Análise dos parâmetros para a indicação da correção cirúrgica da lesão do ligamento colateral medial grau II, associada à lesão do ligamento cruzado anterior

• Ano de defesa: 2018
• Autor(a) principal: Funchal, Luis Fernando Zukanovich [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Ligament, collateral, medial, reconstruction; Ligamento, colateral, medial, reconstrução
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7392304; https://repositorio.unifesp.br/handle/11600/52138

Introduction: Therapeutic decision-making of anterior cruciate ligament injury associated with MCL lesion presents a challenge. Although about 70th years after the beginning of this discussion, there are still doubts about the best behavior, especially in the question of clinical or surgical treatment of MCL Grade II. Objective: Our work proposes a systematic analysis of the data of patients diagnosed with ACL lesion associated with MCL Grade II injury in order to objectively identify parameters that contribute to the decision making regarding the indication of the surgical treatment of MCL Grade II injury. Method: This is a retrospective study with retrospectively collected data. Our sample consisted of 133 patients (133 knees), from March 2002 to June 2016, evaluated clinically, radiologically and surgically by video-arthroscopy for lesion of ACL and MCL Grade II. Results: We found 87% of patients with clinical maneuvers for anterior and medial instability, comparing the MRI and intraarticular findings by videoarthroscopy, we found a deciding factor, the so-called floating meniscus. This finding was a decisive factor in order to finally submit the patients to MCL surgery, in addition to the ACL. Conclusion: The presence of floating meniscus is a predictor of surgical indication of the Grade II MCL lesion, when associated with ACL injury.