Root tears of the medial meniscus. Medical search. Frequent questions

reported that MMPRT increases loading on the femorotibial joint (FTJ), the same as in total medial meniscectomy [ 1 ]. (springeropen.com)
Historically, surgeons have elected to treat these tears nonoperatively or by meniscectomy. (jorgechahlamd.com)
Thus, this study evaluates the long-term clinical and cost-effectiveness of the following three treatment options in those with medial meniscus root tears and osteoarthritis: root repair, meniscectomy, and initial nonoperative management. (jorgechahlamd.com)
Together, findings suggest that meniscus root repair is associated with less osteoarthritis and is a cost-saving intervention, when compared to total meniscectomy and nonsurgical treatment. (jorgechahlamd.com)
Tibial contact pressures were measured with an intact native meniscus, after total meniscectomy and after implantation of the second-generation meniscus prosthesis. (dntb.gov.ua)
The prosthesis decreased peak and mean pressures on the medial tibial cartilage compared to meniscectomy. (dntb.gov.ua)
The flexible meniscus prosthesis significantly reduces the contact pressures on the medial tibial plateau after total meniscectomy. (dntb.gov.ua)
Although the biomechanical performance of the native meniscus could not be reproduced completely, the meniscus prosthesis may have the potential to relieve post-meniscectomy pain symptoms. (dntb.gov.ua)
Chatain F, Adeleine P, Chambat P, Neyret P (2003) A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up. (dntb.gov.ua)
Ahn JH, Kang DM, Choi KJ (2017) Risk factors for radiographic progression of osteoarthritis after partial meniscectomy of discoid lateral meniscus tear. (dntb.gov.ua)
Barnds B, Morris B, Mullen S, Schroeppel JP, Tarakemeh A, Vopat BG (2019) Increased rates of knee arthroplasty and cost of patients with meniscal tears treated with arthroscopic partial meniscectomy versus non-operative management. (dntb.gov.ua)
Medial meniscus posterior root tear treatment: a matched cohort comparison of nonoperative management, partial meniscectomy, and repair. (jbjs.org)
Many times, when we initially discuss meniscus surgery alternatives with people interested in non-surgical treatment options, we ask them if they know what type of surgery are they going to get, total meniscectomy? (caringmedical.com)
Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscus Tear - Surgery does not alleviate knee catching or knee locking after surgery. (caringmedical.com)
A meniscectomy is a procedure that refers to the removal of damaged meniscus tissue. (cohenorthopedic.com)
The inclusion criteria were (1) meniscus tear treated using meniscectomy or repair, (2) with or without concomitant anterior cruciate ligament reconstruction, (3) not multiligamentous injury. (biomedcentral.com)
Demographic data, including sex, age, body mass index (BMI), injury-to-surgery interval and intra-articular factors such as the location of injury, medial or lateral, ACL rupture or not and the option of procedure (partial meniscectomy or repair) were documented from medical records. (biomedcentral.com)
In comparison with partial meniscectomy, meniscus repair procedure can restore its biomechanical function and prevent the development of knee OA by preserving meniscal tissue at long-term follow up. (biomedcentral.com)
Treatment can be nonoperative versus operative (partial meniscectomy versus repair) depending on the morphology of the meniscus tear, root involvement, patient symptoms, and patient activity demands. (orthobullets.com)

The purpose of this study was to compare the medial meniscus (MM) degeneration, meniscus extrusion, and tibial joint inclination by using MRI to consider the pathogenesis of posterior root tear (PRT) in medial-type knee osteoarthritis (KOA) both with and without medial meniscus posterior root tear (MMPRT). (springeropen.com)
The pathomechanism of the progress of medial-type knee osteoarthritis (OA) includes the deterioration of hoop stress of the medial meniscus (MM) due to a medial meniscus posterior root tear (MMPRT), which increases loading on the articular surface during knee activities, such as standing and sitting, going up and down stairs, and deep sitting. (springeropen.com)
Meniscus root repair is a surgical alternative to these options that has demonstrated improved clinical outcomes and slower progression of osteoarthritis. (jorgechahlamd.com)
Objective: To give a narrative overview of meniscal tears with a radiologic emphasis on the morphologic type, technical considerations, and on the relevance of the type of meniscal tear in the context of osteoarthritis (OA) research. (lu.se)
I asked for a second opinion at that time and when I pulled copies of the MRI report read that there was :'bilateral tricompartmental osteoarthritis with posterior patellar spurring, a patellar enthesophyte at the quadriceps tendon insertion, squaring of the tibial plateau and femoropatellar and medial compartment narrowing. (bonesmart.org)
Untreated tears can cause many undesirable side effects such as pain, limited range of motion and osteoarthritis. (sportssurgerychicago.com)
Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL et al (2013) Surgery versus physical therapy for a meniscal tear and osteoarthritis. (dntb.gov.ua)
Is it a meniscus problem or osteoarthritis? (caringmedical.com)
There is a resurgence of interest in HTO to treat young to middle aged patients with varus alignment and isolated medial joint osteoarthritis. (asianarthroscopy.com)
Hopkins NDM, Lawrie S. Improvement of clinical and radiological outcomes of root repair patients with advanced articular cartilage degeneration and osteoarthritis. (morthoj.org)
The trigger of osteoarthritis is most often unknown, but osteoarthritis sometimes begins with tissue damage from mechanical injury (eg, torn meniscus), transmission of inflammatory mediators from the synovium into cartilage, or defects in cartilage metabolism. (msdmanuals.com)

Patients are too optimistic about the success of a meniscus repair - Failure of meniscal repair occurs in up to 25% of patients. (caringmedical.com)
Circumferential-Surrounding ("Sandwich") Meniscal Repair: A Salvage Technique to Save the Meniscus. (morthoj.org)

Biomaterials for meniscus and cartilage in knee surgery: state of the art. (mayo.edu)
Posterior radial tears of the medial meniscus appear to be a highly relevant event in OA of the knee, with associated cartilage loss and meniscal extrusion. (lu.se)
Purpose The aim of this study was to determine whether a flexible medial meniscus prosthesis is more capable of sharing loads with the direct tibiofemoral cartilage contact than the stiffer first-generation prosthesis. (dntb.gov.ua)
It is also increasingly being performed as a joint protective surgery following meniscus repairs and cartilage repair procedures and to correct abnormal joint alignment following neglected ligamentous injuries. (asianarthroscopy.com)
Injuries to the meniscus (a C-shaped shock-absorbing cartilage between the bones of the knee) and cruciate ligaments , on the other hand, require surgery most frequently, Gausewitz adds. (kendal.org)

It is the posterior third of the medial meniscus and is the thickest portion of the meniscus. (sportssurgerychicago.com)

Introduction Medial meniscus posterior root tear (MMPRT) leads to abnormal biomechanics of the knee by inducing the medial meniscus extrusion (MME). (elsevierpure.com)
Understanding of the importance of the menisci in the biomechanics of the knee has progressed steadily since 1968, when Jackson wrote, "The exact function of that structure (meniscus) is still a matter of some conjecture. (medscape.com)

Microvasculature of the human meniscus. (morthoj.org)
The purpose of this study was to investigate the cyclic displacement and ultimate failure loads of 4 differ- ent meniscus-suture fixation techniques for posterior medial meniscal root repairs in human meniscus tissue. (drrobertlaprademd.com)

Surgical Repair of Hypermobile Lateral Meniscus Secondary to Popliteomeniscal Fascicle Tears Improves Pain and Mechanical Symptoms. (mayo.edu)
Meniscus root repair surgeon, Dr. Nikhil Verma provides diagnosis and both surgical and nonsurgical treatment options for patients in Westchester, Oakbrook, Hinsdale and surrounding Chicago communities who have suffered a meniscus root tear. (sportssurgerychicago.com)
Beaufils P, Becker R, Kopf S, Englund M, Verdonk R, Ollivier M et al (2017) Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. (dntb.gov.ua)
A multicenter Level-II study compared 96 patients with a rotator cuff tear who underwent nonoperative treatment with 73 similar patients who underwent a surgical procedure. (jbjs.org)
The decision is to get a meniscus surgery, or, try to put off or avoid the meniscus surgery and find some type of non-surgical treatment for their knee pain. (caringmedical.com)
It is the patient's belief that the surgical removal of the whole or part of the meniscus will restore function and lessen their pain. (caringmedical.com)
For most people, you cannot get a surgical recommendation for a meniscus tear without an MRI justifying a meniscus tear significant enough to get a surgical recommendation. (caringmedical.com)
I had not only a torn rotator cuff but also a detached bicep and am making the recovery from that thanks to Dr . Garcia and his surgical team at OSS. (seattleorthopediccenter.com)
Additionally, in order to increase the prevalence of repair and slow down progression of OA, the surgical procedure should be performed within two weeks after meniscus tear especially when the tear is located at lateral meniscal posterior. (biomedcentral.com)
Therefore, optimization of surgical technique at the meniscus-suture interface may minimize displacement and improve the strength of meniscal root repairs. (drrobertlaprademd.com)

There is no consensus established on postoperative rehabilitation after medial meniscus posterior root tear (MMPRT) repair, including when and how physicians can apply range of motion (ROM) exercise, weight-bearing (WB), brace use, and return to sports (RTS). (myao.app)

Rehabilitation after Repair of Medial Meniscus Posterior Root Tears: A Systematic Review of the Literature. (myao.app)
How is a meniscus root repair performed? (sportssurgerychicago.com)
A meniscus root repair is done by taking the torn meniscal root and tacking it down to the bone, using strong sutures. (sportssurgerychicago.com)
Dr. Verma is very carful to match the original "foot print" of the root so the repair can heal properly. (sportssurgerychicago.com)
Meniscal root repair surgery is very a specialized treatment and it is important to see Dr. Verma and his team for the best possible outcome. (sportssurgerychicago.com)
What is the recovery like after meniscus root repair? (sportssurgerychicago.com)
For more information on meniscus root repair or for the best treatment for your knee pain, please contact the office of Nikhil Verma, MD, orthopedic specialist, serving Westchester, Oakbrook, Hinsdale and the surrounding Chicago, IL communities. (sportssurgerychicago.com)
A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. (sportssurgerychicago.com)
An anatomical repair of an acute medial meniscus root tear in a 50-year-old patient. (drillbone.com)
Does early repair of traumatic rotator cuff tears provide better outcomes? (actaorthopaedica.be)
Isolated Tears of the Anterior Cruciate Ligament: Over 30-Year Follow-up of Patients Treated with Arthrotomy and Primary Repair. (jcorth.com)
Retraction pattern of delaminated rotator cuff tears: dual-layer rotator cuff repair. (minamhospital.com)
Ahn JH, Kwon OJ, Nam TS (2015) Arthroscopic repair of horizontal meniscal cleavage tears with marrow-stimulating technique. (dntb.gov.ua)
Barrett GR, Field MH, Treacy SH, Ruff CG (1998) Clinical results of meniscus repair in patients 40 years and older. (dntb.gov.ua)
DiBartola AC, Rogers A, Kurzweil P, Knopp MV, Flanigan DC (2021) In-office needle arthroscopy can evaluate meniscus tear repair healing as an alternative to magnetic resonance imaging. (dntb.gov.ua)
Kaplan DJ, Bloom D, Alaia EF, Walter WR, Meislin RJ, Strauss EJ et al (2022) ICRS scores worsen between 2-year short term and 5-year mid-term follow-up after transtibial medial meniscus root repair despite maintained functional outcomes. (dntb.gov.ua)
Meniscus suture repair? (caringmedical.com)
7. Osti L., Del Buono A., Maffulli N. Anterior Medial Meniscal Root Tears: A Novel Arthroscopic All 2 Inside Repair. (unisa.it)
We wish to propose a simple technique of suture anchor to repair tears of the anterior root of the medial meniscus. (unisa.it)
However, surgery is often needed to help repair meniscal tears. (cohenorthopedic.com)
Meniscus repair is preferable in some cases. (cohenorthopedic.com)
Arthroscopic meniscus repair is often a good option because it is less invasive than other procedures, and therefore offers a faster recovery. (cohenorthopedic.com)
Summary: Following posterior meniscal root repair, axial load should be avoided in order to reduce distraction forces on the repair while passive flexion-extension exercises do not seem to affect the distraction forces. (isakos.com)
For the posterior lateral meniscal root (PLMR) an additional non-anatomic repair close to the insertion of the ACL was performed as some studies suggested a transtibial repair through the ACL tunnel. (isakos.com)
Interestingly, distraction forces following posterior lateral as well as medial meniscal root (PMMR) repair were not significantly affected by flexion angle when no axial load was applied (NS). (isakos.com)
95% CI, 0.28 - 0.82, p = 0.008) were associated with the prevalence of meniscus repair. (biomedcentral.com)
The surgeon would determine whether to repair the injuried meniscus for patients based on the following two criterions: the location of meniscal tear and the severity of meniscal injury. (biomedcentral.com)
To our knowledge, studies tried to find factors associated with the prevalence of meniscus repair were rare. (biomedcentral.com)
Nezhad MAH, Navali AM. Mid-Term Results of the Meniscus Repair using Horizontal Sub-Meniscal Sutures Summary. (morthoj.org)
Recent biomechanical evidence suggests that the meniscus-suture interface contributes the most displacement to the transtibial pull-out repair for meniscal root tears. (drrobertlaprademd.com)
Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. (drrobertlaprademd.com)

MM medial extrusion (MMME), MM posterior extrusion (MMPE), medial tibial medial slope (MTMS), and medial tibial posterior slope (MTPS) were measured according to previous studies. (springeropen.com)
The severity of MM degeneration, extrusion of MM, and degree of tibial slope were compared between medial-type KOA with and without PRT using an open MRI. (springeropen.com)

For example, the medial collateral ligament (MCL) and many posterior cruciate ligament (PCL) injuries can heal with satisfactory stability and function without surgery even when completely torn," he says. (kendal.org)

Most medial meniscus root tears occur in patients in their fourth or fifth decades of life, causing moderate to severe joint-line pain. (jorgechahlamd.com)
It takes at least 1-3 days or more for the stress fracture to occur following a root tear. (howardluksmd.com)
Meniscus root tears usually occur with deep flexion, such as skiing, or lifting weight up with the knees bent. (sportssurgerychicago.com)
Meniscus injuries can sometimes occur with a minor twist or a major sports injury. (kendal.org)
Degenerative tears (those that occur over time) of the medial meniscus in people over 50 often don't require surgery," Gausewitz says. (kendal.org)

Displaced avulsion fracture of medial meniscus posterior horn through the intercondylar notch in the patient without combined ligamentous injuries. (minamhospital.com)

Design: Total 20 years of the PubMed database were searched for epidemiological, radiological, arthroscopic and biomechanical reports, and review articles focusing on meniscal tears in middle-aged and older individuals, in the setting of OA. (lu.se)

An ACL tear is usually symptomatic on the outside of the knee, where a meniscus root tear causes symptoms in the back of the knee. (sportssurgerychicago.com)

Jacquet C, Mouton C, Becker R, Koga H, Ollivier M, Verdonk P et al (2021) Does practice of meniscus surgery change over time? (dntb.gov.ua)
A report of the 2021 "THE MENISCUS" Webinar. (dntb.gov.ua)

Typically, a medial-type osteoarthritic knee worsens with painful symptoms despite the efforts of conservative treatment. (springeropen.com)
What are the symptoms of a meniscus root tear? (sportssurgerychicago.com)
Whether you are certain that you've torn your meniscus or just recently noticed a few worrying symptoms, a personal consultation will help you determine the best course of action. (cohenorthopedic.com)
Arthroscopic surgery to trim out the part of the torn meniscus can help alleviate symptoms and might allow the person to exercise and perform other activities. (kendal.org)
By targeting the root cause of your chronic pain instead of simply treating your symptoms, you can enjoy fast pain relief. (therapycare.com)

Anterior Cruciate Ligament (ACL) tear is one amongst frequent knee injuries. (jcorth.com)
The isolated tear of the anterior cruciate ligament. (jcorth.com)
Isolated tear of the anterior cruciate ligament: 5-year follow-up study. (jcorth.com)
Background: Management of tears of the anterior and posterior roots of the meniscus is still controversial. (unisa.it)
Meniscal tears are classified by their location - lateral, medial, posterior or anterior - and there are different types of tears, including flap tears, bucket handle tears, mixed or complex tears, parrot-beak tears and longitudinal tears. (cohenorthopedic.com)
Also, acute tears of the anterior cruciate ligament (ACL) can usually be managed without surgery as well. (kendal.org)

One of the most common types of knee injuries is a torn meniscus. (cohenorthopedic.com)
Some injuries to the meniscus cannot be repaired. (cohenorthopedic.com)
Cruciate ligament tears may happen in contact and non-contact sports injuries or any type of major trauma. (kendal.org)
Physical therapy has a high success rate of helping avoid surgery with meniscus injuries. (therapycare.com)
Meniscal tears are common sports-related injuries in young athletes and can also present as a degenerative condition in older patients. (orthobullets.com)

Another study indicated the increase of maximum contact stress of FTJ from 3841 to 5084 kPa, causing the rapid progression of medial joint degeneration [ 2 ]. (springeropen.com)
The degeneration of the meniscus root causes it to "tear. (howardluksmd.com)

Hohmann E, Angelo R, Arciero R, Bach BR, Cole B, Cote M et al (2020) Degenerative meniscus lesions: an expert consensus statement using the modified delphi technique. (dntb.gov.ua)

Medial Patellofemoral Ligament Reconstruction Using Allografts in Skeletally Immature Patients. (mayo.edu)
Patients with peripheral tears of the meniscus occasionally develop effusion rapidly (in minutes), secondary to a tear that is associated with hemarthrosis and is in the vascular outer one third of the meniscus. (medscape.com)
Dr. Nikhil Verma, orthopedic knee surgeon, has extensive experience with meniscus root tears and can help patients in Westchester, Oakbrook, Hinsdale and surrounding Chicago communities recover from a meniscus root tear. (sportssurgerychicago.com)
The middle-aged patient and meniscus surgery - surgeons cannot predict which patients will benefit and who will not benefit from meniscus surgery. (caringmedical.com)
Meniscus surgery recovery times: Patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time. (caringmedical.com)
this is often the case among younger patients who have had their meniscus removed previously. (cohenorthopedic.com)
Conclusions Meniscal tear in aged patients especially those with concomitant ACL injury is likely to be repaired. (biomedcentral.com)

This study used open MRI with flexion sagittal view and included 324 medial-type osteoarthritic knees with a Kellegren-Lawrence grade of 2 or less. (springeropen.com)

The human knee has three compartments: the medial compartment, the lateral compartment, and the patello-femoral compartment. (bhatwalhospital.com)
The uni-compartmental implant is designed to replace either the medial or lateral compartment. (bhatwalhospital.com)
Medial opening wedge high tibial osteotomy for medial compartment overload/arthritis in the varus knee: prognostic factors. (asianarthroscopy.com)

Arthroscopically Repaired Bucket-Handle Meniscus Tears: Patient Demographics, Postoperative Outcomes, and a Comparison of Success and Failure Cases. (morthoj.org)

Dr. Verma uses a technique that involves isolating the root and repositioning it back to its correct anatomical position in the knee. (sportssurgerychicago.com)
The lateral meniscus root tear repaired with the transosseous two-tunnel technique. (drillbone.com)

The triad of issues that arise in this situation is a common cause of severe medial knee pain or pain on the inner side of your knee in people between 45-75 years of age. (howardluksmd.com)
These three findings are what I refer to as the Terrible Triad of (medial) knee pain. (howardluksmd.com)
Knee pain, especially at the back and medial side of the knee, or the patient hearing a "pop" at the time of injury, can indicate a meniscus root tear. (sportssurgerychicago.com)
So what is it that a doctor should look for in a physical examination of knee pain with a suspected meniscus tear? (caringmedical.com)

Each of the knees has two menisci. (cohenorthopedic.com)
Impacts to the knee or forceful twisting of the knees can cause the tears. (cohenorthopedic.com)
Wear and tear on the knees can make someone more prone to suffering a meniscus tear. (cohenorthopedic.com)
Obesity can have the same effect on the knees and can cause wear and tear to happen at a much younger age. (cohenorthopedic.com)

The ideal patient would be a middle-aged patient with isolated medial joint arthritis with good range of movements, non-smoker and with reasonable functional status of knee. (asianarthroscopy.com)

Combined arthroscopic-open procedure for the recurrent shoulder dislocation in a 74-year-old male with an irreparable massive rotator cuff tear and a large Hill-Sachs lesion : A case report. (minamhospital.com)
The hard to find Meniscus Ramp Lesion in an ACL deficient knee. (caringmedical.com)

Radial tears are more commonly missed on MRI than other types, and should be carefully looked for on coronal and axial images. (lu.se)

I did get to have a second opinion (another surgeon who works under his authority) a week or so later who did confirm that there was a meniscus tear but since it was at the root it was unrepairable and that to go in and do arthroscopic surgery would accelerate my arthritis and I was too young for tkr. (bonesmart.org)

Should I have meniscus surgery? (caringmedical.com)
Getting in there, the arthroscopic meniscus and knee clean-up surgery. (caringmedical.com)
Research Results: Surgeons making a prediction on who would have a successful meniscus surgery was equal to predicting a coin toss. (caringmedical.com)
Typically, meniscus tears longer than 1 cm are root tears, and those that involve greater than 50 percent of the meniscal thickness, for example, will require surgery. (kendal.org)

The trauma or energy needed to tear the root of the medial meniscus in an adult is small. (howardluksmd.com)
Meniscal tears are sometimes related to trauma, but significant trauma is not necessary. (medscape.com)

Nerve Root Injury and Plexus Disorders (incl. (healthgrades.com)

Meniscus morphology : Does tear type matter? (lu.se)
While medial meniscus posterior root tears are of "radial" morphology, there is growing interest in looking at them as a separate entity, mainly because they require a different therapeutic approach. (lu.se)
Further epidemiologic studies should focus on specific meniscal tears based on their morphology to better understand their relevance in the genesis and progression of knee OA. (lu.se)

Anatomy15

Diseases13

Analytical, Diagnostic and Therapeutic Techniques and Equipment4

Psychiatry and Psychology1

Phenomena and Processes6

Meniscectomy19

Osteoarthritis11

Meniscal repair2

Cartilage5

Portion of the meniscus1

Biomechanics of the knee2

Human meniscus2

Surgical10

MMPRT1

Repair31

Extrusion2

Collateral Ligament1

Occur5

Fracture1

Biomechanical1

Symptomatic1

20212

Symptoms5

Anterior6

Injuries5

Degeneration2

Lesions1

Patients7

Flexion1

Compartment3

Bucket1

Technique2

Knee pain4

Knees4

Middle-aged1

Lesion2

Axial1

Arthritis1

Surgery4

Trauma2

Disorders1

Morphology3