Anatomy and biomechanics of the meniscus

Abstract The menisci appear at approximately the 8th to 10th week of fetal development. They are discernible in the adult knee joint as crescent-shaped fibrocartilagenous wedges between the femoral and tibial condyles. Their unique design, structure, composition, and anatomic attachments allow the menisci to play an integral role in normal knee joint function. The primary biomechanical function of the meniscus is load transmission. Other functions include shock absorption, joint stability and congruity, and joint lubrication and nutrition.

[1]  E. Hershman,et al.  The Lower extremity and spine in sports medicine , 1986 .

[2]  M. Sweet,et al.  Canals in the semilunar meniscus: brief report. , 1988, The Journal of bone and joint surgery. British volume.

[3]  Russell F. Warren,et al.  Microvasculature of the human meniscus , 1982, The American journal of sports medicine.

[4]  R. Warren,et al.  The effect of medial meniscectomy on anterior-posterior motion of the knee. , 1982, The Journal of bone and joint surgery. American volume.

[5]  J. Langman,et al.  THE MENISCO-FEMORAL LIGAMENTS OF THE HUMAN KNEE. , 1964, The Journal of bone and joint surgery. British volume.

[6]  T. Fairbank Knee joint changes after meniscectomy. , 1948, The Journal of bone and joint surgery. British volume.

[7]  T. Taylor,et al.  Variation of collagenous and non-collagenous proteins of human knee joint menisci with age and degeneration. , 1974, Gerontologia.

[8]  J. Nicholas THE ORTHOPAEDIC RESEARCH SOCIETY , 1963 .

[9]  J. Garrett,et al.  Meniscal transplantation in the human knee: a preliminary report. , 1991, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[10]  J. Lysholm,et al.  Long-term results after early treatment of knee injuries. , 1982, Acta orthopaedica Scandinavica.

[11]  B B Seedhom,et al.  Transmission of the Load in the Knee Joint with Special Reference to the Role of the Menisci Part I: Anatomy, Analysis and Apparatus , 1979 .

[12]  K. Markolf,et al.  The role of the meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee. Effects of partial versus total excision. , 1986, The Journal of bone and joint surgery. American volume.

[13]  P. Bullough,et al.  The strength of the menisci of the knee as it relates to their fine structure. , 1970, The Journal of bone and joint surgery. British volume.

[14]  M. Macconaill,et al.  Studies in the mechanics of synovial joints , 1946, Irish journal of medical science.

[15]  Freddie H. Fu,et al.  Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images , 1991, The American journal of sports medicine.

[16]  A. M. Ahmed,et al.  In-vitro measurement of static pressure distribution in synovial joints--Part I: Tibial surface of the knee. , 1983, Journal of biomechanical engineering.

[17]  J R Moreland,et al.  In vivo stability testing of post-meniscectomy knees. , 1980, Clinical orthopaedics and related research.

[18]  I. Smillie Injuries of the Knee Joint , 1946, The Indian Medical Gazette.

[19]  R. Aspden,et al.  Collagen orientations in the meniscus of the knee joint. , 1985, Journal of anatomy.

[20]  J B Finlay,et al.  The effect of medial meniscectomy on strain distribution in the proximal part of the tibia. , 1984, The Journal of bone and joint surgery. American volume.

[21]  M. Sweet,et al.  A system of canals in semilunar menisci. , 1987, Annals of the rheumatic diseases.

[22]  S. Sonne-holm,et al.  Results after meniscectomy in 147 athletes. , 1980, Acta orthopaedica Scandinavica.

[23]  T. Fukubayashi,et al.  The contact area and pressure distribution pattern of the knee. A study of normal and osteoarthrotic knee joints. , 1980, Acta orthopaedica Scandinavica.

[24]  D. V. Davies,et al.  The blood supply of the synovial membrane and intra-articular structures. , 1948, Annals of the Royal College of Surgeons of England.

[25]  A. Wilson,et al.  Studies on the innervation of the medial meniscus in the human knee joint , 1969, The Anatomical record.

[26]  J. Kennedy,et al.  Nerve supply of the human knee and its functional importance , 1982, The American journal of sports medicine.

[27]  V C Mow,et al.  Material properties and structure-function relationships in the menisci. , 1990, Clinical orthopaedics and related research.

[28]  B. Day,et al.  The vascular and nerve supply of the human meniscus. , 1985, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[29]  Freddie H. Fu,et al.  Meniscal tears: The effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee , 1986, The American journal of sports medicine.

[30]  D G Wilder,et al.  Mechanical changes in the knee after meniscectomy. , 1976, The Journal of bone and joint surgery. American volume.

[31]  R. Scapinelli Studies on the vasculature of the human knee joint. , 1968, Acta anatomica.

[32]  E. Gardner,et al.  Prenatal development of the human knee and superior tibiofibular joints. , 1950, The American journal of anatomy.

[33]  A. Voloshin,et al.  Shock absorption of meniscectomized and painful knees: a comparative in vivo study. , 1983, Journal of biomedical engineering.

[34]  N. Shrive,et al.  Load-bearing in the knee joint. , 1978, Clinical orthopaedics and related research.

[35]  V C Mow,et al.  Material properties of the normal medial bovine meniscus , 1989, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[36]  C. E. Henning,et al.  Knee joint surface changes. Long-term follow-up meniscus tear treatment in stable anterior cruciate ligament reconstructions. , 1983, Clinical orthopaedics and related research.

[37]  Macconaill Ma The Function of Intra-Articular Fibrocartilages, with Special Reference to the Knee and Inferior Radio-Ulnar Joints , 1932 .

[38]  D B Kettelkamp,et al.  Factors effecting late results after meniscectomy. , 1974, The Journal of bone and joint surgery. American volume.

[39]  E. Gardner The innervation of the knee joint , 1948, The Anatomical record.

[40]  R. Warren,et al.  An in vitro biomechanical evaluation of anterior-posterior motion of the knee. Tibial displacement, rotation, and torque. , 1982, The Journal of bone and joint surgery. American volume.

[41]  T. Taylor,et al.  Variations in collagen, non-collagenous proteins, and hexosamine in menisci derived from osteoarthritic and rheumatoid arthritic knee joints. , 1975, The Journal of rheumatology.

[42]  D. Kettelkamp,et al.  Tibiofemoral contact area--determination and implications. , 1972, The Journal of bone and joint surgery. American volume.

[43]  W. Akeson,et al.  Blood supply to the normal and abnormal menisci of the human knee. , 1983, Clinical orthopaedics and related research.

[44]  P. Walker,et al.  The role of the menisci in force transmission across the knee. , 1975, Clinical orthopaedics and related research.

[45]  F. Jobe,et al.  Isolated lateral meniscectomy. A study of twenty-six patients with isolated tears. , 1979, The Journal of bone and joint surgery. American volume.

[46]  J. Noble,et al.  In defence of the meniscus. A prospective study of 200 meniscectomy patients. , 1980, The Journal of bone and joint surgery. British volume.

[47]  B B Seedhom,et al.  Transmission of the Load in the Knee Joint with Special Reference to the Role of the Menisci: Part II: Experimental Results, Discussion and Conclusions , 1979 .

[48]  J A Buckwalter,et al.  Injury and repair of the musculoskeletal soft tissues. Savannah, Georgia, June 18–20, 1987 , 1988, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[49]  R. Warren,et al.  The structure of the posterolateral aspect of the knee. , 1982, The Journal of bone and joint surgery. American volume.

[50]  L. J. McDERMOTT DEVELOPMENT OF THE HUMAN KNEE JOINT , 1943 .

[51]  R J Johnson,et al.  Anatomy and biomechanics of the menisci. , 1990, Clinics in sports medicine.

[52]  M. A. MacConaill,et al.  THE MOVEMENTS OF BONES AND JOINTS , 1948 .

[53]  Don King,et al.  The function of semilunar cartilages , 1936 .