Lewandrowski K U, Müller J, Schollmeier G
Department of Orthopaedic Surgery, Charité University Hospital, Berlin, Germany.
Am J Sports Med. 1997 Jul-Aug;25(4):486-94. doi: 10.1177/036354659702500411.
The frequency of concomitant meniscal and articular cartilage lesions in the femorotibial joint was analyzed in a retrospective study of 1740 knee joints examined arthroscopically with the objective of determining possible correlations between the two knee joint abnormalities. Articular cartilage lesions were found in 81.4% (N = 1416) of femorotibial joints examined and meniscal derangements were noted in 72.8% (N = 1268). In the medial compartment, concomitance was noted in 76.3% (821 of 1076) on the femoral condyles and in 48.6% (523 of 1076) on the tibial plateau. In the lateral compartment, 43.1% (212 of 492) of the knees with deranged menisci had femoral and 55.1% (271 of 492) had tibial articular lesions. Medial meniscal lesions were more frequently associated with femoral and tibial chondral degeneration than lateral meniscal derangements (P < 0.001). Longitudinal, bucket-handle, and complex tears of the medial meniscus were significantly more often associated with articular cartilage damage than horizontal cleavage, flap, or radial tears. Degeneration of the meniscus was highly correlated with chondral destruction in both compartments. No cause-and-effect relationship could be established, but practical implications of these findings are discussed.
在一项对1740个膝关节进行关节镜检查的回顾性研究中，分析了股胫关节中半月板和关节软骨损伤同时存在的频率，目的是确定这两种膝关节异常之间可能存在的相关性。在接受检查的股胫关节中，81.4%（N = 1416）发现有软骨损伤，72.8%（N = 1268）发现有半月板紊乱。在内侧间室，股骨髁上76.3%（1076例中的821例）以及胫骨平台上48.6%（1076例中的523例）存在两者并发情况。在外侧间室，半月板紊乱的膝关节中，43.1%（492例中的212例）股骨有损伤，55.1%（492例中的271例）胫骨有软骨损伤。内侧半月板损伤比外侧半月板紊乱更常与股骨和胫骨软骨退变相关（P < 0.001）。内侧半月板的纵向、桶柄状和复杂撕裂比水平劈裂、瓣状或放射状撕裂更常与关节软骨损伤相关。半月板退变在两个间室中均与软骨破坏高度相关。虽然无法确定因果关系，但讨论了这些发现的实际意义。
