Medial Meniscus Root Tear in the Middle Aged Patient: A Case Based Review

Joseph H Carreau; Sean E Sitton; Matthew Bollier

Back

Medial Meniscus Root Tear in the Middle Aged Patient: A Case Based Review

Journal article

Open access

Peer reviewed

Medial Meniscus Root Tear in the Middle Aged Patient: A Case Based Review

Joseph H Carreau, Sean E Sitton and Matthew Bollier

The Iowa orthopaedic journal, Vol.37, pp.123-132

2017

PMCID: PMC5508273

PMID: 28852346

Appears in Diamond Open Access

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508273/View

Published (Version of record) Open Access

Abstract

Biomechanical studies have shown that medial meniscal root tears result in meniscal extrusion and increased tibiofemoral joint contact pressures, which can accelerate the progression of arthritis. Repair is generally recommended for acute injuries in the young, active patient population. The far more common presentation however, is a subacute root tear with medial meniscal extrusion in a middle aged patient. Coexisting arthritis is common in this population and complicates decision making. Treatment should be based on the severity of the underlying arthritis. In cases of early or minimal arthritis, root repair is ideal to improve symptoms and restore meniscal function. In patients with moderate or severe medial compartment arthritis, medial unloader bracing or injections can be tried initially. When non-operative treatment fails, high tibial osteotomy or arthroplasty is recommended. Long term clinical studies are needed to determine the natural history of medial meniscal root tears in middle aged patients and the best surgical option.

Radiography

Magnetic Resonance Imaging

Tibial Meniscus Injuries - diagnostic imaging

Arthritis - diagnostic imaging

Humans

Middle Aged

Knee Joint - diagnostic imaging

Male

Treatment Outcome

Knee Joint - surgery

Arthroscopy

Menisci, Tibial - surgery

Female

Arthritis - surgery

Tibial Meniscus Injuries - surgery

Menisci, Tibial - diagnostic imaging

Details

Title: Subtitle: Medial Meniscus Root Tear in the Middle Aged Patient: A Case Based Review
Creators: Joseph H Carreau - Department of Orthopedics and Rehabilitation University of Iowa Hospitals and Clinics
Sean E Sitton - Department of Orthopedics and Rehabilitation University of Iowa Hospitals and Clinics
Matthew Bollier - Department of Orthopedics and Rehabilitation University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.37, pp.123-132
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 28852346
PMCID: PMC5508273
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2017
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040245802771

Metrics

31 Record Views