SPECIFIC DIAGNOSTIC SIGNIFICANCE OF “RIPPLE SIGN” OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

RENShiyou ¹ , SUNLimang ¹ , CHENGuofei ¹ , JIANGChangqing ² , ZHANGXintao ² ,  ZHANGWentao ²

1. Clinical College, Anhui Medical University & Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036, P. R. China;
2. Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital;

Corresponding?author：

ZHANGWentao, Email: zhangwt2007@sina.cn

Keywords：

Medial femoral condyle; Ripple sign; Medial longitudinal meniscal tears; Diagnosis

DOI：

10.7507/1002-1892.20150006

Video：

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Objective To investigate the reliability of the "ripple sign" on the upper surface of the medial femoral condyle in the diagnosis of medial longitudinal meniscal tears under arthroscope. Methods Between June 2013 and June 2014, 56 patients with knee injuries were included. There were 35 males and 21 females with an average age of 22.2 years (range, 12-38 years). The causes of injury were sports in 40 cases, falling in 10 cases, and traffic accident in 6 cases. The injury was located at the left knee in 22 cases and at the right knee in 34 cases. The disease duration was 10-40 days (mean, 20.2 days). Of 56 patients, 15 cases had simple medial meniscal injury; 41 cases had combined injuries, including anterior cruciate ligament injury in 38 cases, posterior cruciate ligament injury in 2 cases, and patellar dislocation in 1 case. The "ripple sign" was observed under arthroscope before operation. Repair of medial meniscal injury and reconstruction of cruciate ligament were performed. Results The positive "ripple sign" was seen under arthroscope in all patients, who were diagnosed to have longitudinal meniscal tears, including 23 cases of mild "ripple sign", 28 cases of moderate "ripple sign", and 5 cases of severe "ripple sign". Conclusion The "ripple sign" on the upper surface of the medial femoral condyle is a reliable diagnostic evidence of medial longitudinal meniscal tears.

Citation： RENShiyou, SUNLimang, CHENGuofei, JIANGChangqing, ZHANGXintao, ZHANGWentao. SPECIFIC DIAGNOSTIC SIGNIFICANCE OF “RIPPLE SIGN” OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(1): 24-26. doi: 10.7507/1002-1892.20150006 Copy

1.	尚平, 許永濤, 廖全明, 等. 85例半月板損傷與關節軟骨損傷相關性研究. 生物骨科材料與臨床研究, 2004, 1(2):14-15.
2.	齊進, 夏亞一. 自體四股腘繩肌腱單束與雙束重建前交叉韌帶臨床療效的對比研究. 中國微創外科雜志, 2014, 14(1):12-15.
3.	Hensler D, Van Eck CF, Fu FH, et al. Anatomic anterior cruciate ligament reconstruction utilizing the double-bundle technique. J Orthop Sports Phys Ther, 2012, 42(3):184-195.
4.	李佳宇, 李巧紅, 趙亮, 等. 關節鏡下保留殘端雙股雙隧道后交叉韌帶重建術. 國際醫藥衛生導報, 2013, 19(9):1264-1268.
5.	Hensler D, Sillanpaa PJ, Schoettle PB. Medial patellofemoral ligament:anatomy, injury and treatment in the adolescent knee. Curr Opin Pediatr, 2014, 26(1):70-78.
6.	Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg (Br), 1961, 43-B:752-757.
7.	Anderson AF, Irrgang JJ, Dunn W, et al. Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med, 2011, 39(5):926-932.
8.	燕樹義, 高曉榮, 李學民, 等. 中老年人半月板損傷的關節鏡診斷治療. 中國修復重建外科雜志, 2006, 20(6):623-626.
9.	Widuchowski W, Widuchowski J, Trzaska T. Articular cartilage defects:Study of 25,124 knee arthroscopies. Knee, 2007, 14(3):177-182.
10.	廉會存. 60例半月板損傷并關節軟骨損傷的臨床觀察. 河南外科學雜志, 2013, 19(3):39-40.
11.	胡躍林, 楊森源, 田得祥. 半月板撕裂與股骨髁半月板區關節軟骨損傷的關系:附271例半月板手術治療病例分析. 中國運動醫學雜志, 1995, 14(2):79-83.
12.	劉祺, 郭林, 楊柳, 等. 膝關節半月板及股骨軟骨損傷關節鏡下標準化分區法及其臨床應用. 創傷外科雜志, 2007, 9(3):203-205.
13.	仝路. 股骨內髁虛擬軟骨缺損對膝關節軟骨、半月板應力的影響. 昆明:昆明醫科大學, 2013.
14.	李健輝, 馮世慶, 李建偉, 等. 髕內側滑膜皺襞與對應股骨內側髁軟骨損傷關系的探討. 中國矯形外科雜志, 2009, 17(16):1217-1220.
15.	Yoo JC, Ahn JH, Lee SH, et al. Increasing incidence of medial meniscal tears in nonoperatively treated anterior cruciate ligament insufficiency patients documented by serial magnetic resonance imaging studies. Am J Sports Med, 2009, 7(8):1478-1483.

1. 尚平, 許永濤, 廖全明, 等. 85例半月板損傷與關節軟骨損傷相關性研究. 生物骨科材料與臨床研究, 2004, 1(2):14-15.
2. 齊進, 夏亞一. 自體四股腘繩肌腱單束與雙束重建前交叉韌帶臨床療效的對比研究. 中國微創外科雜志, 2014, 14(1):12-15.
3. Hensler D, Van Eck CF, Fu FH, et al. Anatomic anterior cruciate ligament reconstruction utilizing the double-bundle technique. J Orthop Sports Phys Ther, 2012, 42(3):184-195.
4. 李佳宇, 李巧紅, 趙亮, 等. 關節鏡下保留殘端雙股雙隧道后交叉韌帶重建術. 國際醫藥衛生導報, 2013, 19(9):1264-1268.
5. Hensler D, Sillanpaa PJ, Schoettle PB. Medial patellofemoral ligament:anatomy, injury and treatment in the adolescent knee. Curr Opin Pediatr, 2014, 26(1):70-78.
6. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg (Br), 1961, 43-B:752-757.
7. Anderson AF, Irrgang JJ, Dunn W, et al. Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med, 2011, 39(5):926-932.
8. 燕樹義, 高曉榮, 李學民, 等. 中老年人半月板損傷的關節鏡診斷治療. 中國修復重建外科雜志, 2006, 20(6):623-626.
9. Widuchowski W, Widuchowski J, Trzaska T. Articular cartilage defects:Study of 25,124 knee arthroscopies. Knee, 2007, 14(3):177-182.
10. 廉會存. 60例半月板損傷并關節軟骨損傷的臨床觀察. 河南外科學雜志, 2013, 19(3):39-40.
11. 胡躍林, 楊森源, 田得祥. 半月板撕裂與股骨髁半月板區關節軟骨損傷的關系:附271例半月板手術治療病例分析. 中國運動醫學雜志, 1995, 14(2):79-83.
12. 劉祺, 郭林, 楊柳, 等. 膝關節半月板及股骨軟骨損傷關節鏡下標準化分區法及其臨床應用. 創傷外科雜志, 2007, 9(3):203-205.
13. 仝路. 股骨內髁虛擬軟骨缺損對膝關節軟骨、半月板應力的影響. 昆明:昆明醫科大學, 2013.
14. 李健輝, 馮世慶, 李建偉, 等. 髕內側滑膜皺襞與對應股骨內側髁軟骨損傷關系的探討. 中國矯形外科雜志, 2009, 17(16):1217-1220.
15. Yoo JC, Ahn JH, Lee SH, et al. Increasing incidence of medial meniscal tears in nonoperatively treated anterior cruciate ligament insufficiency patients documented by serial magnetic resonance imaging studies. Am J Sports Med, 2009, 7(8):1478-1483.

Chinese Journal of Reparative and Reconstructive Surgery

SPECIFIC DIAGNOSTIC SIGNIFICANCE OF “RIPPLE SIGN” OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS

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