Scope Essentials 2024-Meniscus Root Tears - Role of releases, centralization, and osteotomy

Meniscus Root Tears - Role of releases, centralization, and osteotomy

Video Transcription

Video Summary

Dr. Megan Bishop from Rothman Orthopedics discusses meniscal root tears, common in 10-21% of meniscus injuries, focusing mainly on medial root tears seen in older, often obese patients. These tears disrupt meniscal function, accelerating arthritis development. MRI identification is crucial. Repairing meniscal roots significantly reduces osteoarthritis progression compared to meniscectomy or non-operative treatment. Poor outcomes are linked to high-grade chondral lesions and varus alignment over five degrees, not age or BMI. Surgical repair involves diagnostic arthroscopy, MCL release for exposure, suture passage, and optional meniscal centralization to reduce extrusion. High tibial osteotomy is rarely needed. Repair improves biomechanics and delays arthritis.

Asset Caption

Meghan Bishop, M.D.

Keywords

meniscal root tears

medial meniscus injury

MRI diagnosis

meniscal root repair

osteoarthritis progression