Shin Hong-Kwan, Lee Hee-Sung, Lee Young-Kuk, Bae Ki-Cheor, Cho Chul-Hyun, Lee Kyung-Jae
Department of Orthopedic Surgery, Han-mi Hospital, Daegu, South Korea.
Arthrosc Tech. 2012 Jun 23;1(1):e101-6. doi: 10.1016/j.eats.2012.04.004. Print 2012 Sep.
The occurrence and the consistency of the popliteomeniscal fascicle between the popliteus tendon and the lateral meniscus have been the subject of debate. It is difficult to diagnose and treat popliteomeniscal fascicle tears. Furthermore, popliteomeniscal fascicle tears are difficult to identify with arthroscopy. This article describes the diagnostic factors for popliteomeniscal fascicle tears and the safe, effective operative techniques that can be used for their treatment. We suggest that popliteomeniscal fascicle tears are diagnosed when the following 3 conditions are confirmed: (1) existence of mechanical symptoms such as pain, locking, and giving way in the lateral compartment of the knee; (2) identification of hypermobility of the lateral meniscus through arthroscopic probing; and (3) occurrence of an osteochondral lesion in the posterior area of the lateral femoral condyle. In the case of popliteomeniscal fascicle tears, the tear area can be repaired with a suture hook and polydioxanone with an all-inside technique. If the joint space is narrowing because of soft-tissue tightness, it can be repaired with a zone-specific cannula through an inside-out technique.
腘肌腱与外侧半月板之间腘半月板束的出现情况及一致性一直是争论的焦点。腘半月板束撕裂难以诊断和治疗。此外，关节镜检查也很难识别腘半月板束撕裂。本文描述了腘半月板束撕裂的诊断因素以及可用于治疗的安全、有效的手术技术。我们建议，当确认以下3种情况时可诊断为腘半月板束撕裂：（1）膝关节外侧间室存在疼痛、绞锁和打软腿等机械症状；（2）通过关节镜探查发现外侧半月板活动度过高；（3）股骨外侧髁后部出现骨软骨损伤。对于腘半月板束撕裂的情况，可采用全内技术用缝合钩和聚二氧六环酮修复撕裂区域。如果由于软组织紧张导致关节间隙变窄，可通过由内向外技术使用区域特异性套管进行修复。
