Open AccessMeniscal root tears: Solving the silent epidemic
Author(s) -
Robert F. LaPrade,
Edward R. Floyd,
Gregory B. Carlson,
Gilbert Moatshe,
Jorge Chahla,
Jill Monson
Publication year - 2021
Publication title -
journal of arthroscopic surgery and sports medicine
Language(s) - English
Resource type - Journals
ISSN - 2582-7332
DOI - 10.25259/jassm_55_2020
Subject(s) - tears , medicine , meniscus , osteoarthritis , lateral meniscus , etiology , rehabilitation , knee joint , surgery , physical therapy , pathology , physics , alternative medicine , incidence (geometry) , optics
In this review article, the authors describe the most current knowledge surrounding meniscal root tears with a primary focus on diagnosis, management, and implications for the health of the knee joint. Historically overlooked or treated with meniscectomy, meniscal root tears are now known to disrupt the biomechanical role of the meniscus in the joint, leading to the rapid development of knee osteoarthritis. Tears of the medial and lateral posterior meniscal roots are associated with differing etiologies and sequelae, especially in regard to their action as secondary stabilizers of the knee, making root tears an important consideration in ligament reconstruction surgery. We will discuss diagnostic challenges and well-established hallmarks of meniscus tears on imaging, and will conclude by explaining the preferred method for surgical repair of the meniscal roots and appropriate rehabilitation.