Marlo O Van Steyn1, Michael W Mariscalco2, Angela D Pedroza3, Jonathan Smerek4, Christopher C Kaeding3, David C Flanigan5. 1. Orthopedic One, Columbus, OH, USA. 2. OrthoVirginia, North Chesterfield, VA, USA. 3. Cartilage Restoration Program, Department of Orthopaedics, Sports Medicine Center, The Ohio State University, 2050 Kenny Road, Suite 3100, Columbus, OH, 43221, USA. 4. Methodist Sports Medicine, Indianapolis, IN, USA. 5. Cartilage Restoration Program, Department of Orthopaedics, Sports Medicine Center, The Ohio State University, 2050 Kenny Road, Suite 3100, Columbus, OH, 43221, USA. david.flanigan@osumc.edu.
Abstract
PURPOSE: Hypermobility of the posterior portion of the lateral meniscus has been reported in several recent case reports and small case series. Pathophysiology and optimal treatment have not been fully elucidated. Our purpose was to evaluate results following arthroscopic stabilization. METHODS: Over a 10-year period, 13 knees were diagnosed at the time of arthroscopy as having hypermobility of the posterior portion of the lateral meniscus in the absence of a discrete tear or discoid morphology. Clinical presentation, pre-operative MRI findings, arthroscopic findings, and repair technique were retrospectively reviewed. Most recent outcomes data were gathered via a telephone interview utilizing the IKDC-9 questionnaire. RESULTS: Eleven of 12 patients presented primarily with mechanical symptoms. Duration of symptoms ranged from 7 months to over 10 years. Eight of 12 patients did not recall any history of trauma. Twelve of 13 pre-operative MRIs did not identify a meniscal tear. Stabilization was obtained by fixation of the meniscus to the posterior capsule by various techniques. Average follow-up was 4 years (range 6 months to 10.7 years). Subjective current knee function averaged 8.0 (range 3.5-10) on a scale of 0-10. Knee pain severity averaged 2.2 (range 0-4) on a scale of 0-10. Pain frequency averaged 3.3 (range 0-9) on a scale of 0-10. Better results were seen in younger patients. CONCLUSION: Hypermobility of the posterior portion of the lateral meniscus can successfully be treated with arthroscopic repair to the posterior capsule. LEVEL OF EVIDENCE: IV.
PURPOSE: Hypermobility of the posterior portion of the lateral meniscus has been reported in several recent case reports and small case series. Pathophysiology and optimal treatment have not been fully elucidated. Our purpose was to evaluate results following arthroscopic stabilization. METHODS: Over a 10-year period, 13 knees were diagnosed at the time of arthroscopy as having hypermobility of the posterior portion of the lateral meniscus in the absence of a discrete tear or discoid morphology. Clinical presentation, pre-operative MRI findings, arthroscopic findings, and repair technique were retrospectively reviewed. Most recent outcomes data were gathered via a telephone interview utilizing the IKDC-9 questionnaire. RESULTS: Eleven of 12 patients presented primarily with mechanical symptoms. Duration of symptoms ranged from 7 months to over 10 years. Eight of 12 patients did not recall any history of trauma. Twelve of 13 pre-operative MRIs did not identify a meniscal tear. Stabilization was obtained by fixation of the meniscus to the posterior capsule by various techniques. Average follow-up was 4 years (range 6 months to 10.7 years). Subjective current knee function averaged 8.0 (range 3.5-10) on a scale of 0-10. Knee pain severity averaged 2.2 (range 0-4) on a scale of 0-10. Pain frequency averaged 3.3 (range 0-9) on a scale of 0-10. Better results were seen in younger patients. CONCLUSION: Hypermobility of the posterior portion of the lateral meniscus can successfully be treated with arthroscopic repair to the posterior capsule. LEVEL OF EVIDENCE: IV.
Authors: Christopher R Good; Daniel W Green; Matthew H Griffith; Andrew W Valen; Roger F Widmann; Scott A Rodeo Journal: Arthroscopy Date: 2007-02 Impact factor: 4.772
Authors: Kevin E Klingele; Mininder S Kocher; M Timothy Hresko; Peter Gerbino; Lyle J Micheli Journal: J Pediatr Orthop Date: 2004 Jan-Feb Impact factor: 2.324
Authors: Robert L Parisien; Max Shin; Lauren M Boden; Stephanie Y Jo; Lisa Victorius; Brian J Sennett; Miltiadis H Zgonis Journal: Arthrosc Sports Med Rehabil Date: 2021-04-22