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Meniscal Root Tears: Current Concepts Review.

Santiago Pache1,2,3, Zachary S Aman1,2,3, Mitchell Kennedy1,2,3

  • 1Instituto Nacional De Ortopedia y Traumatología (INOT), Universidad De la República. Montevideo, Uruguay.

The Archives of Bone and Joint Surgery
|September 4, 2018
PubMed
Summary
This summary is machine-generated.

Meniscal root tears, injuries near the meniscus attachment, can cause knee osteoarthritis. Surgical repair is recommended for eligible patients to improve outcomes and slow degeneration.

Keywords:
Lateral meniscusMedial meniscusMeniscus root tearOutcomesRoot repair

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Biomechanics

Background:

  • Meniscal root tears are radial tears within 1 cm of the meniscal attachment or bony avulsion.
  • These injuries compromise hoop stresses, reducing tibiofemoral contact area and increasing pressure.
  • This can lead to articular cartilage damage and early osteoarthritis.

Purpose of the Study:

  • To provide a comprehensive overview of posterior meniscal root tears.
  • To discuss anatomy, biomechanics, clinical evaluation, and treatment options.
  • To review outcomes and post-operative rehabilitation strategies.

Main Methods:

  • Literature review of anatomical, biomechanical, and clinical studies.
  • Analysis of surgical techniques and outcomes for meniscal root repair.
  • Synthesis of current evidence regarding conservative and surgical management.

Main Results:

  • Meniscal root tears biomechanically mimic total meniscectomy, accelerating osteoarthritis.
  • Surgical repair is indicated for patients without advanced osteoarthritis (Outerbridge grades 3-4).
  • Root repair can improve clinical results, reduce meniscal extrusion, and delay degenerative changes.

Conclusions:

  • Prompt diagnosis and surgical repair of meniscal root tears are crucial.
  • Restoring root integrity is essential for preserving knee joint function.
  • Optimal post-operative rehabilitation is key to successful recovery and long-term outcomes.