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Development of a Meniscal Ossicle After a Meniscal Root Repair Augmented with Bone Marrow Aspirate Concentrate: A

Claire D Eliasberg1, Kenneth M Lin1, Thomas W Bauer2

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.

JBJS Case Connector
|April 1, 2020
PubMed
Abstract

Insights

A rare complication of knee surgery, intrameniscal ossicle, can cause persistent pain after meniscal root repair. Surgical removal of the ossicle provided complete pain relief in a teenage patient.

Area of Science:

  • Orthopedic Surgery
  • Regenerative Medicine
  • Sports Medicine

Background:

  • Persistent knee pain can occur after medial meniscal root repair augmented with bone marrow aspirate concentrate (BMAC).
  • Intrameniscal ossicle formation is a potential, though uncommon, complication following such procedures.

Observation:

  • A 17-year-old male experienced chronic knee pain one year post-medial meniscal root repair with BMAC.
  • Imaging revealed an intrameniscal ossicle, an abnormal bone formation within the meniscus, which was absent in earlier scans.

Findings:

  • The patient underwent arthroscopic excision of the intrameniscal ossicle.
  • Complete pain resolution was achieved at the 7-month follow-up after the ossicle removal.

Implications:

  • Intrameniscal ossicle should be considered a potential complication of meniscus repair augmented with BMAC or bone drilling.
  • This case highlights the importance of recognizing and surgically addressing intrameniscal ossicles for successful pain management in young athletes.

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