Meniscus Radial Tears: Current Concepts on Management and Repair Techniques

Meniscus Injuries in Soccer

“…3A), whereas complete tears that transverse the circumferential fibers can result in meniscal extrusion and abnormal load transmission equivalent to total meniscectomy and should be repaired. 51,64 A parrotbeak tear of the meniscus is an oblique radial tear that involves the innermost avascular zone (Fig. 3B), whereas a posterior horn lateral meniscal oblique radial tear is a newly described subtype also often associated with ACL tears that often need repair, as they have been shown to increase anterior translation, pivot shift, and meniscal extrusion if not 65,66 (Fig.…”

“…67 Radial tears were historically fixed with an "inside-out" approach with horizontal sutures across the tear edges, but more recently, data have shown that side-to-side repair with a pair of vertical "rip" stop mattress sutures can minimize the risk of suture cut-out and has shown favorable biomechanical properties. 64,68 Posterior root tears are typically repaired with a "transtibial pull-out" method, where the detached posterior root is tagged with a suture passing device and shuttled into the anatomic footprint through a transtibial tunnel and tied distally over a button or other cortical fixation device 69 (Fig. 4B).…”