scholarly journals Meniscal root tear repair: why, when and how?

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Davide Edoardo Bonasia ◽  
Pietro Pellegrino ◽  
Andrea D'Amelio ◽  
Umberto Cottino ◽  
Roberto Rossi
Keyword(s):  
Clinical Outcomes ◽  
Contact Surface ◽  
Knee Injuries ◽  
Surgical Techniques ◽  
Knee Kinematics ◽  
Root Tear ◽  
Meniscal Extrusion ◽  
Meniscal Root ◽  
Meniscal Root Tear ◽  
Meniscal Attachments

The integrity of the meniscal root insertions is fundamental to preserve correct knee kinematics and avoid degenerative changes of the knee. Injuries to the meniscal attachments can lead to meniscal extrusion, decreased contact surface, increased cartilage stress, and ultimately articular degeneration. Recent and well designed studies have clarified the anatomy and biomechanics of the medial and lateral meniscal roots. Although the treatment of meniscal root tears is still controversial, many different techniques have been described for root repair. The goal of this review is to summarize the existing knowledge regarding meniscal root tears, including anatomy, biomechanics and imaging. In addition, the most common surgical techniques, together with the clinical outcomes, are described.

scholarly journals Meniscal Root Tear: A Missed Epidemic?

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0046
Author(s):  
Nadia Nastassia Ifran
Keyword(s):  
Physical Examination ◽  
Shock Absorber ◽  
Lateral Meniscus ◽  
Meniscal Tears ◽  
Root Tear ◽  
Injury Patterns ◽  
Radiological Findings ◽  
Meniscal Root ◽  
Meniscus Tears ◽  
Meniscal Root Tear

Meniscal root tears often go unnoticed and represent unique injury patterns with unique biomechanical consequences. Meniscal root tear occurs about 10-21% of all meniscal tears. Almost 10% of ACL tears involving posterior lateral meniscus tears. Meniscal root tears interrupt the continuity of the circumferential fibers, hence meniscus will fail to function as a shock absorber and load distributor. The biomechanical implication is the accelerated degeneration of the joint comparable to total meniscectomy. Repair of meniscal root tear will reduce contact pressure and increase contact area biomechanically similar to the uninjured meniscus. However, the repair must be done as anatomic as possible. Otherwise, the goal of restoring the meniscus function may not be achieved. Sign and symptoms, physical examination and radiological findings that may suggest a meniscal root tear will be discussed in this paper. Moreover, an overview of the management will also be described.

scholarly journals Repair of the Posterior Lateral Meniscal Root Tear: Suture Anchor Fixation Through the Outside-In Anterior Cruciate Ligament Reconstruction Femoral Tunnel

2021 ◽  
Vol 10 (1) ◽  
pp. e151-e158
Author(s):  
Manuel Leyes ◽  
Cesar Flores-Lozano ◽  
Ignacio de Rus ◽  
María González Salvador ◽  
Eulogio Martin Buenadicha ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Suture Anchor ◽  
Femoral Tunnel ◽  
Cruciate Ligament ◽  
Root Tear ◽  
Meniscal Root ◽  
Meniscal Root Tear ◽  
Anterior Cruciate ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

scholarly journals Lateral meniscal posterior root tears experience acceptable healing status after transtibial repair technique

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Cathrine Aga ◽  
Ingerid Baksaas Aasen ◽  
Carsten Brocker ◽  
Nina Jullum Kise ◽  
Stig Heir
Keyword(s):  
Lateral Meniscus ◽  
Case Series ◽  
Rate Of Change ◽  
Posterior Root ◽  
Root Tear ◽  
Meniscal Extrusion ◽  
Posterior Root Tear ◽  
Meniscal Root ◽  
Global Rate

Abstract Purpose To evaluate patient MRI results, demography and clinical outcome following transtibial repair of lateral and medial meniscal posterior root tears. Methods Patients treated with transtibial repairs of posterior meniscal root tears from 2015 through 2018 performed pre- and postoperative MRI scans. Outcome measures were continuity/discontinuity of the meniscal root and change in meniscal extrusion on MRI. Other outcomes were KOOS, Lysholm score, Tegner activity scale and the Global Rate of Change (GRoC) score for function and pain at follow-up. Study design Retrospective case-series. Results Of 41 patients, 36 attended follow-up at mean 26 (12–38) months postoperatively. At follow-up, 11 out of 18 lateral meniscus posterior root tear (LMPRT) versus 5 out of 18 medial meniscus posterior root tear (MMPRT) repairs were classified as healed. Meniscal extrusion decreased in LMPRTs from of 2.3 ± 1.5 mm to 1.4 ± 1.09 mm (p = 0.080) and increased in MMPRTs from 3.1 ± 1.6 mm to 4.8 ± 1.9 mm (p = 0.005) at FU (between-group difference, p < 0.001). LMPRT repairs were associated with ACL injury and additional meniscal injury and were younger and with lower BMI. No between-group differences were found for KOOS, Lysholm or GRoC Function scores. Tegner scale was higher and GRoC Pain score lower in the LMPRT group compared to the MMPRTs. Conclusion Following transtibial repair for meniscal posterior root repairs, the LMPRTs had a higher frequency of healing, whereas most MMPRTs continued to extrude, despite surgical intervention. The study confirmed that LMPRTs and MMPRTs differ in demography and associated injuries.

scholarly journals Isolated meniscal root tear and its relationship with medial tibiofemoral cartilage damage and meniscal hypertrophy. the most study

2012 ◽  
Vol 20 ◽  
pp. S201
Author(s):  
M. Jarraya ◽  
D.T. Felson ◽  
D. Hayashi ◽  
F.W. Roemer ◽  
Y. Zhang ◽  
...  
Keyword(s):  
Cartilage Damage ◽  
Root Tear ◽  
Meniscal Root ◽  
Meniscal Root Tear

Marginal fractures of the medial tibial plateau: possible association with medial meniscal root tear

2006 ◽  
Vol 36 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Eliyahu Engelsohn ◽  
Hilary Umans ◽  
Gregory S. DiFelice
Keyword(s):  
Tibial Plateau ◽  
Medial Tibial Plateau ◽  
Root Tear ◽  
Meniscal Root ◽  
Meniscal Root Tear

scholarly journals The Problems of Meniscal Root Tears

2020 ◽  
pp. 51-60
Author(s):  
I.M. Zazirnyi ◽  
O.O. Kostrub ◽  
R. Smigielski ◽  
A. Andreev
Keyword(s):  
Articular Cartilage ◽  
Clinical Outcomes ◽  
Contact Area ◽  
Surgical Repair ◽  
Root Avulsion ◽  
Meniscal Extrusion ◽  
Early Osteoarthritis ◽  
Meniscal Root ◽  
Hoop Stresses ◽  
Contact Pressures

Meniscal root tears are defined as radial tears located within 1 cm from the meniscal attachment or a bony root avulsion. This injury is biomechanically comparable to a total meniscectomy, leading to compromised hoop stresses resulting in decreased tibiofemoral contact area and increased contact pressures in the involved compartment. These changes are detrimental to the articular cartilage and ultimately lead to the development of early osteoarthritis. Surgical repair is the treatment of choice in patients without significant osteoarthritis (Outerbridge grades 3 or 4). Root repairs have been reported to improve clinical outcomes, decrease meniscal extrusion and slow the onset of degenerative changes. In this article, we describe the anatomy, biomechanics, clinical evaluation, treatment methods, outcomes, and post-operative rehabilitation for posterior meniscal root tears.

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