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Radial tears in the roots of the posterior horns of both the medial and lateral menisci combined with anterior cruciate ligament tear: a case report

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We report a rare case of radial tears in the roots of the posterior horns of both the medial and lateral menisci associated with a chronic anterior cruciate ligament tear. Treatment included an arthroscopic pullout suture combined with anterior cruciate ligament reconstruction. At the 3-year postoperative follow-up, a second-look arthroscopic examination showed the posterior horns of both menisci to be well healed on the tibia. Manual knee laxity tests were negative and no side-to-side difference was detected by a KT-1000 arthrometer. The patient was able to perform outdoor activities without residual symptoms.

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References

  1. Ahn JH, Lee YS, Chang JY, Chnag MJ, Eun SS, kim SM (2009) Arthroscopic all inside repair of the lateral meniscus root tear. Knee 16:77–80

    Article  PubMed  Google Scholar 

  2. Ahn JH, Wang JH, Yoo JC, Noh HK, Park JH (2007) A pullout suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal. Knee Surg Sports Traumatol Arthrosc 15:1510–1513

    Article  PubMed  Google Scholar 

  3. Allaire R, Muriuki M, Gilberston L, Harner CD (2008) Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone Joint Surg Am 90:1922–1931

    Article  PubMed  Google Scholar 

  4. Bin SI, Kim JM, Shin SJ (2004) Radial tears of the posterior horn of the medial meniscus. Arthroscopy 20:373–378

    PubMed  Google Scholar 

  5. Bordy JM, Lim HM, Hulstyn MJ, Tung GA (2006) Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear. Radiology 239:805–810

    Article  Google Scholar 

  6. Dandy DJ (1990) The arthroscopic anatomy of symptomatic meniscal lesions. J Bone Joint Surg Br 72-B:628–633

    Google Scholar 

  7. De Smet AA, Graf BK (1994) Meniscal tears missed on MR imaging: relationship to meniscal tear patterns and anterior cruciate ligament tears. Am J Roentgenol 162:905–911

    Google Scholar 

  8. Griffith CJ, LaPrade RF, Fritts HM, Morgan PM (2008) Posterior root avulsion fracture of the medial meniscus in an adolescent female patient with surgical reattachment. Am J Sports Med 36:789–792

    Article  PubMed  Google Scholar 

  9. Hamada M, Miyama T, Takeyasu Y, Tsutsumi S, Shino K (2007) Arthroscopic reduction and internal fixation of an avulsion fracture of the posterior horn of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc 15:1510–1513

    Article  Google Scholar 

  10. Jones AO, Houang MT, Low RS, Wood DG (2006) Medial meniscus posterior root attachment injury and degeneration: MRI findings. Australas Radiol 50:306–313

    Article  CAS  PubMed  Google Scholar 

  11. Lee YG, Shim JC, Choi YS, Kim JG, Lee JG, Kim HK (2008) Magnetic resonance imaging findings of surgically proven medial meniscus root tear: tear configuration and associated knee abnormalities. J Comput Assist Tomogr 32:452–457

    Article  PubMed  Google Scholar 

  12. Ozkoc G, Circi E, Gonc U, Irgit K, Pourbagher A, Tandogan RN (2008) Radial tears in the root of the 299 posterior horn of the medial meniscus. Knee Surg Sports Traumatol Arthrosc 16:849–854

    Article  PubMed  Google Scholar 

  13. Shelbourne KD, Heinrich J (2004) The long-term evaluation of lateral meniscus tears left in situ at the time of anterior cruciate ligament reconstruction. Arthroscopy 20:346–351

    PubMed  Google Scholar 

  14. Shino K, Hamada M, Mitsuoka T, Kinoshita H, Toritsuka Y (1995) Arthroscopic repair for a flap tear of the posterior horn of the lateral meniscus adjacent to its tibial insertion. Arthroscopy 11:495–498

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Young Jin Lim.

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Lee, J.H., Hwang, B.Y., Lim, Y.J. et al. Radial tears in the roots of the posterior horns of both the medial and lateral menisci combined with anterior cruciate ligament tear: a case report. Knee Surg Sports Traumatol Arthrosc 17, 1340–1343 (2009). https://doi.org/10.1007/s00167-009-0839-4

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  • DOI: https://doi.org/10.1007/s00167-009-0839-4

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