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Meniscal Root Tears: A Classification System Based on Tear Morphology.
MedLine Citation:
PMID:  25451789     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Meniscal root tears present in many forms and can have profound consequences on the health of knee articular cartilage. While the biomechanics, natural history, and treatment of root tears have been increasingly investigated, the spectrum of meniscal root tear patterns observed during arthroscopic examination has yet to be defined and categorized.
PURPOSE: To establish a classification system for meniscal root tears by reporting the morphology of meniscal root tears from a consecutive series of arthroscopic surgeries. It was hypothesized that meniscal root tears could be grouped into types by distinct tear patterns and that recognition of tear pattern would affect treatment choice.
STUDY DESIGN: Case series; Level of evidence, 4.
METHODS: All patients who underwent arthroscopic surgery from April 2010 to May 2014 by a single orthopaedic surgeon were included. After arthroscopic examination, data regarding the integrity of the meniscal roots were prospectively recorded in a data registry. Tear morphology and treatment received were subsequently extracted by 2 independent reviewers from operative notes and arthroscopic surgical photos.
RESULTS: A total of 71 meniscal root tears in 67 patients were grouped into tear types with similar tear morphologies. Meniscal root tear patterns were categorized into partial stable root tears (type 1; n = 5); complete radial tears within 9 mm of the bony root attachment (type 2; n = 48), further subclassified into types 2A, 2B, and 2C, located 0 to <3 mm, 3 to <6 mm, and 6 to 9 mm from the root attachment, respectively; bucket-handle tears with a complete root detachment (type 3; n = 4); complex oblique tears with complete root detachments extending into the root attachment (type 4; n = 7); and bony avulsion fractures of the root attachments (type 5; n = 7).
CONCLUSION: This study demonstrated that it was possible to establish a concise classification system to group patients with meniscal root tears by tear morphology. Treatments received varied across tear types.
Authors:
Christopher M LaPrade; Evan W James; Tyler R Cram; John A Feagin; Lars Engebretsen; Robert F LaPrade
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-12-1
Journal Detail:
Title:  The American journal of sports medicine     Volume:  -     ISSN:  1552-3365     ISO Abbreviation:  Am J Sports Med     Publication Date:  2014 Dec 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014 The Author(s).
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