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

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

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 A Simple Way to Fix a Lateral Meniscal Root Tear

2021 ◽  
Vol 1 (4) ◽  
pp. 263502542110164
Author(s):  
Stefano Zaffagnini ◽  
Alberto Grassi ◽  
Giacomo Dal Fabbro
Keyword(s):  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Repair System ◽  
Root Tear ◽  
Concomitant Procedure ◽  
Meniscal Root ◽  
Kinematic Behavior ◽  
Meniscofemoral Ligaments ◽  
Meniscal Root Tear ◽  
Anterior Cruciate

Background: Meniscal posterior root tears, which are often associated with anterior cruciate ligament (ACL) injury, lead to the loss of normal biomechanical and kinematic behavior of menisci. Several arthroscopic techniques have been introduced to address this kind of injury. In this video, a simple all-inside technique to repair posterior lateral root tear (PLRT) is presented. Indications: To repair type 1, type 2, and type 4 PLRT. Technique: The torn lateral meniscus root is sutured to the medial fibers of the posterior cruciate ligament (PCL), with an arthroscopic all-inside repair system, with the purpose of reproducing the stabilizing function of the meniscofemoral ligaments. Results: This procedure allows restoration of the correct position of the detached horn, and restores meniscal stability with satisfactory clinical outcomes. Discussion/Conclusion: The technique described represents a simple and fast arthroscopic all-inside procedure to repair PLRT in association with concomitant procedure, such as ACL reconstruction. However, outcome reports of this technique are still lacking in the literature, and further studies are needed to confirm the authors’ results.

scholarly journals Arthroscopic Medial Meniscus Root Repair With Transtibial Ripstop Technique

2021 ◽  
Vol 1 (6) ◽  
pp. 263502542110336
Author(s):  
Navya Dandu ◽  
Steven F. DeFroda ◽  
Nicholas A. Trasolini ◽  
Reem Y. Darwish ◽  
Adam B. Yanke
Keyword(s):  
Meniscal Repair ◽  
Rapid Progression ◽  
Root Tear ◽  
Full Extension ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Pull Out ◽  
Meniscal Root ◽  
Root Repair ◽  
Meniscal Root Tear

Background: Meniscal root tears are radial tears occurring at or within 1 cm of the meniscal root attachment. These injuries have been shown to be the biomechanical equivalent of a total meniscectomy and are thought to be responsible for a rapid progression of osteoarthritis if left untreated. Indications: Meniscal root repair is indicated if possible, with the exception of patients who have diffuse Outerbridge 3-4 osteoarthritis of the ipsilateral compartment, those who are poor surgical candidates due to age or medical comorbidity, or in whom nonsymptomatic tears are found incidentally. Technique Description: Standard 2-portal arthroscopy is performed. Once a medial root tear has been identified and concomitant pathology has been addressed, we typically begin the repair by trephinating the deep medial collateral ligament with an 18-gauge needle to enhance visualization and avoid iatrogenic cartilage injury. Arthroscopic shaver is used to debride the meniscal root as needed. A meniscal root guide is introduced into the joint and an incision is made on the anteromedial tibia for outside-in drilling of a transosseous tunnel. Drilling is performed with a 5-mm retroreaming device, and a 10-mm socket is created. Nonabsorbable suture is then passed through the meniscus using a self-capture device in an inverted mattress configuration, following by 2 cinch stitches. The sutures are then shuttled into the transosseous tunnel, and the meniscal root is reduced and tensioned in full extension, with the sutures being fixated into a suture anchor on the anteromedial tibia. Results: A recent large systematic review of 1086 patients undergoing treatment of meniscal root tear via either debridement or nonoperative management compared with meniscal repair found that conversion to total knee arthroplasty occurred in 11% to 54% of those managed via debridement or nonoperative care versus 0% to 1% for those with root repair. Discussion/Conclusion: Currently, meniscal root repair offers the greatest improvement and lowest risk of conversion to arthroplasty following meniscal root tear. The present technique offers a durable repair that we believe combines ease of execution with decreased risk of suture pull-out, by creating a ripstop-type construct. Long-term outcome studies are needed for this and other root repair techniques.

scholarly journals Arthroscopic repair of the meniscus

2018 ◽  
Vol 3 (11) ◽  
pp. 584-594 ◽  
Author(s):  
Alfonso Vaquero-Picado ◽  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Platelet Rich Plasma ◽  
Meniscal Repair ◽  
Cartilage Degeneration ◽  
Reoperation Rate ◽  
Root Tear ◽  
Bone Marrow Stimulation ◽  
Meniscal Root ◽  
Meniscal Root Tear ◽  
Points Of View ◽  
Inside Out

From the biomechanical and biological points of view, an arthroscopic meniscal repair (AMR) should always be considered as an option. However, AMR has a higher reoperation rate compared with arthroscopic partial meniscectomy, so it should be carefully indicated. Compared with meniscectomy, AMR outcomes are better and the incidence of osteoarthritis is lower when it is well indicated. Factors influencing healing and satisfactory results must be carefully evaluated before indicating an AMR. Tears in the peripheral third are more likely to heal than those in the inner thirds. Vertical peripheral longitudinal tears are the best scenario in terms of success when facing an AMR. ‘Inside-out’ techniques were considered as the gold standard for large repairs on mid-body and posterior parts of the meniscus. However, recent studies do not demonstrate differences regarding failure rate, functional outcomes and complications, when compared with the ‘all-inside’ techniques. Some biological therapies try to enhance meniscal repair success but their efficacy needs further research. These are: mechanical stimulation, supplemental bone marrow stimulation, platelet rich plasma, stem cell therapy, and scaffolds and membranes. Meniscal root tear/avulsion dramatically compromises meniscal stability, accelerating cartilage degeneration. Several options for reattachment have been proposed, but no differences between them have been established. However, repair of these lesions is actually the reference of the treatment. Meniscal ramp lesions consist of disruption of the peripheral attachment of the meniscus. In contrast, with meniscal root tears, the treatment of reference has not yet been well established.Cite this article: EFORT Open Rev 2018;3:584-594. DOI: 10.1302/2058-5241.3.170059

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