دورية أكاديمية
Injury to the Posterior Horn of the Lateral Meniscus from a Misplaced Tibial Tunnel for Anterior Cruciate Ligament Reconstruction: A Case Report.
| العنوان: | Injury to the Posterior Horn of the Lateral Meniscus from a Misplaced Tibial Tunnel for Anterior Cruciate Ligament Reconstruction: A Case Report. |
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| المؤلفون: | Vadhera AS; Department of Orthopaedic Surgery, Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.; Sidney Kimmel Medical College, Philadelphia, PA, USA., Lee JS; Department of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Singh H; Department of Orthopaedic Surgery, Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA., Gursoy S; Department of Orthopaedic Surgery, Faculty of Medicine, Acibadem University, Istanbul, Turkey., Kunze KN; Department of Orthopedic Surgery, Hospital for Special Surgery, New York City, NY, USA., Verma NN; Department of Orthopaedic Surgery, Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA., Chahla J; Department of Orthopaedic Surgery, Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2022 Nov 03; Vol. 23, pp. e937581. Date of Electronic Publication: 2022 Nov 03. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Tibial Meniscus Injuries*/diagnostic imaging , Tibial Meniscus Injuries*/etiology , Tibial Meniscus Injuries*/surgery , Anterior Cruciate Ligament Reconstruction*/adverse effects , Anterior Cruciate Ligament Reconstruction*/methods, Male ; Humans ; Adult ; Menisci, Tibial/diagnostic imaging ; Menisci, Tibial/surgery ; Anterior Cruciate Ligament/surgery ; Iatrogenic Disease |
| مستخلص: | BACKGROUND Posterior meniscal root avulsions can cause meniscal extrusion, joint space narrowing, and progressive knee arthritis. Iatrogenic posterior meniscal root avulsions after malpositioning of the transtibial tunnels during anterior cruciate ligament (ACL) reconstruction can account for poor long-term outcomes seen in some patients following ACL reconstruction. Therefore, correct transtibial tunnel placement during ACL reconstruction is essential to avoid iatrogenic meniscal damage. CASE REPORT A 32-year-old man presented with 1 year of right knee pain and instability following a non-contact twisting injury sustained while playing soccer. An ACL tear with no meniscal involvement was diagnosed at an outside institution. A double-bundle reconstruction was performed at that time. Three months after surgery, a medial partial meniscectomy was performed after a medial meniscal tear and failure to reduce initial symptoms during the index procedure. Advanced imaging at our institution 6 months later demonstrated an iatrogenic lateral posterior meniscal root avulsions after malpositioning of the transtibial tunnels. Given the ACL graft integrity upon arthroscopic evaluation, the root tear was repaired using a 2-tunnel transtibial pull-out technique. Advanced imaging 1 year after surgery showed a well-maintained meniscal repair with no extrusion. CONCLUSIONS Accurate transtibial tunnel placement during ACL reconstructive surgery is vital to avoid meniscal root detachment and the associated complications resulting in poor patient outcomes from this iatrogenic injury. Clinicians treating patients with a history of cruciate ligament reconstruction presenting with postoperative pain and instability should consider this pathology in their differential diagnosis. |
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| تواريخ الأحداث: | Date Created: 20221103 Date Completed: 20221107 Latest Revision: 20221109 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9641552 |
| DOI: | 10.12659/AJCR.937581 |
| PMID: | 36327165 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/AJCR.937581 |