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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2015

01-04-2015 | Knee

Anterior meniscus root avulsion following intramedullary nailing for a tibial shaft fracture

Authors: Michael B. Ellman, Evan W. James, Christopher M. LaPrade, Robert F. LaPrade

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2015

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Abstract

This paper presents the first reported case of iatrogenic injury to the anterior medial meniscal root attachment following intramedullary nailing for a tibial shaft fracture. The patient experienced a closed right tibia–fibula fracture 7 years prior to presentation, which was treated with a reamed intramedullary nail. The nail was removed 3 years after the index surgery due to chronic anterior knee pain, which persisted following hardware removal. At presentation, the patient was diagnosed with an anterior horn medial meniscal root tear likely secondary to insertion of the intramedullary nail through the anatomic footprint of the anterior medial root. After undergoing a medial meniscus anterior horn root repair, the patient was asymptomatic and resumed normal activities.

Level of evidence

Case report, Level IV.
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Metadata
Title
Anterior meniscus root avulsion following intramedullary nailing for a tibial shaft fracture
Authors
Michael B. Ellman
Evan W. James
Christopher M. LaPrade
Robert F. LaPrade
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2941-5

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