation between the meniscal extrusion ratio and the amount of MME on MRI was examined, and there was a strong correlation between the meniscal extrusion ratio via X-ray and the amount of MME on MRI (correlation coefficient 0.860, <i>p</i> < 0.0001). The cut-off value of the meniscal extrusion ratio via X-ray for positive meniscal extrusion on MRI was 0.50, with an AUC of 0.9825, sensitivity of 0.9063, and specificity of 0.8663. From the present study, it was possible to measure the extrusion length and meniscal height via gradation processing, with X-ray and without MRI, and to calculate the meniscal extrusion ratio, which strongly correlates with the amount of MME on MRI.https://www.mdpi.com/2077-0383/12/16/5268diagnostic imagingkneemedial meniscal extrusionradiographymagnetic resonance imaging |
| spellingShingle | Shohei Murata Hiroaki Kijima Kimio Saito Hidetomo Saito Takanori Miura Manabu Akagawa Hiroaki Tsukamoto Kana Sasaki Toshihito Ebina Koji Nozaka Naohisa Miyakoshi Evaluation of Medial Meniscal Extrusion Using Radiography Journal of Clinical Medicine diagnostic imaging knee medial meniscal extrusion radiography magnetic resonance imaging |
| title | Evaluation of Medial Meniscal Extrusion Using Radiography |
| title_full | Evaluation of Medial Meniscal Extrusion Using Radiography |
| title_fullStr | Evaluation of Medial Meniscal Extrusion Using Radiography |
| title_full_unstemmed | Evaluation of Medial Meniscal Extrusion Using Radiography |
| title_short | Evaluation of Medial Meniscal Extrusion Using Radiography |
| title_sort | evaluation of medial meniscal extrusion using radiography |
| topic | diagnostic imaging knee medial meniscal extrusion radiography magnetic resonance imaging |
| url | https://www.mdpi.com/2077-0383/12/16/5268 |
| work_keys_str_mv | AT shoheimurata evaluationofmedialmeniscalextrusionusingradiography AT hiroakikijima evaluationofmedialmeniscalextrusionusingradiography AT kimiosaito evaluationofmedialmeniscalextrusionusingradiography AT hidetomosaito evaluationofmedialmeniscalextrusionusingradiography AT takanorimiura evaluationofmedialmeniscalextrusionusingradiography AT manabuakagawa evaluationofmedialmeniscalextrusionusingradiography AT hiroakitsukamoto evaluationofmedialmeniscalextrusionusingradiography AT kanasasaki evaluationofmedialmeniscalextrusionusingradiography AT toshihitoebina evaluationofmedialmeniscalextrusionusingradiography AT kojinozaka evaluationofmedialmeniscalextrusionusingradiography AT naohisamiyakoshi evaluationofmedialmeniscalextrusionusingradiography |