Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-05-2011 | Knee

Repair of a torn medial meniscus with an anteromedial meniscofemoral ligament in an anterior cruciate ligament-injured knee

Authors: Masayuki Hamada, Takahide Miyama, Yoshihiro Nagayama, Konsei Shino

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2011

Abstract

We report a rare case of longitudinal tear of the anterior segment of the medial meniscus in association with the anteromedial meniscofemoral ligament (AMMFL) in an anterior cruciate ligament-injured knee. The tear was repaired, and the anterior horn was transferred to the tibia using the pull-out technique after excising the AMMFL. Repeat arthroscopy performed 7 months postoperatively revealed that the medial meniscus had completely healed and the anterior horn was firmly fixed to the tibia. Two years after the surgery, the patient could play basketball without any symptom. A posteroanterior flexion weight-bearing radiograph did not show any narrowing of the medial joint space. Considering the excellent healing observed in this case, preservation of the meniscus should be considered despite an association between a torn meniscus and an anomalous insertion.

Ahn JH, Lee YS, Chang JY, Chang MJ, Eun SS, Kim SM (2009) Arthroscopic all inside repair of the lateral meniscus root tear. Knee 16:77–80PubMedCrossRef

Anderson AF, Awh MH, Anderson CN (2004) The anterior meniscofemoral ligament of the medial meniscus: case series. Am J Sports Med 32:1035–1040PubMedCrossRef

Choi NH (2006) Meniscal repair for anterior horn tear of the lateral meniscus. Arthroscopy 22:1132.e1–1132.e2CrossRef

Choi NH, Son KM, Victoroff BN (2008) Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: a technical note. Knee Surg Sports Traumatol Arthrosc 16:891–893PubMedCrossRef

Coulier B, Himmer O (2008) Anteromedial meniscofemoral ligament of the knee: CT and MR features in 3 cases. JBR-BTR 91:240–244PubMed

DeHaven KE (1980) Diagnosis of acute knee injuries with hemarthrosis. Am J Sports Med 8:9–14PubMedCrossRef

Hamada M, Miyama T, Takeyasu Y, Tsutsumi S, Shino K (2007) Arthroscopic reduction and internal fixation of an avulsion fracture of the posterior horn of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc 15:427–430PubMedCrossRef

Jung YB, Yum JK, Bae YJ, Song KS (1998) Anomalous insertion of the medial menisci. Arthroscopy 14:505–507PubMedCrossRef

Kim SJ, Jung KA, Kim JM, Kwun JD, Baek SH, Han JN (2005) Arthroscopic all-inside repair of tears of the anterior horn of the lateral meniscus. Arthroscopy 21:1399.e1–1399.e4CrossRef

10.

McCormack D, McGrath J (1992) Antero-medial menisco-femoral ligament. Clin Anat 5:485–487CrossRef

11.

Nakajima T, Nabeshima Y, Fujii H, Ozaki A, Muratsu H, Yoshiya S (2005) Symptomatic anomalous insertion of the medial meniscus. Arthroscopy 21:629.e1–629.e4CrossRef

12.

Noyes FR, Bassett RW, Grood ES, Butler DL (1980) Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Joint Surg Am 62:687–695, 757

13.

Rosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM (1988) The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am 70:1479–1483PubMed

14.

Shea KG, Westin C, West J (1995) Anomalous insertion of the medial meniscus of the knee. A case report. J Bone Joint Surg Am 77:1894–1896PubMed

15.

Shino K, Hamada M, Mitsuoka T, Kinoshita H, Toritsuka Y (1995) Arthroscopic repair for a flap tear of the posterior horn of the lateral meniscus adjacent to its tibial insertion. Arthroscopy 11:495–498PubMedCrossRef

16.

Shino K, Horibe S, Hamada M, Nakamura N, Nakata K, Toritsuka Y, Mae T (2002) Allograft anterior cruciate ligament reconstruction. Techn Knee Surg 1:78–85

17.

Smith JP 3rd, Barrett GR (2001) Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med 29:415–419PubMed

18.

Slauterbeck JR, Kousa P, Clifton BC, Naud S, Tourville TW, Johnson RJ, Beynnon BD (2009) Geographic mapping of meniscus and cartilage lesions associated with anterior cruciate ligament injuries. J Bone Joint Surg Am 91:2094–2103PubMedCrossRef

19.

Soejima T, Murakami H, Tanaka N, Nagata K (2003) Anteromedial meniscofemoral ligament. Arthroscopy 19:90–95PubMedCrossRef

Title: Repair of a torn medial meniscus with an anteromedial meniscofemoral ligament in an anterior cruciate ligament-injured knee
Authors: Masayuki Hamada
Takahide Miyama
Yoshihiro Nagayama
Konsei Shino
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-010-1340-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Repair of a torn medial meniscus with an anteromedial meniscofemoral ligament in an anterior cruciate ligament-injured knee

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2011

Comparison between hamstring autograft and free tendon Achilles allograft: minimum 2-year follow-up after anterior cruciate ligament reconstruction using EndoButton and Intrafix

The effect of graft fixation sequence on force distribution in double-bundle anterior cruciate ligament reconstruction

Intraarticular stabilization following anterior cruciate ligament injury in children and adolescents

The Reversal

The influence of graft choice on isokinetic muscle strength 4–24 months after anterior cruciate ligament reconstruction

In vivo length patterns of the medial collateral ligament during the stance phase of gait