SynthesisArchives of orthopaedic and trauma surgery2023
The meniscotibial ligament role in meniscal extrusion: a systematic review and meta-analysis.
Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 17 citations in OpenAlex.
- Standardized MRI nomenclature for knee meniscal lesions: SSR consensus panel report.Skeletal radiology · 2026Review
- Medial meniscal stabilizers, variants, and injuries of the knee.Skeletal radiology · 2026Review
- Clinical efficacy of ramp lesion treatment: a systematic review and meta analysis study.European journal of translational myology · 2026Article
- Meniscal extrusion increases with age: Decade-specific magnetic resonance imaging reference values.Journal of experimental orthopaedics · 2026Article
- Relationship between medial meniscus extrusion and osteophyte formation in early-stage knee osteoarthritis: an ultrasound-based multicenter cross-sectional study.Journal of medical ultrasonics (2001) · 2026Article
- Meniscotibial ligament pockets on MRI are associated with radiographic severity of medial knee osteoarthritis.Scientific reports · 2026Article
- Increased medial meniscus extrusion on ultrasonography in highly competitive rugby players: A cross-sectional study.PloS one · 2026Article
- Biomechanical analysis of medial tibial cartilage by 7T magnetic resonance imaging and digital volume correlation: a preliminary study of variations caused meniscus ramp lesions.Journal of orthopaedic surgery and research · 2025Article
- Arthroscopic Medial Meniscus Posterior Root Repair and Centralization With Medial Capsulodesis Using a Knotless Soft Anchor.Arthroscopy techniques · 2025Article
- Pediatric Meniscotibial Ligament Complex Anatomy and Biomechanics.Orthopaedic journal of sports medicine · 2025Article
- Meniscal centralization significantly improve clinical outcomes and reduce meniscal extrusion with minimal complications: A systematic review.Journal of experimental orthopaedics · 2025Review
- Meniscal extrusion: Proposal for a novel qualitative classification.Journal of experimental orthopaedics · 2025Review
- Arthroscopic Belt Capsulodesis Using a Knotless Soft Suture Anchor for Extruded Medial Meniscus.Arthroscopy techniques · 2024Article
- Longitudinal changes in medial meniscus extrusion and clinical outcomes following pullout repair for medial meniscus posterior root tears: a 3-year evaluation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Effect of inside-out meniscal repair on meniscal dimension in meniscal tear patients.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe meniscotibial ligament (MTL) limits extrusion of the medial meniscus (MM). While meniscal extrusion may be detrimental to knee joint biomechanics, the role of the MTL in meniscal extrusion is debatable. We sought to perform a systematic review and meta-analysis to evaluate the role of the MTL and surgical techniques for MTL repair. MATERIALS AND
methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines we searched PubMed, Cochrane Library, and Embase for: (("Meniscotibial") OR ("Coronary") OR ("Ramp")) AND ("Extrusion"). After screening and applying eligibility criteria, data were extracted for MTL pathology types ("traumatic" ruptures or "induced" injuries) and meniscal extrusion. A meta-analysis evaluated the mean difference of extrusion between "intact" MTLs (native or repaired) and "injured" MTLs (induced or traumatic). We further performed a subgroup analysis between traumatic and induced MTL lesions.
resultsThis systematic review included six studies, which all evaluated MM extrusion. There were 74 knees with induced MTL injuries and 19 knees with traumatic MTL ruptures. Study designs were heterogenic and utilized three types of MTL repair procedures. The meta-analysis included 18 human knees and revealed that sectioning the MTL created a 2.92 mm [- 0.18 to 6.03] MM extrusion, while MTL repair decreased MM extrusion by - 2.11 mm [- 3.03 to - 1.21].
conclusionsMTL injury may result in approximately 3 mm of MM extrusion, while repair of the MTL can decrease extrusion by 2 mm. Several novel surgical techniques exist to repair the MTL. However, studies reporting clinical outcomes of these various procedures are scarce.
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