Top

BMC Musculoskeletal Disorders

Published in:

Open Access 01-12-2020 | Magnetic Resonance Imaging | Case report

Traumatic avulsion of the anterior medial meniscus root combined with PCL injury: a case report

Authors: Anqi Wang, Hongzhang Lu

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Abstract

Background

Avulsion of the anterior medial meniscus root (AMMR) has a low incidence rate, especially when it is combined with posterior cruciate ligament (PCL) injury, which hasn’t been reported in any literature to date. The aim of this study was to share our experience in the diagnosis and treatment of a patient with traumatic avulsion of AMMR combined with PCL injury.

Case presentation

This article reports a 26-year-old male patient diagnosed with traumatic avulsion of the AMMR with PCL injury. After arthroscopic surgery, he achieved remission of symptoms and recovery of functions.

Conclusions

Anterior meniscus root injuries are relatively rare. Its diagnosis can be made preliminarily based on clinical manifestations, physical examinations, and magnetic resonance imaging (MRI), and then confirmed by arthroscopic exploration. Arthroscopic suture anchor fixation of the injured anterior meniscus horn shows a good therapeutic effect.

Cavanaugh JT. Rehabilitation of meniscal injury and surgery. J Knee Surg. 2014;27:459–78.CrossRef

Bernard CD, Kennedy NI, Tagliero AJ, Camp CL, Saris DBF, Levy BA, Stuart MJ, Krych AJ. Medial meniscus posterior root tear treatment: a matched cohort comparison of nonoperative management, partial Meniscectomy, and repair. Am J Sports Med. 2020;48:128–32.CrossRef

Kim JY, Bin SI, Kim JM, Lee BS, Oh SM, Cho WJ, Lee JH. Partial meniscectomy provides the favorable outcomes for symptomatic medial meniscus tear with an intact posterior root. Knee Surg Sports Traumatol Arthrosc. 2019. https://doi.org/10.1007/s00167-019-05634-9.

Iversen JV, Krogsgaard MR. Tibial avulsion fracture of the posterior root of the medial meniscus in children. Knee Surg Sports Traumatol Arthrosc. 2014;22:109–11.CrossRef

Hein CN, Deperio JG, Ehrensberger MT, Marzo JM. Effects of medial meniscal posterior horn avulsion and repair on meniscal displacement. Knee. 2011;18:189–92.CrossRef

Feucht MJ, Minzlaff P, Saier T, Lenich A, Imhoff AB, Hinterwimmer S. Avulsion of the anterior medial meniscus root: case report and surgical technique. Knee Surg Sports Traumatol Arthrosc. 2015;23:146–51.CrossRef

Toy JO, Feeley BT, Gulotta LV, Warren RF. Arthroscopic avulsion repair of a pediatric ACL with an anomalous primary insertion into the lateral meniscus. HSS J. 2011;7:190–3.CrossRef

Navarro-Holgado P, Cuevas-Perez A, Aguayo-Galeote MA, Carpintero-Benitez P. Anterior medial meniscus detachment and anterior cruciate ligament tear. Knee Surg Sports Traumatol Arthrosc. 2007;15:587–90.CrossRef

Chen L, Linde-Rosen M, Hwang SC, Zhou J, Xie Q, Smolinski P, Fu FH. The effect of medial meniscal horn injury on knee stability. Knee Surg Sports Traumatol Arthrosc. 2015;23:126–31.CrossRef

10.

Walker PS, Arno S, Bell C, Salvadore G, Borukhov I, Oh C. Function of the medial meniscus in force transmission and stability. J Biomech. 2015;48:1383–8.CrossRef

11.

LaPrade CM, Civitarese DM, Rasmussen MT, LaPrade RF. Emerging updates on the posterior cruciate ligament: a review of the current literature. Am J Sports Med. 2015;43:3077–92.CrossRef

12.

Zheng J, Zhai W, Li Q, Jia Q, Lin D. A special tear pattern of anterior horn of the lateral meniscus: macerated tear. PLoS One. 2017;12:e0170710.CrossRef

13.

Ellman MB, James EW, LaPrade CM, LaPrade RF. Anterior meniscus root avulsion following intramedullary nailing for a tibial shaft fracture. Knee Surg Sports Traumatol Arthrosc. 2015;23:1188–91.CrossRef

14.

Marzo JM. Meniscus root avulsion. Clin Sports Med. 2012;31:101–11.CrossRef

15.

Berlet GC, Fowler PJ. The anterior horn of the medical meniscus. An anatomic study of its insertion. Am J Sports Med. 1998;26:540–3.CrossRef

16.

Kale A, Kopuz C, Dikici F, Demir MT, Corumlu U, Ince Y. Anatomic and arthroscopic study of the medial meniscal horns’ insertions. Knee Surg Sports Traumatol Arthrosc. 2010;18:754–9.CrossRef

17.

Allaire R, Muriuki M, Gilbertson L, Harner CD. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone Joint Surg Am. 2008;90:1922–31.CrossRef

18.

Schillhammer CK, Werner FW, Scuderi MG, Cannizzaro JP. Repair of lateral meniscus posterior horn detachment lesions: a biomechanical evaluation. Am J Sports Med. 2012;40:2604–9.CrossRef

Title: Traumatic avulsion of the anterior medial meniscus root combined with PCL injury: a case report
Authors: Anqi Wang
Hongzhang Lu
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-020-03671-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Traumatic avulsion of the anterior medial meniscus root combined with PCL injury: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2020

A potential risk factor of total knee arthroplasty: an infected Baker’s cyst – a case report

Percutaneous endoscopic-assisted direct repair of pars defect without general anesthesia could be a satisfying treatment alternative for young patient with symptomatic lumbar spondylolysis: a technique note with case series

Binary Tönnis classification: simplified modification demonstrates better inter- and intra-observer reliability as well as agreement in surgical management of hip pathology

Motion-preserving treatment of unstable atlas fracture: transoral anterior C1-ring osteosynthesis using a laminoplasty plate

Safety of the application of Rigidfix cross-pin system via different tibial tunnels for tibial fixation during anterior cruciate ligament reconstruction

An exploratory study of different definitions and thresholds for lumbar disc degeneration assessed by MRI and their associations with low back pain using data from a cohort study of a general population