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Evaluation of the neurosensory function of the medial meniscus in humans

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dc.contributor.authorKARADAĞ SAYGI, NAİME EVRİM
dc.contributor.authorsSaygi, B; Yildirim, Y; Berker, N; Ofluoglu, D; Karadag-Saygi, E; Karahan, M
dc.date.accessioned2022-03-12T17:22:28Z
dc.date.available2022-03-12T17:22:28Z
dc.date.issued2005
dc.description.abstractPurpose: Menisci are known to have receptors mainly concentrated at the anterior and posterior horns. Although they are purported to send afferent impulses to the central nervous system, this function has not been thoroughly evaluated. The purpose of the study was to investigate whether stimulation of the menisci initiates a cortical response. The reaction of the end organ to the reflex are is also evaluated. Type of Study: Prospective case series. Methods: Fourteen patients with normal medial menisci were included in the study. Different parts of the knee joint (the posterior horn and the body of the medial meniscus, the medial femoral condyle, the capsule, and the joint space) were electrically stimulated by a probe during arthroscopy. The cortical response was monitored with somatosensory-evoked potentials (SEPs). The compound muscle action potentials (CMAPs) of the semi membranosus, quadriceps, and biceps femoris muscles were also monitored with electroneuromyography (ENMG). Results: Among the stimulated parts, only the posterior horn of the meniscus produced cortical responses. No response was obtained with stimulation of the medial femoral condyle, the body of the medial meniscus, the capsule, or the joint space. Stimulation of the posterior horn of the medial meniscus produced a measurable amount of CMAP latency for the semimembranosus muscle, but not for the quadriceps and biceps femoris muscles. Conclusions: Stimulation of the posterior horn of the medial meniscus produces reproducible cortical SEPs and results in ENMG-verified response of the semimembranosus muscle where no response of the sernimembranosus muscle is detected with stimulation of the other parts of the knee. Clinical Relevance: The knowledge that only the horns of the medial meniscus have mechanoreceptors in the medial compartment of the knee helps to understand patients' signs and symptoms in medial compartment disease.
dc.identifier.doi10.1016/j.arthro.2005.09.006
dc.identifier.issn0749-8063
dc.identifier.pubmed16376237
dc.identifier.urihttps://hdl.handle.net/11424/228416
dc.identifier.wosWOS:000234485700010
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.relation.ispartofARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectmeniscus
dc.subjectsomatosensory evoked potentials
dc.subjectelectroneuromyography
dc.subjectneurosensory
dc.subjectsemimembranosus
dc.subjectANTERIOR CRUCIATE LIGAMENT
dc.subjectKNEE
dc.subjectMECHANORECEPTORS
dc.subjectINNERVATION
dc.subjectJOINT
dc.titleEvaluation of the neurosensory function of the medial meniscus in humans
dc.typearticle
dspace.entity.typePublication
local.avesis.idc5d0910b-cf0d-48ee-94e8-2d191e01b2a7
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.journal.numberofpages5
oaire.citation.endPage1472
oaire.citation.issue12
oaire.citation.startPage1468
oaire.citation.titleARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
oaire.citation.volume21
relation.isAuthorOfPublication5ac4517a-f739-4f83-b6fc-a6f81630bca8
relation.isAuthorOfPublication.latestForDiscovery5ac4517a-f739-4f83-b6fc-a6f81630bca8

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