Molly Claire Meadows

All Publications

• Radial Width of the Lateral Meniscus at the Popliteal Hiatus: Relevance to Saucerization of Discoid Lateral Menisci. The American journal of sports medicine Gamble, J. G., Abdalla, A. B., Meadows, M. G., Rauer, T., Chan, C. M., Ganley, T. J., Tompkins, M., Shea, K. G., Gamble, J. G. 2021: 3635465211056661

  Abstract

  A discoid lateral meniscus (DLM) is a congenital anomaly of the knee in which the lateral meniscus has an "O" shape and contains irregular, abnormal collagenous tissue. A DLM can cause mechanical symptoms and pain. Treatment of a symptomatic DLM is arthroscopic saucerization to reshape the meniscus to a more normal contour. Enough tissue must be removed to eliminate mechanical symptoms but not too much to create instability. The residual width of the meniscus is crucial at the popliteus hiatus because here the peripheral rim is unattached at the capsule. Reports in the literature recommend a residual width of 6 to 8 mm.The purpose of this research was to determine the width of the lateral meniscus at the popliteal hiatus in normal specimens. Our null hypothesis was that a residual width of 6 to 8 mm will be sufficient to approximate normal anatomy.Cross-sectional study; Level of evidence, 3.We made direct measurements of the radial width of the lateral meniscus from the outer rim at the popliteal hiatus to the inner edge in 19 specimens (age, 2-120 months.) We measured one 4-year-old specimen with a bilateral complete DLM. We also measured 39 digital images of specimens (age, 1-132 months) using ImageJ. Finally, we made direct arthroscopic measurements of 8 skeletally mature specimens.The average width of specimens <3 years old was 5.5 mm. The average width of the 10-year-old specimens was 12 mm. The average width of the skeletally mature specimens was 16 mm. A 4-year-old DLM specimen measured 19 mm.We rejected our null hypothesis. Direct measurements suggest that a residual width of 6 to 8 mm is insufficient for children ≥8 years old. A width of at least a full centimeter approximates the normal for 8-year-olds and at least 15 mm for adolescents.

  View details for DOI 10.1177/03635465211056661

  View details for PubMedID 34780308

• Medial Patellofemoral Ligament Repair OPERATIVE TECHNIQUES IN SPORTS MEDICINE Meadows, M. C., Dragoo, J. L. 2019; 27 (4)

  View details for DOI 10.1016/j.otsm.2019.150687

  View details for Web of Science ID 000502884400006

• The use of biologics for the elbow: a critical analysis review. Journal of shoulder and elbow surgery Dragoo, J. L., Meadows, M. C. 2019

  Abstract

  There is significant interest in biologic treatment options to improve the healing environment and more rapidly decrease symptoms in many conditions around the elbow. Despite fairly widespread use of biologic agents such as platelet-rich plasma (PRP) in the elbow, there is a lack of clear evidence in the literature to support its use. The potential impact of these biologic agents must be evaluated with evidence from high-quality studies, particularly considering the high financial burden these treatments often impose on patients. The aim of this review is to provide an evidence-based summary of the biologic augmentation options available for use by the physician treating painful conditions of the elbow and to identify areas where further research is warranted.

  View details for DOI 10.1016/j.jse.2019.07.024

  View details for PubMedID 31585783