Simultaneous avulsion fracture of the posterior medial and posterior lateral meniscus root: a case report and review of the literature

Feucht, Matthias J.; Salzmann, Gian M.; Pestka, Jan M.; Südkamp, Norbert P.; Niemeyer, Philipp

doi:10.1007/s00402-013-1915-2

Cited by 13 publications

(12 citation statements)

References 45 publications

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“…Feucht stated 12 meniscal root avulsions had been reported up to 2013 and 92% of these injuries are medial meniscus posterior root avulsion. Only two patients (17%) concomitant injuries were found, and these are one ACL avulsion fracture and one ACL tear [3] …”

Section: Discussionmentioning

confidence: 99%

“…Only two patients (17%) concomitant injuries were found, and these are one ACL avulsion fracture and one ACL tear. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

“…All cases of meniscal root avulsion fractures previously reported in the literature are developed as a result of severe trauma. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

“…All cases of meniscal root avulsion fractures previously reported in the literature are developed as a result of severe trauma. [3] While posterior cruciate ligament (PCL) injuries are rare injuries, PCL avulsion fractures are an extremely rare type of this injury. [4] The injury mechanism is usually due to a direct force displacing the proximal tibia posteriorly while the knee is flexed.…”

Section: Introductionmentioning

confidence: 99%

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Case report of concomitant avulsion fractures of the medial meniscus and posterior cruciate ligament

Cengiz¹,

Karaoğlu²

2021

Medicine

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Rationale: Posterior cruciate ligament (PCL) is the strongest ligament of the knee, and avulsion fractures of PCL are a very rare type of injury. These injuries occur as a result of high-energy traumas, and different accompanying pathologies may be seen. However, tibial avulsion fracture of the PCL associated with a medial meniscus (MM) avulsion fracture has never been reported before. We want to present this unique type of posteromedial knee injury as a case report. Patient concern: A 42-year-old man presented with severe pain and swelling due to a ski injury. Diagnosis: Concomitant avulsion fractures of PCL and MM were detected after imaging. Interventions: Both avulsion fractures were treated with open reduction and fixation with lag screws using the posterior approach. Outcomes: No complications were encountered, and the painless full range of motion and weight-bearing was achieved at the third month after the operation. Lessons: Anatomical reduction and stable fixation of these intra-articular fractures are essential for the stability of the knee. The posterior approach should be kept in mind to access these types of fractures safely. Care should be taken in terms of other injuries that may accompany the PCL avulsion fractures caused by high-energy traumas.

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Section: Discussionmentioning

confidence: 99%

“…Only two patients (17%) concomitant injuries were found, and these are one ACL avulsion fracture and one ACL tear. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

“…All cases of meniscal root avulsion fractures previously reported in the literature are developed as a result of severe trauma. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case report of concomitant avulsion fractures of the medial meniscus and posterior cruciate ligament

Cengiz¹,

Karaoğlu²

2021

Medicine

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“…77,78 (Evidence level: C) The use of suture anchors has been reported for posterior root avulsion injury repair. 59,75,169 Fixation of PLMRT with a suture anchor has been proven to be a biomechanically adequate construct for medial meniscal posterior root tears. Extrapolating these results onto the lateral meniscus, we can assume that suture anchor fixation is an adequate option for posterior lateral root repair.…”

Section: Statement 13 Diagnosis Classification and Treatment Of Root ...mentioning

confidence: 99%

Guidelines on the Diagnosis and Treatment of Lateral Meniscal Lesions: A Consensus Statement by the Chinese Society of Sports Medicine

Zhang

Chen

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: The lateral meniscus is a unique structure of the knee joint, and its anatomy, function, pathological process, and treatment are distinct from those of the medial meniscus. To date, no consensus on the management of lateral meniscal lesions has been published, and clinical decision-making is challenging. To facilitate this, consensus and practice guidelines for lateral meniscal lesions were developed and endorsed by the Chinese Society of Sports Medicine. Study Design: Consensus statement. Methods: This project followed the Delphi approach to the consensus process, involving steering, rating, and peer review groups. A total of 61 experts in the fields of sports medicine and arthroscopic surgery were invited to participate in the compilation of a consensus statement on lateral meniscal lesions. (The discoid lateral meniscus was addressed by separate consensus.) To begin, the steering group drafted a set of questions and replies regarding lateral meniscal lesions. An online panel discussion was then held to provide initial agreement and comments on the statements, followed by a round of anonymous voting. Results and feedback were sent to the steering group for a second draft. A second round of voting was then held, and each statement was discussed during a combined meeting of the steering and rating groups. Finally, a consensus draft was evaluated by a review group. Results: Fifty-three questions and answers addressing lateral meniscal lesions were drafted, and 20 statements were excluded because of redundant information during the first round of voting. Ultimately, 33 statements were completed, 9 of which were unanimous. Conclusion: This expert consensus process focused on the anatomy, function, pathological processes, and treatment of lateral meniscal lesions. Accepted recommendations in these areas can assist doctors and therapists in standardizing the management of related pathology. The consensus statement indicates that certain types of lateral meniscal tears that were previously considered irreparable can be repaired. Preservation of the lateral meniscus should be the first-line treatment whenever possible, because the long-term clinical and radiological outcomes are worse after partial meniscectomy.

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Lenschow

Raschke

2015

Arthroskopie

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Simultaneous avulsion fracture of the posterior medial and posterior lateral meniscus root: a case report and review of the literature

Cited by 13 publications

References 45 publications

Case report of concomitant avulsion fractures of the medial meniscus and posterior cruciate ligament

Case report of concomitant avulsion fractures of the medial meniscus and posterior cruciate ligament

Guidelines on the Diagnosis and Treatment of Lateral Meniscal Lesions: A Consensus Statement by the Chinese Society of Sports Medicine

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