Journal List > J Korean Orthop Assoc > v.50(5) > 1013394

Bae and Kim: Non-Operative Treatment of the Degenerative Medial Meniscus Posterior Root Tear

Abstract

Degenerative medial meniscus posterior root tear is commonly seen in middle or old age populations. Because the biomechanical status of the meniscus root tear is similar to total menisectomy state, medial meniscus posterior root tear can cause early osteoarthritis. Treatment options for the medial meniscus posterior root tear include non-operative treatment, meniscectomy, repair, and high tibia osteotomy. There is still debate regarding the exact indication of each treatment, because the natural course of the medial meniscus posterior root tear and long-term results of each treatment is not known. However, non-operative treatments provide symptomatic relief and functional improvement in patients who are not indicated for operative treatment or before operative treatment.

Figures and Tables

Figure 1

(A) Coronal magnetic resonance (MR) image showing the medial meniscus posterior root tear (arrow). (B) Marginal osteophytes, full thickness cartilage defect in the medial femoral condyle and medial tibia plateau are seen in same patient. (C) Sagittal MR image showing effusion and a full thickness cartilage defect in the weight bearing area of the medial femoral condyle and medial tibia plateau.

jkoa-50-359-g001

Notes

CONFLICTS OF INTEREST The authors have nothing to disclose.

References

1. Petersen W, Forkel P, Feucht MJ, Zantop T, Imhoff AB, Brucker PU. Posterior root tear of the medial and lateral meniscus. Arch Orthop Trauma Surg. 2014; 134:237–255.
crossref
2. Lee DW, Ha JK, Kim JG. Medial meniscus posterior root tear: a comprehensive review. Knee Surg Relat Res. 2014; 26:125–134.
crossref
3. Ra HJ, Ha JK, Jang HS, Kim JG. Traumatic posterior root tear of the medial meniscus in patients with severe medial instability of the knee. Knee Surg Sports Traumatol Arthrosc. 2015; 23:3121–3126.
crossref
4. Kim YJ, Kim JG, Chang SH, Shim JC, Kim SB, Lee MY. Posterior root tear of the medial meniscus in multiple knee ligament injuries. Knee. 2010; 17:324–328.
crossref
5. Wilson BF, Johnson DL. Posterior horn medial meniscal root repair with cruciate ligament/medial collateral ligament combined injuries. Orthopedics. 2011; 34:986–988.
crossref
6. Hwang BY, Kim SJ, Lee SW, et al. Risk factors for medial meniscus posterior root tear. Am J Sports Med. 2012; 40:1606–1610.
crossref
7. Allaire R, Muriuki M, Gilbertson L, Harner CD. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone Joint Surg Am. 2008; 90:1922–1931.
8. Choi ES, Park SJ. Clinical evaluation of the root tear of the posterior horn of the medial meniscus in total knee arthroplasty for osteoarthritis. Knee Surg Relat Res. 2015; 27:90–94.
crossref
9. Han SB, Shetty GM, Lee DH, et al. Unfavorable results of partial meniscectomy for complete posterior medial meniscus root tear with early osteoarthritis: a 5- to 8-year follow-up study. Arthroscopy. 2010; 26:1326–1332.
crossref
10. Henry S, Mascarenhas R, Kowalchuk D, Forsythe B, Irrgang JJ, Harner CD. Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship? Arthroscopy. 2012; 28:1124–1134.
crossref
11. Padalecki JR, Jansson KS, Smith SD, et al. Biomechanical consequences of a complete radial tear adjacent to the medial meniscus posterior root attachment site: in situ pull-out repair restores derangement of joint mechanics. Am J Sports Med. 2014; 42:699–707.
12. Kim SB, Ha JK, Lee SW, et al. Medial meniscus root tear refixation: comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy. Arthroscopy. 2011; 27:346–354.
crossref
13. Moon HK, Koh YG, Kim YC, Park YS, Jo SB, Kwon SK. Prognostic factors of arthroscopic pull-out repair for a posterior root tear of the medial meniscus. Am J Sports Med. 2012; 40:1138–1143.
crossref
14. 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. Arthroscopy. 2014; 30:1439–1446.
crossref
15. Kim SW, Sung MK, Choi JY. Second-look arthroscopic results after repair of medial meniscus root tears. J Korean Orthop Assoc. 2014; 49:255–262.
crossref
16. Cho JH, Song JG. 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; 26:106–113.
crossref
17. Rosslenbroich SB, Borgmann J, Herbort M, Raschke MJ, Petersen W, Zantop T. Root tear of the meniscus: biomechanical evaluation of an arthroscopic refixation technique. Arch Orthop Trauma Surg. 2013; 133:111–115.
crossref
18. Cho JH. Modified pull-out suture in posterior root tear of the medial meniscus: using a posteromedial portal. Knee Surg Relat Res. 2012; 24:124–127.
crossref
19. Wang KH, Hwang DH, Cho JH, Changale SD, Woo SJ, Nha KW. Arthroscopic direct repair for a complete radial tear of the posterior root of the medial meniscus. Clin Orthop Surg. 2011; 3:332–335.
crossref
20. Park YS, Moon HK, Koh YG, et al. Arthroscopic pullout repair of posterior root tear of the medial meniscus: the anterior approach using medial collateral ligament pie-crusting release. Knee Surg Sports Traumatol Arthrosc. 2011; 19:1334–1336.
crossref
21. Kim JH, Chung JH, Lee DH, Lee YS, Kim JR, Ryu KJ. Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: a prospective comparison study. Arthroscopy. 2011; 27:1644–1653.
crossref
22. Nicholas SJ, Golant A, Schachter AK, Lee SJ. A new surgical technique for arthroscopic repair of the meniscus root tear. Knee Surg Sports Traumatol Arthrosc. 2009; 17:1433–1436.
crossref
23. 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. Arthroscopy. 2009; 25:951–958.
crossref
24. Harner CD, Mauro CS, Lesniak BP, Romanowski JR. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Surgical technique. J Bone Joint Surg Am. 2009; 91:Suppl 2. 257–270.
25. Choi NH, Son KM, Victoroff BN. Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: a technical note. Knee Surg Sports Traumatol Arthrosc. 2008; 16:891–893.
crossref
26. Liu J, Sun Y, Wang L, Zhang D, Zhang Y, Sun Z. Research development of diagnosis and treatment of meniscal root tears. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014; 28:1298–1302.
27. Seo JH, 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. Arthroscopy. 2009; 25:1281–1287.
crossref
28. Stärke C, Kopf S, Gröbel KH, Becker R. The effect of a nonanatomic repair of the meniscal horn attachment on meniscal tension: a biomechanical study. Arthroscopy. 2010; 26:358–365.
crossref
29. Kim YM, Joo YB. Pullout failure strength of the posterior horn of the medial meniscus with root ligament tear. Knee Surg Sports Traumatol Arthrosc. 2013; 21:1546–1552.
crossref
30. Jung YH, Choi NH, Oh JS, Victoroff BN. All-inside repair for a root tear of the medial meniscus using a suture anchor. Am J Sports Med. 2012; 40:1406–1411.
crossref
31. Ozkoc G, Circi E, Gonc U, Irgit K, Pourbagher A, Tandogan RN. Radial tears in the root of the posterior horn of the medial meniscus. Knee Surg Sports Traumatol Arthrosc. 2008; 16:849–854.
crossref
32. Bin SI, Kim JM, Shin SJ. Radial tears of the posterior horn of the medial meniscus. Arthroscopy. 2004; 20:373–378.
crossref
33. Rimington T, Mallik K, Evans D, Mroczek K, Reider B. A prospective study of the nonoperative treatment of degenerative meniscus tears. Orthopedics [Internet]. 2009. 32:cited 2009 Aug. DOI: 10.3928/01477447-20090624-06. Available from: http://www.healio.com/orthopedics/journals/ortho/2009-8-32-8.
34. Herrlin SV, Wange PO, Lapidus G, Hållander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc. 2013; 21:358–364.
crossref
35. Herrlin S, Hållander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc. 2007; 15:393–401.
crossref
36. McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014; 22:363–388.
crossref
37. Howell R, Kumar NS, Patel N, Tom J. Degenerative meniscus: pathogenesis, diagnosis, and treatment options. World J Orthop. 2014; 5:597–602.
crossref
38. Skou ST, Rasmussen S, Laursen MB, et al. The efficacy of 12 weeks non-surgical treatment for patients not eligible for total knee replacement: a randomized controlled trial with 1-year follow-up. Osteoarthritis Cartilage. 2015; 23:1465–1475.
crossref
39. Bae JH, Paik NH, Park GW, et al. Predictive value of painful popping for a posterior root tear of the medial meniscus in middle-aged to older Asian patients. Arthroscopy. 2013; 29:545–549.
crossref
40. Neogi DS, Kumar A, Rijal L, Yadav CS, Jaiman A, Nag HL. Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root. J Orthop Traumatol. 2013; 14:193–199.
crossref
41. Lim HC, Bae JH, Wang JH, Seok CW, Kim MK. Non-operative treatment of degenerative posterior root tear of the medial meniscus. Knee Surg Sports Traumatol Arthrosc. 2010; 18:535–539.
crossref
42. Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012; 64:465–474.
crossref
43. Wyles CC, Houdek MT, Wyles SP, Wagner ER, Behfar A, Sierra RJ. Differential cytotoxicity of corticosteroids on human mesenchymal stem cells. Clin Orthop Relat Res. 2015; 473:1155–1164.
crossref
44. Stensrud S, Roos EM, Risberg MA. A 12-week exercise therapy program in middle-aged patients with degenerative meniscus tears: a case series with 1-year follow-up. J Orthop Sports Phys Ther. 2012; 42:919–931.
crossref
45. Østerås H, Østerås B, Torstensen TA. Medical exercise therapy, and not arthroscopic surgery, resulted in decreased depression and anxiety in patients with degenerative meniscus injury. J Bodyw Mov Ther. 2012; 16:456–463.
crossref
46. Katz JN, Brophy RH, Chaisson CE, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med. 2013; 368:1675–1684.
crossref
47. Jansen MJ, Viechtbauer W, Lenssen AF, Hendriks EJ, de Bie RA. Strength training alone, exercise therapy alone, and exercise therapy with passive manual mobilisation each reduce pain and disability in people with knee osteoarthritis: a systematic review. J Physiother. 2011; 57:11–20.
crossref
48. Ahn JH, Jeong HJ, Lee YS, et al. Comparison between conservative treatment and arthroscopic pull-out repair of the medial meniscus root tear and analysis of prognostic factors for the determination of repair indication. Arch Orthop Trauma Surg. 2015; 135:1265–1276.
crossref
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