Meniscal pullout repair following meniscal ossicle resection: a case report

We present this case of a meniscal ossicle of the posterior horn of the medial meniscus that was treated by an arthroscopic ossicle resection followed by a pullout repair of the remaining meniscus. A 49-year-old businessman complained of catching and left knee pain. Radiographic and arthroscopic findings revealed a meniscal ossicle embedded in the posterior horn of the medial meniscus and posterior horn tear. After resection of the posterior horn with the ossicle, a pullout suture repair for the posterior segment of the meniscus was done to minimize the further extrusion of the meniscus. A histologic appearance supported the vestigial development of the meniscal ossicle as the etiology. This is the first report describing a repair of the meniscus after ossicle resection.