Posterior meniscus root tears: associated pathologies to assist as diagnostic tools View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05-28

AUTHORS

Lauren M. Matheny, Andrew C. Ockuly, J. Richard Steadman, Robert F. LaPrade

ABSTRACT

Purpose The purpose of this study was to investigate associated pathologies identified at arthroscopy in patients with meniscus root tears.MethodsThis study was Institutional Review Board approved. All patients who underwent arthroscopic knee surgery where a complete meniscus root tear was identified were included in this study. Concurrent ligament tears and articular cartilage changes ≥Outerbridge grade 2 were recorded and stored in a data registry.ResultsFifty patients (28 males, 22 females) [mean age = 36.5 years (range 17.1–68.1 years)] who were diagnosed with a medial or lateral meniscus root tear at arthroscopy were included in this study out of 673 arthroscopic surgeries (prevalence 7.4 %). Twenty-three (46 %) patients had a medial meniscus root tear, 26 (52 %) patients had a lateral meniscus root tear and one (2 %) patient had both. Thirty-four per cent of patients (n = 17) underwent partial meniscectomy, while 60 % (n = 31) underwent suture repair. During arthroscopy, 60 % (n = 30) of patients were diagnosed with an anterior cruciate ligament (ACL) tear. Patients with lateral meniscus root tears were 10.3 times (95 % CI 2.6–42.5) more likely to have ACL tears than patients with medial meniscus root tears (p = 0.012). Patients who had medial meniscus root tears were 5.8 times (95 % CI 1.6–20.5) more likely to have chondral defects than patients who had lateral meniscus root tears (p = 0.044).ConclusionIn this study, patients’ preoperative functional scores and activity levels were low. Patients with lateral meniscal root tears were more likely to have an ACL tear. Patients with medial meniscal root tears were more likely to have an knee articular cartilage defect with an Outerbridge grade 2 or higher chondral defect. This study confirms the importance of comprehensive assessment of concurrent injuries to properly diagnose meniscus root tears.Level of evidenceIV. More... »

PAGES

3127-3131

References to SciGraph publications

  • 2011-11-24. The MRI findings of meniscal root tear of the medial meniscus: emphasis on coronal, sagittal and axial images in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-02-15. Posterior root tears of the lateral meniscus in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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    http://scigraph.springernature.com/pub.10.1007/s00167-014-3073-7

    DOI

    http://dx.doi.org/10.1007/s00167-014-3073-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1006347423

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24866130


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