Posterior lateral meniscal root tear due to a malpositioned double-bundle anterior cruciate ligament reconstruction tibial tunnel

The posterior lateral (PL) meniscal root plays an essential role in ensuring the health of the articular cartilage of the knee joint. Injuring the PL meniscal root has been demonstrated to result in significant deleterious changes to tibiofemoral contact mechanics. Anatomic studies have reported tha...

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Veröffentlicht in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2015-12, Vol.23 (12), p.3670-3673
Hauptverfasser: LaPrade, Christopher M., Jisa, Kyle A., Cram, Tyler R., LaPrade, Robert F.
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container_end_page 3673
container_issue 12
container_start_page 3670
container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
container_volume 23
creator LaPrade, Christopher M.
Jisa, Kyle A.
Cram, Tyler R.
LaPrade, Robert F.
description The posterior lateral (PL) meniscal root plays an essential role in ensuring the health of the articular cartilage of the knee joint. Injuring the PL meniscal root has been demonstrated to result in significant deleterious changes to tibiofemoral contact mechanics. Anatomic studies have reported that the posterolateral bundle of the anterior cruciate ligament (ACL) and PL root lie in close proximity on the tibial plateau. Therefore, during a double-bundle ACL reconstruction, the PL root may be inadvertently injured during the reaming of the posterior ACL double-bundle reconstruction tibial tunnel that is intended to recreate the posterolateral bundle of the ACL. This case report describes an occurrence of iatrogenic injury to the PL root due to a posteriorly malpositioned double-bundle ACL tibial tunnel. This report is the first known description of this mechanism of injury in the literature. Level of evidence Case report, Level IV.
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Injuring the PL meniscal root has been demonstrated to result in significant deleterious changes to tibiofemoral contact mechanics. Anatomic studies have reported that the posterolateral bundle of the anterior cruciate ligament (ACL) and PL root lie in close proximity on the tibial plateau. Therefore, during a double-bundle ACL reconstruction, the PL root may be inadvertently injured during the reaming of the posterior ACL double-bundle reconstruction tibial tunnel that is intended to recreate the posterolateral bundle of the ACL. This case report describes an occurrence of iatrogenic injury to the PL root due to a posteriorly malpositioned double-bundle ACL tibial tunnel. This report is the first known description of this mechanism of injury in the literature. 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ispartof Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-12, Vol.23 (12), p.3670-3673
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1433-7347
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals
subjects Adult
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Reconstruction - adverse effects
Anterior Cruciate Ligament Reconstruction - methods
Cartilage
Case reports
Humans
Iatrogenesis
Knee
Knee Joint - surgery
Ligaments
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Menisci, Tibial - diagnostic imaging
Menisci, Tibial - pathology
Orthopedics
Patients rights
Radiography
Skin & tissue grafts
Tibia - diagnostic imaging
Tibia - pathology
Tibia - surgery
Tibial Meniscus Injuries
Tomography
title Posterior lateral meniscal root tear due to a malpositioned double-bundle anterior cruciate ligament reconstruction tibial tunnel
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