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Meniscal Root Tear Repair: Why, When and How?

Bonasia DE, Pellegrino P, D'Amelio A, Cottino U, Rossi R - Orthop Rev (Pavia) (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Anatomy of medial (red circles) and lateral (yellow circles) meniscal attachments. Black stars: apex of the medial and lateral intercondylar eminence. LM, lateral meniscus; MM, medial meniscus; ACL, anterior cruciate ligament tibial insertion; PCL, posterior cruciate ligament tibial insertion; AIML, anterior intermeniscal ligament; MFL, meniscofemoral ligament.
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fig001: Anatomy of medial (red circles) and lateral (yellow circles) meniscal attachments. Black stars: apex of the medial and lateral intercondylar eminence. LM, lateral meniscus; MM, medial meniscus; ACL, anterior cruciate ligament tibial insertion; PCL, posterior cruciate ligament tibial insertion; AIML, anterior intermeniscal ligament; MFL, meniscofemoral ligament.

Mentions: The meniscal roots are 4 strong ligaments (Figure 1) connecting the meniscal horns to the tibial intercondylar region.6


Meniscal Root Tear Repair: Why, When and How?

Bonasia DE, Pellegrino P, D'Amelio A, Cottino U, Rossi R - Orthop Rev (Pavia) (2015)

Anatomy of medial (red circles) and lateral (yellow circles) meniscal attachments. Black stars: apex of the medial and lateral intercondylar eminence. LM, lateral meniscus; MM, medial meniscus; ACL, anterior cruciate ligament tibial insertion; PCL, posterior cruciate ligament tibial insertion; AIML, anterior intermeniscal ligament; MFL, meniscofemoral ligament.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508558&req=5

fig001: Anatomy of medial (red circles) and lateral (yellow circles) meniscal attachments. Black stars: apex of the medial and lateral intercondylar eminence. LM, lateral meniscus; MM, medial meniscus; ACL, anterior cruciate ligament tibial insertion; PCL, posterior cruciate ligament tibial insertion; AIML, anterior intermeniscal ligament; MFL, meniscofemoral ligament.
Mentions: The meniscal roots are 4 strong ligaments (Figure 1) connecting the meniscal horns to the tibial intercondylar region.6

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus