Isolated avulsion tear of the medial meniscus anterior root: A case report and a novel surgical technique
Chia-Che Changa；Jenn-Huei Renna；Kuan-Yu Lin
anterior root tear ； coronary ligament ； meniscus ； suture anchor
Formosan Journal of Musculoskeletal Disorders
|Volume or Term/Year and Month of Publication||
9卷4期（2018 / 11 / 01）
169 - 175
Compared to the more prevalent posterior root tears, injuries of the anterior root of meniscus have been relatively far scarcer. In this article, a case of an isolated medial meniscus anterior root avulsion tear was reported, which was successfully treated with a novel arthroscopic technique that incorporated the coronary ligament for a more anatomical repair. The significance of this report are two folds: (1) to the best of our knowledge, there has only been one such case of an isolated medial meniscus anterior root tear prior to this report; (2) the concept of incorporation of coronary ligament during the meniscus repair has never been mentioned in the literature thus far. With the use of a 3.5 mm double-loaded suture anchor, an anatomical repair was achieved as the anterior root of medial meniscus was fixated not only back to its tibial insertion inferiorly but re-attached to the coronary ligament anteriorly as well. Postoperative magnetic resonance imaging (MRI) at 3 months showed complete healing of the anterior root, and at 6 months the patient were able to resume full sports activities asymptomatically.