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The meniscal roots are essential for their proper functioning. They are the meniscal anchorage point into the tibial plateau maintaining their normal function. Diagnosis of these lesions requires a high degree of suspicion to prevent early development of chondral injuries. Surgical root repair should be attempted, for short-term follow-up has evidenced good outcomes. Meniscal transplantation is reserved for salvage situations when a meniscus cannot be repaired.
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- Pagnani MJ, Cooper DE, Warren RF. Extrusión of the medial meniscus. Arthroscopy. 1991;7(3):297-300.
- Marzo JM, Kumar BA. Primary Repair of Medial Meniscal Avulsions. Am J Sports Med. 2007;35(8):1380-1383. doi:10.1177/0363546506297907.
- Kenny C. Arthroscopic Repair of Avulsion of the Posterior Root and Body of the Lateral Meniscus: A Twenty-Year Follow-up. J Bone Jt Surgery-American Vol. 2009;91(12):2932-2936. doi:10.2106/JBJS.H.01795.
- Harner CD, Mauro CS, Lesniak BP, Romanowski JR. Biomechanical Consequences of a Tear of the Posterior Root of the Medial Meniscus. J Bone Jt Surgery-American Vol. 2009;91:257-270. doi:10.2106/JBJS.I.00500.
- Marzo JM. Medial meniscus posterior horn avulsion. J Am Acad Orthop Surg. 2009;17(5):276-283.
- Kim SB, Ha JK, Lee SW, et al. Medial Meniscus Root Tear Refixation: Comparison of Clinical, Radiologic, and Arthroscopic Findings With Medial Meniscectomy. Arthrosc J Arthrosc Relat Surg. 2011;27(3):346-354. doi:10.1016/j.arthro.2010.08.005.
- Hwang B-Y, Kim S-J, Lee S-W, et al. Risk Factors for Medial Meniscus Posterior Root Tear. Am J Sports Med. 2012;40(7):1606-1610. doi:10.1177/0363546512447792.
- Matheny LM, Ockuly AC, Steadman JR, LaPrade RF. Posterior meniscus root tears: associated pathologies to assist as diagnostic tools. Knee Surgery, Sport Traumatol Arthrosc. 2015;23(10):3127-3131. doi:10.1007/s00167-014-3073-7.
- Feucht MJ, Bigdon S, Bode G, et al. Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. J Orthop Surg Res. 2015;10(1):34. doi:10.1186/s13018-015-0184-x.
- Lee SY, Jee W-H, Kim J-M. Radial Tear of the Medial Meniscal Root: Reliability and Accuracy of MRI for Diagnosis. Am J Roentgenol. 2008;191(1):81-85. doi:10.2214/AJR.07.2945.
- Beasley, L, Robertson, D, Armfield D. Medial meniscus root tears: An unsolved problem—Demographic, radiographic, and arthroscopic findings. Pittsburgh Orthop J. 2005;16:155.
- Berg EE. The meniscal ossicle: the consequence of a meniscal avulsion. Arthroscopy. 1991;7(2):241-243. http://www.ncbi.nlm.nih.gov/pubmed/2069638.
- Costa CR, Morrison WB, Carrino JA. Medial Meniscus Extrusion on Knee MRI: Is Extent Associated with Severity of Degeneration or Type of Tear? Am J Roentgenol. 2004;183(1):17-23. doi:10.2214/ajr.183.1.1830017.
- Brody JM, Lin HM, Hulstyn MJ, Tung GA. Lateral Meniscus Root Tear and Meniscus Extrusion with Anterior Cruciate Ligament Tear. Radiology. 2006;239(3):805-810. doi:10.1148/radiol.2393050559.
- Schnarkowski P, Tirman PF, Fuchigami KD, Crues J V, Butler MG, Genant HK. Meniscal ossicle: radiographic and MR imaging findings. Radiology. 1995;196(1):47-50. doi:10.1148/radiology.196.1.7784586.
- Jones A, Houang M, Low R, Wood D. Medial meniscus posterior root attachment injury and degeneration: MRI findings. Australas Radiol. 2006;50(4):306-313. doi:10.1111/j.1440-1673.2006.01586.x.
- LaPrade CM, James EW, Cram TR, Feagin JA, Engebretsen L, LaPrade RF. Meniscal Root Tears. Am J Sports Med. 2015;43(2):363-369. doi:10.1177/0363546514559684.
- Choi C-J, Choi Y-J, Lee J-J, Choi C-H. Magnetic Resonance Imaging Evidence of Meniscal Extrusion in Medial Meniscus Posterior Root Tear. Arthrosc J Arthrosc Relat Surg. 2010;26(12):1602-1606. doi:10.1016/j.arthro.2010.05.004.
- Berthiaume M-J. Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis. 2005;64(4):556-563. doi:10.1136/ard.2004.023796.
- Koenig JH, Ranawat AS, Umans HR, DiFelice GS. Meniscal Root Tears: Diagnosis and Treatment. Arthrosc J Arthrosc Relat Surg. 2009;25(9):1025-1032. doi:10.1016/j.arthro.2009.03.015.
- Ahn JH, Wang JH, Yoo JC, Noh HK, Park JH. A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal. Knee Surgery, Sport Traumatol Arthrosc. 2007;15(12):1510-1513. doi:10.1007/s00167-007-0310-3.
- Kim Y-M, Rhee K-J, Lee J-K, Hwang D-S, Yang J-Y, Kim S-J. Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn. Arthroscopy. 2006;22(7):795.e1-4. http://www.ncbi.nlm.nih.gov/pubmed/16848058.
- Seo J-H, Li G, Shetty GM, et al. Effect of Repair of Radial Tears at the Root of the Posterior Horn of the Medial Meniscus With the Pullout Suture Technique: A Biomechanical Study Using Porcine Knees. Arthrosc J Arthrosc Relat Surg. 2009;25(11):1281-1287. doi:10.1016/j.arthro.2009.05.014.
- Padalecki JR, Jansson KS, Smith SD, et al. Biomechanical Consequences of a Complete Radial Tear Adjacent to the Medial Meniscus Posterior Root Attachment Site. Am J Sports Med. 2014;42(3):699-707. doi:10.1177/0363546513499314.
- LaPrade CM, LaPrade MD, Turnbull TL, Wijdicks CA, LaPrade RF. Biomechanical Evaluation of the Transtibial Pull-Out Technique for Posterior Medial Meniscal Root Repairs Using 1 and 2 Transtibial Bone Tunnels. Am J Sports Med. 2015;43(4):899-904. doi:10.1177/0363546514563278.
- Feucht MJ, Grande E, Brunhuber J, et al. Biomechanical Comparison Between Suture Anchor and Transtibial Pull-out Repair for Posterior Medial Meniscus Root Tears. Am J Sports Med. 2014;42(1):187-193. doi:10.1177/0363546513502946.
- Chahla J, Moulton SG, LaPrade CM, Dean CS, LaPrade RF. Posterior Meniscal Root Repair: The Transtibial Double Tunnel Pullout Technique. Arthrosc Tech. 2016;5(2):e291-e296. doi:10.1016/j.eats.2016.01.006.
- Eun SS, Lee SH, Sabal LA. Arthroscopic repair of the posterior root of the medial meniscus using knotless suture anchor: A technical note. Knee. 2016;23(4):740-743. doi:10.1016/j.knee.2016.03.001.
- LaPrade RF, Matheny LM, Moulton SG, James EW, Dean CS. Posterior Meniscal Root Repairs: Outcomes of an Anatomic Transtibial Pull-Out Technique. Am J Sports Med. 2017;45(4):884-891. doi:10.1177/0363546516673996.
- Chung KS, Ha JK, Ra HJ, Kim JG. Prognostic Factors in the Midterm Results of Pullout Fixation for Posterior Root Tears of the Medial Meniscus. Arthrosc J Arthrosc Relat Surg. 2016;32(7):1319-1327. doi:10.1016/j.arthro.2015.12.046.
- Cho J-H, Song J-G. Second-Look Arthroscopic Assessment and Clinical Results of Modified Pull-Out Suture for Posterior Root Tear of the Medial Meniscus. Knee Surg Relat Res. 2014;26(2):106-113. doi:10.5792/ksrr.2014.26.2.106.
- Kim J-H, Chung J-H, Lee D-H, Lee Y-S, Kim J-R, Ryu K-J. Arthroscopic Suture Anchor Repair Versus Pullout Suture Repair in Posterior Root Tear of the Medial Meniscus: A Prospective Comparison Study. Arthrosc J Arthrosc Relat Surg. 2011;27(12):1644-1653. doi:10.1016/j.arthro.2011.06.033.
- Lee DW, Kim MK, Jang HS, Ha JK, Kim JG. Clinical and Radiologic Evaluation of Arthroscopic Medial Meniscus Root Tear Refixation: Comparison of the Modified Mason-Allen Stitch and Simple Stitches. Arthrosc J Arthrosc Relat Surg. 2014;30(11):1439-1446. doi:10.1016/j.arthro.2014.05.029.
- Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic Pullout Suture Repair of Posterior Root Tear of the Medial Meniscus: Radiographic and Clinical Results With a 2-Year Follow-up. Arthrosc J Arthrosc Relat Surg. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018.
- Moon H-K, Koh Y-G, Kim Y-C, Park Y-S, Jo S-B, Kwon S-K. Prognostic Factors of Arthroscopic Pull-out Repair for a Posterior Root Tear of the Medial Meniscus. Am J Sports Med. 2012;40(5):1138-1143. doi:10.1177/0363546511435622.
- Seo H-S, Lee S-C, Jung K-A. Second-Look Arthroscopic Findings After Repairs of Posterior Root Tears of the Medial Meniscus. Am J Sports Med. 2011;39(1):99-107. doi:10.1177/0363546510382225.
- Celik D, Coşkunsu D, Kılıçoğlu Ö. Translation and Cultural Adaptation of the Turkish Lysholm Knee Scale: Ease of Use, Validity, and Reliability. Clin Orthop Relat Res. 2013;471(8):2602-2610. doi:10.1007/s11999-013-3046-z.