Science & Technology Review >

2020 , Vol. 38 >Issue 6: 72 - 77

DOI: https://doi.org/10.3981/j.issn.1000-7857.2020.06.010

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Advances in studies of meniscus posterior root tear

  • LIU Hao ,
  • YI Hong
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  • 1. School of Pediatrics, Nanjing Medical University, Nanjing 211166, China;
    2. The First People's Hospital of Nantong City, Nantong 226001, China

Received date: 2020-01-07

  Revised date: 2020-03-08

  Online published: 2020-05-11

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Abstract

The meniscus root tears are a specific type of the meniscal injury, and recently, received more and more attention of researchers. The meniscal root tears either are defined as an avulsion of the insertion of the meniscus attachment or the complete radial tears,located within 1 cm of the meniscus insertion. Biomechanical studies show that the meniscal root injuries interrupt the continuity of the circumferential fibers, and hence lead to failure of the normal meniscal function of converting the axial loads into the transverse hoop stresses. The meniscal root tears can be classified into 5 groups based on the tear morphology. The treatments of the meniscal root tears include the nonoperative therapy, the partial meniscectomy, and the meniscal root repair. The repair techniques have better clinic outcomes and become a research focus recently, including the transtibial pullout technique, the suture anchor repair and the anatomic reinforced medial meniscal root reconstruction with gracilis autograft. As a new technique for treatment of the osteoarthritis of Knee varus, the meniscus posterior root tear repair is combined with a high tibial osteotomy. In this review, we focus on the advances of the anatomy, the biomechanics, the classification system, and the treatment methods for the treatment of posterior meniscal root tears.

Key words： lateral meniscus; medial meniscus; meniscus root tear; root repair

Cite this article

LIU Hao , YI Hong . Advances in studies of meniscus posterior root tear[J]. Science & Technology Review, 2020 , 38(6) : 72 -77 . DOI: 10.3981/j.issn.1000-7857.2020.06.010

References

[1] Laprade C M, Jansson S, Dornan G, et al. Altered tibiofemoral contact mechanics due to lateral meniscus posterior horn root avulsions and radial tears can be restored with in situ pull-out suture repairs[J]. Journal of Bone and Joint Surgery-American Volume, 2014, 96(6):471-479.
[2] Kwak Y H, Lee S, Lee M C, et al. Large meniscus extrusion ratio is a poor prognostic factor of conservative treatment for medial meniscus posterior root tear[J]. Knee Surgery Sports Traumatology Arthroscopy, 2018(26):781-786.
[3] Brody J M, Lin H M, Hulstyn M J, et a1. Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear[J]. Radiology, 2006, 239(3):805-810.
[4] Schillhammer C K, Werner F W, Seuderi M G, et a1. Repair of lateral meniscus posterior horn detachment lesions:A biomechanical evaluation[J]. The American Journal of Sports Medicine, 2012, 40(11):2604-2609.
[5] Papalia R, Vasta S, Franceschi F, et al. Meniscal root tears:From basic science to ultimate surgery[J]. British Medical Bulletin, 2013, 106(2):91-115.
[6] Johannsen A M, Civitarese D M, Padalecki J R, et al. Qualitative and quantitative anatomic analysis of the posterior root attachments of the medial and lateral menisci[J]. The American Journal of Sports Medicine, 2012, 40(10):2342-2347.
[7] Bhatia S, LaPrade C M, Ellman M B, et al. Meniscal root tears:Significance, diagnosis, and treatment[J]. The American Journal of Sports Medicine, 2014, 42(12):3016-3030.
[8] Marzo J M, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications[J]. The American Journal of Sports Medicine, 2009, 37(1):124-129.
[9] Schillhammer C K, Werner F W, Scuderi M G, et al. Repair of lateral meniscus posterior horn detachment lesions:A biomechanical evaluation[J]. The American Journal of Sports Medicine, 2012, 40(11):2604-2609.
[10] Allaire R, Muriuki M, Gilbertson L, et al. Biomechanical consequences of a tear of the posterior root of the medial meniscus[J]. Journal of Bone and Joint SurgeryAmerican Volume, 2008, 90(9):1922-1931.
[11] Frank J M, Moatshe G, Brady A W, et al. Lateral meniscus posterior root and meniscofemoral ligaments as stabilizing structures in the ACL-deficient knee:A biomechanical study[J]. Orthopaedic Journal of Sports Medicine, 2017, 5(6):232596711769575.
[12] Padalecki J R, Jansson K S, Smith S D, et al. Biomechanical consequences of a complete radial tear adjacent to the medial meniscus posterior root attachment site:In situ pull-out repair restores derangement of joint mechanics[J]. The American Journal of Sports Medicine, 2014, 42(3):699-707.
[13] Kodama Y, Furumatsu T, Fujii M, et al. Pullout repair of a medial meniscus posterior root tear using a Fast-Fix (R) all-inside suture technique[J]. Orthopaedics & Traumatology:Surgery & Research, 2016, 102(7):951-954.
[14] Ellman M B, LaPrade C M, Smith S D, et al. Structural properties of the meniscal roots[J]. The American Journal of Sports Medicine, 2014, 42(8):1881-1887.
[15] Mitchell R, Pitts R, Kim Y M, et al. Medial meniscal root avulsion:A biomechanical comparison of 4 different repair constructs[J]. Arthroscopy, 2016, 32(1):111-119.
[16] LaPrade C M, James E W, Cram T R, et al. Meniscal root tears:A classification system based on tear morphology[J]. The American Journal of Sports Medicine, 2014, (43):363-369.
[17] Harper K W, Helms C A, Lambert H S, et al. Radial meniscal tears:Significance, incidence, and MR appearance[J]. American Journal of Roentgenology, 2005, 185(6):1429-1434.
[18] Feucht M J, Grande E, Brunhuber J, et a1. Biomechanical evaluation of different suture materials for arthroseopic transtibial pullout repair of posterior meniscus root tears[J]. Knee Surgery Sports Traumatology Arthroscopy, 2015, 23(1):132-139.
[19] Krych A J, Reardon P J, Johnson N R, et al. Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up[J]. Knee Surgery Sports Traumatology Arthroscopy, 2017, 25(2):383-389.
[20] Kaplan D J, Alaia E F, Dold A P, et al. Increased extrusion and ICRS grades at 2-year follow-up following transtibial medial meniscal root repair evaluated by MRI[J]. Knee Surgery Sports Traumatology Arthroscopy, 2018, 26(9):2826-2834.
[21] Chung K S, Ha J K, Yeom C H, et al. Comparison of clinical and radiologic results between partial meniscectomy and refixation of medial meniscus posterior root tears:A minimum 5-year follow-up[J]. Arthroscopy, 2015, 31(10):1941-1950.
[22] Engelsohn E, Umans H, Difelice G S. et al. Marginal fractures of the medial tibial plateau:Possible association with medial meniscal root tear[J]. Skeletal Radiol, 2007, 36(1):73-76.
[23] Petersen W, Forkel P, Feucht M J, et al. Posterior root tear of the medial and lateral meniscus[J]. Archives of Orthopaedic and Traumatic Surgery, 2014, 134(2):237-255.
[24] Lee S S, Ahn J H, Kim J H, et al. Evaluation of healing after medial meniscal root repair using second-look arthroscopy, clinical, and Radiological Criteria[J]. The American Journal of Sports Medicine, 2018, 46(11):2661-2668.
[25] LaPrade C M, Foad A, Smith S D, et al. Biomechanical consequences of a nonanatomic posteriormedialmeniscal root repair[J]. The American Journal of Sports Medicine, 2015, 43(4):912-920.
[26] Holmes S W Jr, Huff L W, Barnes A J, et al. Anatomic reinforced medial meniscal root reconstruction with gracilis autograft[J]. Arthroscopy Techniques, 2019, 8(3):209-213.
[27] Feucht M J, Grande E, Brunhuber J, et al. Biomechanical evaluation of different suture techniques for arthroscopic transtibial pull-out repair of posterior medial meniscus root tears[J]. The American Journal of Sports Medicine, 2013, 41(12):2784-2790.
[28] Okimura S, Mae T, Tachibana Y, et al. Biomechanical comparison of meniscussuture constructs for pullout repair of medial meniscus posterior root tears[J]. Journal of Experimental Orthopaedics, 2019, 6(1):17.
[29] Hwang B Y, Kim S J, Lee S W, et al. Risk factors for medial meniscus posterior root tear[J]. The American Journal of Sports Medicine, 2012, 40(7):1606-1610.
[30] Harner C D, Mauro C S, Lesniak B P, et al. Biomechanical consequences of a tear of the posterior root of the medial meniscus:Surgical technique[J]. Journal of Bone and Joint Surgery-American Volume, 2009, 91(2):257-270.
[31] Koenig J H, Ranawat A S, Umans H R, et al. Meniscal root tears:Diagnosis and treatment[J]. Arthroscopy, 2009, 25(9):1025-1032.
[32] Nakamura R, Takahashi M, Kuroda K, et al. Suture anchor repair for a medial meniscus posterior root tear combined with arthroscopic meniscal centralization and open wedge high tibial osteotomy[J]. Arthroscopy Techniques, 2018, 7(7):755-761.
[33] Gomoll A H, Farr J, Gillogly S D, et al. Surgical management of articular cartilage defects of the knee[J]. Journal of Bone and Joint Surgery-American Volume, 2011, 92(14):2470-2490.
[34] Nha K W, Lee Y S, Hwang D H, et al. Second-look arthroscopic findings after open-wedgehigh tibia osteotomy focusing on the posterior root tears of the medial meniscus[J]. Arthroscopy, 2013, 29(2):226-231.
[35] Lee O S, Lee S H, Lee Y S, et al. Comparison of the radiologic, arthroscopic, and clinical outcomes between repaired versus unrepaired medial meniscus posterior horn root tear during open wedge high tibial osteotomy[J]. Journal of Knee Surgery, 2019, doi:10.1055/s-0039-1692992.
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