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- W2155387307 abstract "Persistent post-operative loss of osseous homeostasis may identify knees at risk of early development of OA, whereas the restoration of osseous homeostasis may be an important marker that such knees are not at risk. Medial compartment arthrosis associated with loss of osseous homeostasis (positive technetium bone scan) is a well recognized long term sequelae in patients with documented medial meniscus tears. The temporal occurrence of this loss of osseous homeostasis has not to the present been shown. To report the preoperative scintigraphic imaging findings in 79 patients with MRI documented medial meniscus tears and normal radiographs. 79 adults (66 males and 13 females) without a history of prior injury or surgery between the ages of 27 and 61 (mean age 41) were included in the study. All patients had a normal preoperative Rosenberg x-ray (weight bearing PA radiograph) an MRI diagnostic of a structurally damaged medial meniscus, and a standard three-hour delayed technetium 99m-MDP bone scan of the knees. 77/79 (97%) of the technetium bone scans were positive (increased scintigraphic activity) manifesting loss of osseous homeostasis in the medial compartment of the knees with documented torn medial meniscus findings of in the face of normal structural bone imaging . All patients had surgical documentation of the medial meniscus tears. Loss of osseous homeostasis of the medial compartment of knees with documented medial meniscus tears was present at a time when the radiographic findings were normal. The conceptualization of the extent of the pathology in such patients needs to include loss of osseous homeostasis. Future studies documenting the post-operative history of surgically treated patients with medial meniscus tears may yield information of interest regarding the development of osteoarthritis (OA) of the knee. It is postulated that the persistent post-operative loss of osseous homeostasis may identify those knees as ones at risk of the early development of OA, whereas the restoration of osseous homeostasis may be an important marker that such knees are not at risk for the development of OA." @default.
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- W2155387307 date "2011-10-01" @default.
- W2155387307 modified "2023-09-27" @default.
- W2155387307 title "Paper # 268: Loss Of Osseous Homeostasis Is Present In Radiographically Normal Knees With Documented Medial Meniscus Tears" @default.
- W2155387307 doi "https://doi.org/10.1016/j.arthro.2011.08.268" @default.
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