Meniscus tear developed by pulling of the anomalous insertion of medial meniscus on anterior cruciate ligament

Wang, Joon Ho; Wong, Andrew K.; Romanowski, James R.; Fu, Freddie H.

doi:10.1007/s00167-011-1464-6

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…It is our opinion that is difficult to support resection as an option in a young patient with remaining growth given the lack of consensus in the literature. We agree with other authors who consider the AMMFL to have a biomechanical effect as a ligamentous anchor of the anterior horn [ 10 , 15 ]. In our particular case, where a combined anomaly of both horns was present, the AMMFL was the only meniscal attachment.…”

Section: Discussionsupporting

confidence: 92%

Anomalous insertion of anterior and posterior horns of medial meniscus. Case report

Mariani

Torre

2021

BMC Musculoskelet Disord

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Background Anatomical variations of the attachment of medial meniscus are a common finding. However, anomalies of the posterior horn are extremely rare. Only two cases of posterior root anomaly have been described prior to the routine use of arthroscopy for evaluation and treatment of meniscal pathology. In this report, we present an anomaly of both the anterior and posterior roots of the medial meniscus that posed both a diagnostic and therapeutic dilemma. Case presentation The patient is young male soccer player who is currently 16 years of age and began having the atraumatic onset of pain and symptoms that limited performance starting at age 14 and was referred for failure of response to nonoperative treatment. Diagnostic arthroscopy revealed the presence of an anteromedial meniscofemoral ligament whereas the posterior root showed no bony attachment. The radiographic and arthroscopic findings are described. The clinical decision was made after to proceed with observation, reassurance, and gradual return to full activity with physiotherapy guidance. Discussion and conclusion The absence of injury, the mild complaints reported by the patient, his age, skeletal immaturity, and remaining growth led us to adopt a conservative approach to treating this anatomic variant and currently the patient is able to participate fully in sports without symptoms or restrictions.

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Section: Discussionsupporting

confidence: 92%

Anomalous insertion of anterior and posterior horns of medial meniscus. Case report

Mariani

Torre

2021

BMC Musculoskelet Disord

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“…This may have resulted in some selection bias. However, the dominance in this study of patients with chronic ACL tears led to the exclusion of patients with lateral meniscal tears, because medial meniscal tears are more common in patients with chronic than acute ACL tears [23], whereas lateral meniscus tears are more common in patients with acute ACL tears [24]. The last limitation of this research is that electromyographical analysis was not used to determine the response of the muscles surrounding the knee.…”

Section: Resultsmentioning

confidence: 99%

Effect of Menisectomy on Recovery of Proprioceptive Deficits Following Arthroscopic Acl Reconstruction

Mahajan¹,

Mehtani²

2017

IJPR

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Introduction: Decrease in proprioception and kinesthesia occurs after ACL injury. Changes occurring within the joint following injury affect normal recruitment and firing patterns of the surrounding musculature. There are little data in the literature with reference to effect of concomitant menisectomy on recovery of proprioceptive deficits after arthroscopic ACL reconstruction.Objective: To determine the effect of concomitant menisectomy on proprioception recovery after arthroscopically assisted anterior cruciate ligament (ACL) reconstruction with quadrupled hamstring graft. Materials and Methods:In this study, 42 arthroscopic ACL reconstruction patients were randomized into Group ACL+MM which underwent ACL reconstruction and menisectomy for concomitant meniscal tears and Group ACL who underwent ACL reconstruction alone. Outcome Assessment was done at 1 month, 3, 6 and 12 months after the surgery in which patients were assessed using Star excursion balance test by measuring excursion distances in each of the 8 directions.Results: Excursion distances in eight directions showed less increment inACL+MM group with compared to ACL group. However it was found to be statistically significant only for posteromedial, lateral and medial directions.Conclusion: Concomitant menisectomy does affect the recovery of dynamic proprioceptive deficits and the recovery phase is longer after arthroscopically assisted anterior cruciate ligament (ACL) reconstruction compared to ACL reconstruction alone.

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“…This may have resulted in some selection bias. However, the dominance in this study of patients with chronic ACL tears led to the exclusion of patients with lateral meniscal tears, because medial meniscal tears are more common in patients with chronic than acute ACL tears [2, 27], whereas lateral meniscus tears are more common in patients with acute ACL tears [7, 23]. Another limitation was the lack of a control group of healthy individuals.…”

Section: Discussionmentioning

confidence: 99%

Postural stability in patients with anterior cruciate ligament tears with and without medial meniscus tears

Park

Jeong

Lee

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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Meniscus tear developed by pulling of the anomalous insertion of medial meniscus on anterior cruciate ligament

Cited by 6 publications

References 15 publications

Anomalous insertion of anterior and posterior horns of medial meniscus. Case report

Anomalous insertion of anterior and posterior horns of medial meniscus. Case report

Effect of Menisectomy on Recovery of Proprioceptive Deficits Following Arthroscopic Acl Reconstruction

Postural stability in patients with anterior cruciate ligament tears with and without medial meniscus tears

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