Cumulative knee adduction moment during jogging causes temporary medial meniscus extrusion in healthy volunteers
Tóm tắt
The cumulative knee adduction moment (KAM) is a key parameter evaluated for the prevention of overload knee injuries on the medial compartment. Medial meniscus extrusion (MME), typical in hoop dysfunctions, is a measure for the cumulative mechanical stress in individual knees; however, its correlation with cumulative KAM is unknown. The aim of this study was to investigate the effect of temporary overload stress on MME and its correlation with cumulative KAM. Thirteen healthy asymptomatic volunteers (13 knees) were recruited for a cohort study (mean age, 23.1 ± 3.3 years; males: n = 8). The cumulative KAM was calculated using a three-dimensional motion analysis system, in addition to the number of steps taken while jogging uphill or downhill. MME was evaluated using ultrasound performed in the standing position. The evaluations were performed four times: at baseline (T0), before and after (T1 and T2, respectively) jogging uphill or downhill, and 1 day after (T3) jogging. Additionally, the Δ-value was calculated using the change of meniscus after efforts as the difference in MME between T1 and T2. The MME in T2 was significantly greater than those in T0 and T1. Conversely, the MME in T3 was significantly lesser than that in T2. No significant difference was found between those in T0 and T1, and T3. ΔMME exhibited a significant positive correlation with the cumulative KAM (r = 0.68, p = 0.01), but not for peak KAM. The temporary reaction of MME observed in ultrasound correlates with the cumulative stress of KAM.
Tài liệu tham khảo
Andriacchi TP, Koo S, Scanlan SF. Gait mechanics influence healthy cartilage morphology and osteoarthritis of the knee. J Bone Joint Surg Am. 2009;91:95–101.
Boocock M, McNair P, Cicuttini F, et al. The short-term effects of running on the deformation of knee articular cartilage and its relationship to biomechanical loads at the knee. Osteoarthritis Cartilage. 2009;17:883–90.
Lad NK, Liu B, Ganapathy PK, et al. Effect of normal gait on in vivo tibiofemoral cartilage strains. J Biomech. 2016;49:2870–6.
Driban JB, Hootman JM, Sitler MR, et al. Is participation in certain sports associated with knee osteoarthritis? A systematic review. J Athl Train. 2017;52:497–506.
Klets O, Mononen ME, Liukkonen MK, et al. Estimation of the effect of body weight on the development of osteoarthritis based on cumulative stresses in cartilage: data from the osteoarthritis initiative. Ann Biomed Eng. 2018;46:334–44.
Gessel T, Harrast MA. Running dose and risk of developing lower-extremity osteoarthritis. Curr Sports Med Rep. 2019;18:201–9.
Hurwitz DE, Ryals AB, Case JP, et al. The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res. 2002;20:101–7.
Miyazaki T, Wada M, Kawahara H, et al. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis. 2002;61:617–22.
Maly MR, Robbins SM, Stratford PW, et al. Cumulative knee adductor load distinguishes between healthy and osteoarthritic knees–a proof of principle study. Gait Posture. 2013;37:397–401.
Krause WR, Pope MH, Johnson RJ, et al. Mechanical changes in the knee after meniscectomy. J Bone Joint Surg Am. 1976;58:599–604.
Jones RS, Keene GCR, Learmonth DJA, et al. Direct measurement of hoop strains in the intact and torn human medial meniscus. Clin Biomech Bristol Avon. 1996;11:295–300.
Hunter DJ, Zhang YQ, Niu JB, et al. The association of meniscal pathologic changes with cartilage loss in symptomatic knee osteoarthritis. Arthritis Rheum. 2006;54:795–801.
Breitenseher MJ, Trattnig S, Dobrocky I, et al. MR imaging of meniscal subluxation in the knee. Acta Radiol. 1997;38:876–9.
Marzo JM, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications. Am J Sports Med. 2009;37:124–9.
Adams JG, McAlindon T, Dimasi M, et al. Contribution of meniscal extrusion and cartilage loss to joint space narrowing in osteoarthritis. Clin Radiol. 1999;54:502–6.
Murakami T, Enokida M, Kawaguchi K, et al. Useful ultrasonographic evaluation of the medial meniscus as a feature predicting the onset of radiographic knee osteoarthritis. J Orthop Sci. 2017;22:318–24.
Ishii Y, Ishikawa M, Kurumadani H, et al. Increase in medial meniscal extrusion in the weight-bearing position observed on ultrasonography correlates with lateral thrust in early-stage knee osteoarthritis. J Orthop Sci. 2020;25:640–6.
Ko CH, Chan KK, Peng HL. Sonographic imaging of meniscal subluxation in patients with radiographic knee osteoarthritis. J Formos Med Assoc. 2007;106:700–7.
Ishii Y, Ishikawa M, Hayashi S, et al. The correlation between osteoarthritis stage and the effect of the lateral wedge insole for 3 months on medial meniscus extrusion in the knee joint. Knee. 2020;28:110–6.
Ishii Y, Ishikawa M, Nakashima Y, et al. Knee adduction moment is correlated with the increase in medial meniscus extrusion by dynamic ultrasound in knee osteoarthritis. Knee. 2022;38:82–90.
Diermeier T, Beitzel K, Bachmann L, et al. Mountain ultramarathon results in temporary meniscus extrusion in healthy athletes. Knee Surg Sports Traumatol Arthrosc. 2019;27:2691–7.
van Schooten KS, Rispens SM, Elders PJ, et al. Assessing physical activity in older adults: required days of trunk accelerometer measurements for reliable estimation. J Aging Phys Act. 2015;23:9–17.
Robbins SMK, Birmingham TB, Jones GR, et al. Developing an estimate of daily cumulative loading for the knee: examining test-retest reliability. Gait Posture. 2009;30:497–501.
Ishii Y, Ishikawa M, Nakashima Y, et al. Association between medial meniscus extrusion under weight-bearing conditions and pain in early-stage knee osteoarthritis. J Med Ultrason. 2021;48:631–8.
Yoon CH, Kim HS, Ju JH, et al. Validity of the sonographic longitudinal sagittal image for assessment of the cartilage thickness in the knee osteoarthritis. Clin Rheumatol. 2008;27:1507–16.
Ishii Y, Deie M, Fujita N, et al. Effects of lateral wedge insole application on medial compartment knee osteoarthritis severity evaluated by ultrasound. Knee. 2017;24:1408–13.
Vanwanseele B, Eckstein F, Smith RM, et al. The relationship between knee adduction moment and cartilage and meniscus morphology in women with osteoarthritis. Osteoarthritis Cartilage. 2010;18:894–901.
Maly MR. Abnormal and cumulative loading in knee osteoarthritis. Curr Opin Rheumatol. 2008;20:547–52.
Choi CJ, Choi YJ, Lee JJ, et al. Magnetic resonance imaging evidence of meniscal extrusion in medial meniscus posterior root tear. Arthroscopy. 2010;26:1602–6.
Furumatsu T, Kodama Y, Kamatsuki Y, et al. Meniscal extrusion progresses shortly after the medial meniscus posterior root tear. Knee Surg Relat Res. 2017;29:295–301.
Krych AJ, Bernard CD, Leland DP, et al. Isolated meniscus extrusion associated with meniscotibial ligament abnormality. Knee Surg Sports Traumatol Arthrosc. 2020;28:3599–605.
Paletta GA, Crane DM, Konicek J, et al. Surgical treatment of meniscal extrusion: a biomechanical study on the role of the medial meniscotibial ligaments with early clinical validation. Orthop J Sports Med. 2020;8:2325967120936672.
Neogi DS, Kumar A, Rijal L, et al. Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root. J Orthop Traumatol. 2013;14:193–9.
Faucett SC, Geisler BP, Chahla J, et al. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: clinical and economic effectiveness. Am J Sports Med. 2019;47:762–9.
Herwig J, Egner E, Buddecke E. Chemical changes of human knee joint menisci in various stages of degeneration. Ann Rheum Dis. 1984;43:635–40.
Bhosale AM, Richardson JB. Articular cartilage: structure, injuries and review of management. Br Med Bull. 2008;87:77–95.
Sophia Fox AJ, Bedi A, Rodeo SA. The basic science of articular cartilage: structure, composition, and function. Sports Health. 2009;1:461–8.
Stehling C, Luke A, Stahl R, et al. Meniscal T1rho and T2 measured with 3.0T MRI increases directly after running a marathon. Skeletal Radiol. 2011;40:725–35.
Eckstein F, Hudelmaier M, Putz R. The effects of exercise on human articular cartilage. J Anat. 2006;208:491–512.
Ishii Y, Nakashima Y, Ishikawa M, et al. Dynamic ultrasonography of the medial meniscus during walking in knee osteoarthritis. Knee. 2020;27:1256–62.