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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 10, pp 3121–3126 | Cite as

Traumatic posterior root tear of the medial meniscus in patients with severe medial instability of the knee

  • Ho Jong Ra
  • Jeong Ku Ha
  • Ho Su Jang
  • Jin Goo KimEmail author
Knee

Abstract

Purpose

To examine the incidence and diagnostic rate of traumatic medial meniscus posterior root tear associated with severe medial instability and to evaluate the effectiveness of pullout repair.

Methods

From 2007 to 2011, 51 patients who underwent operation due to multiple ligament injuries including medial collateral ligament rupture were reviewed retrospectively. The International Knee Documentation Committee (IKDC) subjective and Lysholm score were evaluated pre- and postoperatively. Postoperative magnetic resonance imaging (MRI) was performed, and if indicated, a second-look arthroscopic examination was conducted.

Results

Fourteen out of 51 patients were associated with severe medial instability. Seven patients were diagnosed with traumatic medial meniscus posterior root tear and underwent arthroscopic pullout repair. Five of them were missed at initial diagnosis using MRI. In seven patients, the mean Lysholm and IKDC subjective scores improved from 74.6 ± 10.3 and 47.6 ± 7.3 to 93.0 ± 3.7 and 91.6 ± 2.6, respectively. All showed complete healing of meniscus root on follow-up MRI and second-look arthroscopy.

Conclusion

Medial meniscus posterior root tear may occur in severe medial instability from trauma. It is a common mistake that surgeons may not notice on the diagnosis of those injuries using MRI. Therefore, a high index of suspicion is required for the diagnosis of medial meniscus posterior root tear in this type of injuries. The traumatic medial meniscus posterior root tear could be healed successfully using arthroscopic pullout repair technique.

Clinical relevance

The possibility of the medial meniscus posterior root tear should be considered in severe medial instability and arthroscopic pullout repair can be an effective option for treatment.

Level of evidence

Case series with no comparison group, Level IV.

Keywords

Medial meniscus Traumatic medial meniscus posterior root tear Severe knee medial instability Low diagnostic rate Pullout root repair 

Notes

Conflict of interest

None of the authors or departments with which they are affiliated have received compensation from or own stock in any commercial company or institution related directly or indirectly to the subject of this article.

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014

Authors and Affiliations

  • Ho Jong Ra
    • 1
  • Jeong Ku Ha
    • 2
  • Ho Su Jang
    • 2
  • Jin Goo Kim
    • 2
    Email author
  1. 1.Department of Orthopedic Surgery, Gangneung Asan Hospital, College of MedicineUlsan UniversityGangneungKorea
  2. 2.Department of Orthopedic Surgery, Seoul Paik Hospital, College of MedicineInje UniversitySeoulKorea

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