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Modern treatment of meniscal tears. Shiraev T, et al. J Orthop Sci 24(1):121127, Chiba D, Sasaki E, Ota S, Maeda S, Sugiyama D, Nakaji S et al (2020) US detection of medial meniscus extrusion can predict the risk of developing radiographic knee osteoarthritis: a 5-year cohort study. Knee 26(6):12921298, Zhang ZZ, Zhou YF, Luo H, Zhang HZ, Chen Z, Jiang C et al (2020) A novel surgical technique for arthroscopic repair of type II posterior lateral meniscal root tear. These are the knee compression sleeves we recommend for stability during exercise. Medial meniscal extrusion (MME) is measured 5.6mm. This post goes into considerable detail about managing a knee with arthritis and a complex or degenerative meniscus tear. ME has no specific clinical finding or sign and it is encountered in many knee pathologies. Torn or Frayed Meniscus: When Surgery May Be Diagnosis and management of meniscal injury. Cookies policy. In a recent study by Tsujii et al., it was shown that after concurrent ACLR and meniscal repair, the lateral extrusion of the LM was correlated with its healing status. a Meniscotibial ligament repair with three interconnected suture anchors, b centralization with a transtibial tunnel or c with isolated suture anchors (usually with two or three suture anchors). Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. National Center for Biotechnology Information Am J Sports Med 48(11):26922702, Chung KS, Ha JK, Ra HJ, Nam GW, Kim JG (2017) Pullout Fixation of posterior medial meniscus root tears: correlation between meniscus extrusion and midterm clinical results. However, further investigation is needed to evaluate the effect of the ACLR on the restoration of the MM function [88]. Orthop Traumatol Surg Res 105(7):13951399, Everhart JS, Magnussen RA, Abouljoud MM, Regalado LE, Kaeding CC, Flanigan DC (2020) Meniscus tears accelerate joint space loss and lateral meniscal extrusion increases risk of knee arthroplasty in middle-aged adults. Arthroscopy 31(12):2380-2391.e2, Ren S, Zhang X, You T, Jiang X, Jin D, Zhang W (2018) Clinical and radiologic outcomes after a modified bone plug technique with anatomical meniscal root reinsertion for meniscal allograft transplantation and a minimum 18-month follow-up. Meniscal tears: Current understanding, diagnosis, and management. medial meniscal extrusion is associated with Nguyen J, De Smet A, Graf B, Rosas H. MR Imaging-Based Diagnosis and Classification of Meniscal Tears. Clin Anat N Y N 28(6):792799, Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA et al (2019) OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Although the ultimate cause is unknown, it is quite common to see a subluxated joint capsule in the symptomatic meniscectomized compartment. Many recent studies have shown that theres no advantage to surgery with this type of tear, and that physical therapy works just as well. Without surgery, recovery will take about 6 to 8 weeks, though this can vary. Asia-Pac J Sports Med Arthrosc Rehabil Technol 1(21):2731, Chung KS, Ha JK, Ra HJ, Kim JG (2016) A meta-analysis of clinical and radiographic outcomes of posterior horn medial meniscus root repairs. VA conceived the idea for the study and supervised the whole study process.