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Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
Orthopaedic Surgery Service, Letterman Army Medical Center, San Francisco, California
The human knee joint represents a complex biome chanical system of which the menisci are an integral component. At present, little data exists describing the meniscal kinematics of the intact knee. Accordingly, a three-dimensional reconstruction magnetic resonance image model was used to explore this issue.
Five fresh cadaveric knees were examined by mag netic resonance imaging throughout a full range of motion at 10° intervals. Computer three-dimensional images of the menisci were generated and evaluated for anteroposterior excursion and deformation. During flexion, the posterior excursion of the medial meniscus was 5.1 mm, while that of the lateral meniscus was 11.2 mm. The anterior horn segments were shown to be more mobile than the posterior horn segments bilat erally.
Prior limitations of meniscal kinematic assessment may be overcome with advanced imaging techniques such as magnetic resonance imaging and three-dimen sional reconstruction. The menisci are highly mobile and easily deformed structures within the intact, cadav eric knee. This imaging technique may prove useful in the elucidation of meniscal dynamics. In the future, similar techniques may be applied clinically to aid in the diagnosis of joint dysfunction.
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