Incarceration of the meniscus in fractures of the intercondylar eminence of the tibia in children

Falstie-Jensen, S; Petersen, Peter Erik

doi:10.1016/0020-1383(84)90005-6

Cited by 41 publications

(15 citation statements)

References 3 publications

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“…13 When tibial eminence fractures occur in an older cohort, they are often combined with lesions of the menisci, capsule, or collateral ligaments. 14 The initial injury in our patient demonstrated concomitant anterior root injury that progressed with time to nonanatomical healing of the root, leading to altered biomechanics. Surgical techniques available for meniscal root repair are broadly divided into transosseous suture repairs and suture anchor repairs.…”

Section: Discussionmentioning

confidence: 77%

Avulsion of the Anterior Lateral Meniscal Root Secondary to Tibial Eminence Fracture

Menge¹,

Chahla²,

Mitchell³

et al. 2018

Am J Orthop

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The lateral tibial eminence shares a close relationship with the anterior root of the lateral meniscus. Limited studies have reported traumatic injury to the anterior meniscal roots in the setting of tibial eminence fractures, and reported rates of occurrence of concomitant meniscal and chondral injuries vary widely. The purpose of this article is to describe the case of a 28-year-old woman who had a complete avulsion of the anterolateral meniscal root caused by a tibial eminence fracture with resultant malunion and root displacement. The anterolateral meniscal root was anatomically repaired following arthroscopic resection of the malunited fragment.

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Section: Discussionmentioning

confidence: 77%

Avulsion of the Anterior Lateral Meniscal Root Secondary to Tibial Eminence Fracture

Menge¹,

Chahla²,

Mitchell³

et al. 2018

Am J Orthop

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“…The other school advocates a systematic closed reduction [20] but when the fracture cannot be reduced by external manipulation in case of interposition of soft tissues, particularly the anterior horn of the medial meniscus, surgical treatment is recommended [21]. Interposition of the anterior horn of the medial meniscus or the intermeniscus ligament is commonly noted [22][23][24]. With soft tissue interposition, reduction is obtained with difficulty because of anatomic relations between the intercondylar eminence fracture, the anterior horn of the medial meniscus and the ACL [24].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of type II tibial intercondylar eminence fractures in children

Louis¹,

Guillaume²,

Launay³

et al. 2008

Journal of Pediatric Orthopaedics B

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The objective of this study was the evaluation of the therapeutic options in type II tibial intercondylar eminence fractures. Seventeen children were treated surgically. Open reduction, curettage of the fracture area and internal fixation were performed. The average follow-up was 3 years. No reduction in sport activities or instability have been noted. The average Lysholm score was 99.7 at the latest follow-up. We recommend the surgical procedure for type II tibial intercondylar eminence fractures in children. Surgical treatment with the curettage of the fracture area limits risks of residual knee laxity and could improve the risks of arthritis decompensation and meniscus lesion at long-term follow-up.

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“…8 The transverse ligament connects the anterior convex margin of the lateral meniscus to the anterior end of the medial meniscus, towards the articular rim. Our dissections showed that the transverse meniscal ligament becomes incarcerated within a displaced fracture of the anterior intercondylar eminence thus blocking reduction.…”

Section: Discussionmentioning

confidence: 99%

An alternative to fixation of displaced fractures of the anterior intercondylar eminence in children

Hallam

Fazal

Ashwood

et al. 2002

The Journal of Bone and Joint Surgery

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Fractures of the anterior intercondylar eminence in children are relatively uncommon. There is considerable debate as to the best treatment of displaced fractures, but most methods described in the literature involve an open procedure combined with some form of fixation. Using human anatomical dissections, we have shown that the transverse meniscal ligament can become incarcerated within the fracture and act as a block to reduction. We describe an arthroscopic technique which requires no fixation device and report the results of its use in eight displaced fractures. This method gives reliable results and offers the advantage of less potential morbidity.

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Incarceration of the meniscus in fractures of the intercondylar eminence of the tibia in children

Cited by 41 publications

References 3 publications

Avulsion of the Anterior Lateral Meniscal Root Secondary to Tibial Eminence Fracture

Avulsion of the Anterior Lateral Meniscal Root Secondary to Tibial Eminence Fracture

Surgical management of type II tibial intercondylar eminence fractures in children

An alternative to fixation of displaced fractures of the anterior intercondylar eminence in children

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