{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:21:17Z","timestamp":1793330477458,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T00:00:00Z","timestamp":1542585600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee Surg Sports Traumatol Arthrosc"],"published-print":{"date-parts":[[2019,8]]},"DOI":"10.1007\/s00167-018-5286-7","type":"journal-article","created":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T14:41:00Z","timestamp":1542638460000},"page":"2617-2623","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["Alignment factors affecting the medial meniscus extrusion increases the risk of osteoarthritis development"],"prefix":"10.1002","volume":"27","author":[{"given":"Norio","family":"Goto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Okazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takenori","family":"Akiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukio","family":"Akasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Mizu-uchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Hamai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuharu","family":"Nakashima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,19]]},"reference":[{"issue":"8","key":"5286_CR1","doi-asserted-by":"publisher","first-page":"2282","DOI":"10.1007\/s00167-018-4885-7","volume":"26","author":"A Achtnich","year":"2018","unstructured":"Achtnich A, Petersen W, Willinger L, Sauter A, Rasper M, W\u00f6rtler K, Imhoff AB, Diermeier T (2018) Medial meniscus extrusion increases with age and BMI and is depending on different loading conditions. Knee Surg Sports Traumatol Arthrosc 26(8):2282\u20132288","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"5286_CR2","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1016\/j.arthro.2007.05.018","volume":"23","author":"JD Agneskirchner","year":"2007","unstructured":"Agneskirchner JD, Hurschler C, Wrann CD, Lobenhoffer P (2007) The effects of valgus medial opening wedge high tibial osteotomy on articular cartilage pressure of the knee: a biomechanical study. Arthroscopy 23(8):852\u2013861","journal-title":"Arthroscopy"},{"issue":"1","key":"5286_CR3","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.joca.2016.08.004","volume":"25","author":"B Antony","year":"2017","unstructured":"Antony B, Driban JB, Price LL, Lo GH, Ward RJ, Nevitt M, Lynch J, Eaton CB, Ding C, McAlindon TE (2017) The relationship between meniscal pathology and osteoarthritis depends on the type of meniscal damage visible on magnetic resonance images: data from the Osteoarthritis Initiative. Osteoarthr Cartil 25(1):76\u201384","journal-title":"Osteoarthr Cartil"},{"issue":"3","key":"5286_CR4","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/j.joca.2012.11.015","volume":"21","author":"K Bloecker","year":"2013","unstructured":"Bloecker K, Guermazi A, Wirth W, Benichou O, Kwoh CK, Hunter DJ, Englund M, Resch H, Eckstein F (2013) Tibial coverage, meniscus position, size and damage in knees discordant for joint space narrowing\u2014data from the osteoarthritis Initiative. Osteoarthr Cartil 21(3):419\u2013427","journal-title":"Osteoarthr Cartil"},{"issue":"4","key":"5286_CR5","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1007\/s12178-014-9234-y","volume":"7","author":"DE Bonasia","year":"2014","unstructured":"Bonasia DE, Governale G, Spolaore S, Rossi R, Amendola A (2014) High tibial osteotomy. Curr Rev Musculoskelet Med 7(4):292\u2013301","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"11","key":"5286_CR6","doi-asserted-by":"publisher","first-page":"2557","DOI":"10.1007\/s10067-017-3803-6","volume":"36","author":"D Chiba","year":"2017","unstructured":"Chiba D, Maeda S, Sasaki E, Ota S, Nakaji S, Tsuda E, Ishibashi Y (2017) Meniscal extrusion seen on ultrasonography affects the development of radiographic knee osteoarthritis: a 3-year prospective cohort study. Clin Rheumatol 36(11):2557\u20132564","journal-title":"Clin Rheumatol"},{"issue":"3","key":"5286_CR7","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s00402-016-2609-3","volume":"137","author":"K Chiba","year":"2017","unstructured":"Chiba K, Yonekura A, Miyamoto T, Osaki M, Chiba G (2017) Tibial condylar valgus osteotomy (TCVO) for osteoarthritis of the knee: 5-year clinical and radiological results. Arch Orthop Trauma Surg 137(3):303\u2013310","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"5286_CR8","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1007\/s00167-015-3890-3","volume":"25","author":"GW Choi","year":"2017","unstructured":"Choi GW, Yang JH, Park JH, Yun HH, Lee YI, Chae JE, Yoon JR (2017) Changes in coronal alignment of the ankle joint after high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 25(3):838\u2013845","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5286_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5024-1","author":"KS Chung","year":"2018","unstructured":"Chung KS, Ha JK, Ra HJ, Lee HS, Lee DW, Park JH, Kim DH, Kim JG (2018) Pullout fixation for medial meniscus posterior root tears: clinical results were not age-dependent, but osteoarthritis progressed. Knee Surg Sports Traumatol Arthrosc. \n                    https:\/\/doi.org\/10.1007\/s00167-018-5024-1","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"5286_CR10","doi-asserted-by":"publisher","first-page":"1455","DOI":"10.1007\/s00167-015-3832-0","volume":"24","author":"KS Chung","year":"2016","unstructured":"Chung KS, Ha JK, Ra HJ, Kim JG (2016) A meta-analysis of clinical and radiographic outcomes of posterior horn medial meniscus root repairs. Knee Surg Sports Traumatol Arthrosc 24(5):1455\u20131468","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"5286_CR11","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1177\/0363546516662445","volume":"45","author":"KS Chung","year":"2017","unstructured":"Chung KS, Ha JK, Ra HJ, Nam GW, Kim JG (2017) Pullout fixation of posterior medial meniscus root tears: correlation between meniscus extrusion and midterm clinical results. Am J Sports Med 45(1):42\u201349","journal-title":"Am J Sports Med"},{"issue":"9","key":"5286_CR12","first-page":"1796","volume":"34","author":"TD Cooke","year":"2007","unstructured":"Cooke TD, Sled EA, Scudamore RA (2007) Frontal plane knee alignment: a call for standardized measurement. J Rheumatol 34(9):1796\u20131801","journal-title":"J Rheumatol"},{"issue":"5","key":"5286_CR13","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1302\/0301-620X.73B5.1894656","volume":"73","author":"TD Cooke","year":"1991","unstructured":"Cooke TD, Scudamore RA, Bryant JT, Sorbie C, Siu D, Fisher B (1991) A quantitative approach to radiography of the lower limb. Principles and applications. J Bone Joint Surg Br 73(5):715\u2013720","journal-title":"J Bone Joint Surg Br"},{"issue":"1","key":"5286_CR14","doi-asserted-by":"publisher","first-page":"17","DOI":"10.2214\/ajr.183.1.1830017","volume":"183","author":"CR Costa","year":"2004","unstructured":"Costa CR, Morrison WB, Carrino JA (2004) Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear? AJR Am J Roentgenol 183(1):17\u201323","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"5286_CR15","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1148\/radiol.12110986","volume":"264","author":"MD Crema","year":"2012","unstructured":"Crema MD, Roemer FW, Felson DT, Englund M, Wang K, Jarraya M, Nevitt MC, Marra MD, Torner JC, Lewis CE, Guermazi A (2012) Factors associated with meniscal extrusion in knees with or at risk for osteoarthritis: the multicenter osteoarthritis study. Radiology 264(2):494\u2013503","journal-title":"Radiology"},{"issue":"2","key":"5286_CR16","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/S0020-1383(13)70183-9","volume":"43","author":"J Erquicia","year":"2012","unstructured":"Erquicia J, Gelber PE, Cardona-Mu\u00f1oz JI, Pelfort X, Tey M, Monllau JC (2012) There is no relation between mild malalignment and meniscal extrusion in trauma emergency patients. Injury 43(2):68\u201372","journal-title":"Injury"},{"issue":"5","key":"5286_CR17","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1007\/s00264-010-0959-y","volume":"34","author":"M Falah","year":"2010","unstructured":"Falah M, Nierenberg G, Soudry M, Hayden M, Volpin G (2010) Treatment of articular cartilage lesions of the knee. Int Orthop 34(5):621\u2013630","journal-title":"Int Orthop"},{"issue":"8","key":"5286_CR18","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.1016\/j.otsr.2017.07.022","volume":"103","author":"T Furumatsu","year":"2017","unstructured":"Furumatsu T, Kamatsuki Y, Fujii M, Kodama Y, Okazaki Y, Masuda S, Ozaki T (2017) Medial meniscus extrusion correlates with disease duration of the sudden symptomatic medial meniscus posterior root tear. Orthop Traumatol Surg Res 103(8):1179\u20131182","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"5286_CR19","doi-asserted-by":"publisher","first-page":"295","DOI":"10.5792\/ksrr.17.027","volume":"29","author":"T Furumatsu","year":"2017","unstructured":"Furumatsu T, Kodama Y, Kamatsuki Y, Hino T, Okazaki Y, Ozaki T (2017) Meniscal extrusion progresses shortly after the medial meniscus posterior root tear. Knee Surg Relat Res 29(4):295\u2013301","journal-title":"Knee Surg Relat Res"},{"issue":"8","key":"5286_CR20","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1016\/j.jbiomech.2015.01.047","volume":"48","author":"TM Guess","year":"2015","unstructured":"Guess TM, Razu S, Jahandar H, Stylianou A (2015) Predicted loading on the menisci during gait: the effect of horn laxity. J Biomech 48(8):1490\u20131498","journal-title":"J Biomech"},{"issue":"5","key":"5286_CR21","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1016\/j.joca.2008.10.001","volume":"17","author":"Y Iseki","year":"2009","unstructured":"Iseki Y, Takahashi T, Takeda H, Tsuboi I, Imai H, Mashima N, Watanabe S, Yamamoto H (2009) Defining the load bearing axis of the lower extremity obtained from anterior-posterior digital radiographs of the whole limb in stance. Osteoarthr Cartil 17(5):586\u2013591","journal-title":"Osteoarthr Cartil"},{"issue":"9","key":"5286_CR22","doi-asserted-by":"publisher","first-page":"2826","DOI":"10.1007\/s00167-017-4755-8","volume":"26","author":"DJ Kaplan","year":"2018","unstructured":"Kaplan DJ, Alaia EF, Dold AP, Meislin RJ, Strauss EJ, Jazrawi LM, Alaia MJ (2018) Increased extrusion and ICRS grades at 2-year follow-up following transtibial medial meniscal root repair evaluated by MRI. Knee Surg Sports Traumatol Arthrosc 26(9):2826\u20132834","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"5286_CR23","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1002\/art.33319","volume":"64","author":"K Kawaguchi","year":"2012","unstructured":"Kawaguchi K, Enokida M, Otsuki R, Teshima R (2012) Ultrasonographic evaluation of medial radial displacement of the medial meniscus in knee osteoarthritis. Arthritis Rheum 64(1):173\u2013180","journal-title":"Arthritis Rheum"},{"issue":"1","key":"5286_CR24","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1186\/s13018-017-0595-y","volume":"12","author":"T Kawahara","year":"2017","unstructured":"Kawahara T, Sasho T, Katsuragi J, Ohnishi T, Haneishi H (2017) Relationship between knee osteoarthritis and meniscal shape in observation of Japanese patients by using magnetic resonance imaging. J Orthop Surg Res 12(1):97","journal-title":"J Orthop Surg Res"},{"issue":"4","key":"5286_CR25","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1136\/ard.16.4.494","volume":"16","author":"JH Kellgren","year":"1957","unstructured":"Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16(4):494\u2013502","journal-title":"Ann Rheum Dis"},{"issue":"2","key":"5286_CR26","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/j.knee.2010.12.007","volume":"19","author":"Y Kuroyanagi","year":"2012","unstructured":"Kuroyanagi Y, Nagura T, Kiriyama Y, Matsumoto H, Otani T, Toyama Y, Suda Y (2012) A quantitative assessment of varus thrust in patients with medial knee osteoarthritis. Knee 19(2):130\u2013134","journal-title":"Knee"},{"issue":"3","key":"5286_CR27","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1007\/s00167-017-4441-x","volume":"26","author":"YH Kwak","year":"2018","unstructured":"Kwak YH, Lee S, Lee MC, Han HS (2018) Large meniscus extrusion ratio is a poor prognostic factor of conservative treatment for medial meniscus posterior root tear. Knee Surg Sports Traumatol Arthrosc 26(3):781\u2013786","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"5286_CR28","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1007\/s00167-010-1274-2","volume":"19","author":"DH Lee","year":"2011","unstructured":"Lee DH, Lee BS, Kim JM, Yang KS, Cha EJ, Park JH, Bin SI (2011) Predictors of degenerative medial meniscus extrusion: radial component and knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc 19(2):222\u2013229","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"5286_CR29","doi-asserted-by":"publisher","first-page":"3704","DOI":"10.1007\/s00167-015-3682-9","volume":"24","author":"DH Lee","year":"2016","unstructured":"Lee DH, Park SC, Park HJ, Han SB (2016) Effect of soft tissue laxity of the knee joint on limb alignment correction in open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 24(12):3704\u20133712","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"5286_CR30","doi-asserted-by":"publisher","first-page":"125","DOI":"10.5792\/ksrr.2014.26.3.125","volume":"26","author":"DW Lee","year":"2014","unstructured":"Lee DW, Ha JK, Kim JG (2014) Medial meniscus posterior root tear: a comprehensive review. Knee Surg Relat Res 26(3):125\u2013134","journal-title":"Knee Surg Relat Res"},{"issue":"3","key":"5286_CR31","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1097\/RCT.0b013e31812f4eb0","volume":"32","author":"YG Lee","year":"2008","unstructured":"Lee YG, Shim JC, Choi YS, Kim JG, Lee GJ, Kim HK (2008) Magnetic resonance imaging findings of surgically proven medial meniscus root tear: tear configuration and associated knee abnormalities. J Comput Assist Tomogr 32(3):452\u2013457","journal-title":"J Comput Assist Tomogr"},{"issue":"6","key":"5286_CR32","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1007\/s00167-017-4680-x","volume":"26","author":"H Nakayama","year":"2018","unstructured":"Nakayama H, Schr\u00f6ter S, Yamamoto C, Iseki T, Kanto R, Kurosaka K, Kambara S, Yoshiya S, Higa M (2018) Large correction in opening wedge high tibial osteotomy with resultant joint-line obliquity induces excessive shear stress on the articular cartilage. Knee Surg Sports Traumatol Arthrosc 26(6):1873\u20131878","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"5286_CR33","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1002\/jor.21242","volume":"29","author":"KB Shelburne","year":"2011","unstructured":"Shelburne KB, Kim HJ, Sterett WI, Pandy MG (2011) Effect of posterior tibial slope on knee biomechanics during functional activity. J Orthop Res 29(2):223\u2013231","journal-title":"J Orthop Res"},{"key":"5286_CR34","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.ejrad.2018.03.007","volume":"102","author":"N Swamy","year":"2018","unstructured":"Swamy N, Wadhwa V, Bajaj G, Chhabra A, Pandey T (2018) Medial meniscal extrusion: detection, evaluation and clinical implications. Eur J Radiol 102:115\u2013124","journal-title":"Eur J Radiol"},{"issue":"7","key":"5286_CR35","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.1016\/j.joca.2017.02.792","volume":"25","author":"AJ Teichtahl","year":"2017","unstructured":"Teichtahl AJ, Cicuttini FM, Abram F, Wang Y, Pelletier JP, Dodin P, Martel-Pelletier J (2017) Meniscal extrusion and bone marrow lesions are associated with incident and progressive knee osteoarthritis. Osteoarthr Cartil 25(7):1076\u20131083","journal-title":"Osteoarthr Cartil"},{"issue":"6","key":"5286_CR36","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1007\/s00167-016-4069-2","volume":"24","author":"R Verdonk","year":"2016","unstructured":"Verdonk R, Madry H, Shabshin N, Dirisamer F, Peretti GM, Pujol N, Spalding T, Verdonk P, Seil R, Condello V, Di Matteo B, Zellner J, Angele P (2016) The role of meniscal tissue in joint protection in early osteoarthritis. Knee Surg Sports Traumatol Arthrosc 24(6):1763\u20131774","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"5286_CR37","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/0141-5425(83)90036-5","volume":"5","author":"AS Voloshin","year":"1983","unstructured":"Voloshin AS, Wosk J (1983) Shock absorption of meniscectomized and painful knees: a comparative in vivo study. J Biomed Eng 5(2):157\u2013161","journal-title":"J Biomed Eng"},{"key":"5286_CR38","unstructured":"Walker PS, Erkman MJ (1975) The role of the menisci in force transmission across the knee. Clin Orthop Relat Res (109):184\u2013192"},{"issue":"2","key":"5286_CR39","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1016\/j.knee.2016.12.004","volume":"24","author":"R Yamagami","year":"2017","unstructured":"Yamagami R, Taketomi S, Inui H, Tahara K, Tanaka S (2017) The role of medial meniscus posterior root tear and proximal tibial morphology in the development of spontaneous osteonecrosis and osteoarthritis of the knee. Knee 24(2):390\u2013395","journal-title":"Knee"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-018-5286-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-018-5286-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-018-5286-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T19:23:55Z","timestamp":1702668235000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00167-018-5286-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,19]]},"references-count":39,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["5286"],"URL":"https:\/\/doi.org\/10.1007\/s00167-018-5286-7","relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,19]]},"assertion":[{"value":"26 February 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 November 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors state that there are no conflicts of interest which might have influenced the preparation of this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the institutional review board at Kyushu University (No. 29-428).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}