Use of Dynamic Ultrasonography in the Evaluation of Meniscal Extrusion: A Technical Report

TL;DR

This paper introduces a new ultrasound method to assess meniscal displacement in real-time, offering a practical alternative to MRI for evaluating meniscal root injuries.

Contribution

The paper presents a novel bedside ultrasonography protocol for dynamically evaluating meniscal extrusion and repair integrity.

Findings

Dynamic ultrasonography can assess meniscal displacement under stress and motion.

The method provides real-time, load-responsive imaging useful for surgical planning and postoperative evaluation.

This technique serves as a practical adjunct to MRI in evaluating meniscal root injuries.

Abstract

Meniscal root tears can lead to extrusion with biomechanical consequences similar to total meniscectomy. This report describes a protocol for bedside ultrasonography (real-time ultrasound imaging at the point of care) for dynamic assessment of meniscal displacement before and after surgery. Using a 5-12 MHz linear probe, the meniscus is evaluated under stress and motion to assess reducibility and repair integrity. Unlike MRI, this method offers real-time, load-responsive imaging. Dynamic ultrasound serves as a practical adjunct to MRI, aiding surgical planning and improving postoperative assessment in patients with meniscal root injuries.

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