Acute and chronic menisco-capsular separation in the young athlete: diagnosis, treatment and results in thirty seven consecutive patients

Purpose Menisco-capsular separation (MCS) is an avulsion type of injury of the medial and/or lateral meniscus and is defined as detachment of the meniscus from its capsular attachment. The aims of this study were to show the results of arthroscopic all-inside menisco-capsular repair in a large numbe...

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Bibliographic Details
Published in:International orthopaedics 2015-05, Vol.39 (5), p.967-974
Main Authors: Hirtler, Lena, Unger, Julia, Weninger, Patrick
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthroscopy - methods
Athletic Injuries - diagnosis
Athletic Injuries - surgery
Child
Female
Humans
Joint Capsule - injuries
Knee Injuries - surgery
Knee Joint - surgery
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Pain Measurement
Physical Examination
Tibial Meniscus Injuries
Treatment Outcome
Young Adult
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Summary:Purpose Menisco-capsular separation (MCS) is an avulsion type of injury of the medial and/or lateral meniscus and is defined as detachment of the meniscus from its capsular attachment. The aims of this study were to show the results of arthroscopic all-inside menisco-capsular repair in a large number of consecutive patients with acute or chronic MCS, emphasise the advantages of this safe treatment option and stress the superiority of the treatment on the basis of thorough physical examination of the knee joint over magnetic resonance imaging (MRI) diagnosis in MCS. Methods We evaluated data of patients treated between October 2011 and July 2012. Inclusion and exclusion criteria were defined and demographic variables evaluated. All patients were examined physically and with MRI. Knee arthroscopy was performed and the MCS repaired through all-inside menisco-capsular repair. Postoperative treatment was standardised. Patients were followed up for at least 24 weeks. Results Thirty-seven athletes (12 women, 25 men) were evaluated. Only in six patients was MCS detected on MRI. In all patients, MCS was diagnosed via physical examination. Arthroscopic treatment led to significant ( p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-014-2657-7