Manyetik Rezonans Görüntülemede Medial Menisküs Ekstrüzyonu: Yüksek Riskli Yırtıklar ve Eşlik Eden İntra-artiküler Patolojiler için Kritik Bir Gösterge

LEMAN GÜNBEY KARABEKMEZ , ÜLKÜ KERİMOĞLU, MEMDUHA GUMUS, SEMA AKCAM, İBRAHİM TUNCAY

  • LEMAN GÜNBEY KARABEKMEZ: Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi
  • ÜLKÜ KERİMOĞLU: Konya Necmettin Erbakan Üniversitesi Tıp Fakültesi
  • MEMDUHA GUMUS: University of Pittsburgh Medical Center
  • SEMA AKCAM: KONYA NUMUNE HASTANESİ
  • İBRAHİM TUNCAY: SELÇUK ÜNİVERSİTESİ
  • Year : 2026
  • Vol : 42
  • Issue : 3
  •  Page : 224-233
Amaç: Medial menisküs (MM) yırtık morfolojisi ile menisküs ekstrüzyonu arasındaki ilişkiyi ve ekstrüzyonun yüksek riskli yırtıkların belirlenmesinde bir gösterge olarak
kullanılıp kullanılamayacağını diz MRG bulguları üzerinden değerlendirmek.
Gereç ve Yöntemler: Bu retrospektif çalışmaya 160 hastaya ait 183 diz değerlendirmesi dahil edilmiştir. MM patolojileri dejenerasyon, horizontal-oblik, kök bölgesinde
radyal yırtık ve kompleks yırtık olarak sınıflandırılmıştır. Lateral menisküs patolojileri, kondromalazi, efüzyon ve ön çapraz bağ (ÖÇB) durumu kaydedilmiştir. Menisküs
ekstrüzyonu koronal proton-ağırlıklı kesitlerde ölçülmüştür. Gruplar arası farklar Ki-kare ve Kruskal-Wallis testleri ile değerlendirilmiş; yüksek riskli yırtıkları öngörmek
için ROC analizi yapılmıştır. Multivaryant lojistik regresyon modeli ≥3 mm ekstrüzyonun bağımsız belirleyicilerini araştırmıştır.
Bulgular: Radyal kök yırtığı ve kompleks yırtıklar diğer patolojilere göre belirgin derecede daha yüksek ekstrüzyon göstermiştir. Kondromalazi ve efüzyon, ≥3 mm
ekstrüzyonu olan dizlerde anlamlı olarak daha sık görülmüştür. ÖÇB rüptürü, hem yüksek ekstrüzyon hem de kompleks MM yırtıkları ile ilişkili bulunmuştur. ROC
analizinde yüksek riskli yırtıkları ayırt etmek için 3,27 mm (klinik olarak 3 mm) eşik değeri belirlenmiştir (duyarlılık %84,4; özgüllük %70,2; AUC 0,82). Regresyon
analizinde düşük-risk ve yüksek-risk yırtık grupları ile kondromalazi, patolojik ekstrüzyonun bağımsız belirleyicileri olarak bulunmuştur.
Sonuç: MM ekstrüzyonu özellikle 3 mm ve üzerindeki değerlerde, radyal kök ve kompleks yırtıkların güçlü bir radyolojik göstergesidir ve eşlik eden dejeneratif
değişiklikleri yansıtır. Ekstrüzyonun nicel değerlendirilmesi, cerrahi açıdan önemli yırtıkların erken tanısına katkı sağlayabilir.
Cite this Article As : Gunbey Karabekmez L, Kerimoglu U, Gumus M, Akcam S, Tuncay I. Medial Meniscus Extrusion on MRI: A Critical Indicator for High-Risk Tears and Associated Intra-Articular Pathologies. Selcuk Med J 2026;42(3): 224-233

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Conflict of interest : The authors declare that they have no conflict of interest.
This article is published under the CC BY-NC 4.0 license.
Selcuk Medical Journal
2026, Vol. 42 (3)
ISSN: 1017-6616
E-ISSN: 2149-8059
Received : , Accepted : , Published Online :

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