Artigo Revisado por pares

Localización de la arteria poplítea y su relación con el riesgo vascular en la sutura del cuerno posterior del menisco externo

2014; Elsevier BV; Volume: 59; Issue: 3 Linguagem: Inglês

10.1016/j.recot.2014.08.003

ISSN

2340-5392

Autores

M. Sanz-Pérez, D. García-Germán, J. Ruiz-Díaz, I. Navas-Pernía, J. Campo-Loarte,

Tópico(s)

Shoulder Injury and Treatment

Resumo

The proximity of the posterior horn of the lateral meniscus to the popliteal artery determines a risk of vascular injury in its suture. The aim of this study is to determine the location of the popliteal artery, and to establish the minimal distance from the posterior wall of the lateral meniscus to the artery, the common peroneal nerve (CPN), and its correlation to other variables.A total of 102 magnetic resonance studies were retrospectively reviewed from patients undergoing surgery at our institution. The axial section where the lateral meniscus could be clearly defined was selected, and the measurements were performed.The artery lay laterally to the midline in 94% of the cases. The minimal mean distance from the posterior wall of the lateral meniscus to the popliteal artery was 1.01cm. (0.32-1.74, SD: 0.304). The minimal mean distance to the CPN was 1.74cm. (0.75-2.87, SD: 0.374). No association was found between the minimal mean distance from the posterior wall to the popliteal artery with the height, weight, BMI, the lateral meniscus diameter, or the tibial plateau diameter. An association was found between the distance from the posterior wall to the CPN with the weight and the BMI.The proximity of the posterior horn to the popliteal artery should be considered when performing sutures. This distance is within the recommended depth for all-inside meniscus repair devices. This distance is not related to height, weight, BMI, lateral meniscus nor tibial plateau diameters.

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