Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus

Our understanding and ability to identify meniscal tears has dramatically increased over the past decade. Many studies have, for example, focused their attention in describing the hidden meniscocapsular and meniscotibial lesions of the posterior horn of the medial meniscus. They highlighted that a s...

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Main Authors: Maximiliano Ibañez, M.D., Michele Saragnese, M.D., Felix Hoffmann, M.D., Caroline Mouton, Ph.D., Romain Seil, Ph.D., M.D.
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005887
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author Maximiliano Ibañez, M.D.
Michele Saragnese, M.D.
Felix Hoffmann, M.D.
Caroline Mouton, Ph.D.
Romain Seil, Ph.D., M.D.
author_facet Maximiliano Ibañez, M.D.
Michele Saragnese, M.D.
Felix Hoffmann, M.D.
Caroline Mouton, Ph.D.
Romain Seil, Ph.D., M.D.
author_sort Maximiliano Ibañez, M.D.
collection DOAJ
description Our understanding and ability to identify meniscal tears has dramatically increased over the past decade. Many studies have, for example, focused their attention in describing the hidden meniscocapsular and meniscotibial lesions of the posterior horn of the medial meniscus. They highlighted that a significant amount of meniscal tears could still be easily overlooked depending on their location and complexity. These “hidden lesions” are difficult to diagnose with standard preoperative imaging, so arthroscopic probing remains the gold standard. Apart from these particular lesions, in-depth probing of the rest of the the meniscus may have been underestimated, especially in the presence of an unaltered external surface of the meniscus during visual arthroscopic inspection. In this Technical Note, the arthroscopic diagnostic procedure and repair technique of a hidden meniscal injury, identified as an “intrameniscal fracture,” is described.
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spelling doaj-art-70ebbaf632f7484abdc0839ccbae35c52025-08-20T02:30:56ZengElsevierArthroscopy Techniques2212-62872025-05-0114510342010.1016/j.eats.2024.103420Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial MeniscusMaximiliano Ibañez, M.D.0Michele Saragnese, M.D.1Felix Hoffmann, M.D.2Caroline Mouton, Ph.D.3Romain Seil, Ph.D., M.D.4ICATME, Hospital Universitari Dexeus, Barcelona, SpainDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg–Clinique d’Eich, Luxembourg, Luxembourg; Ospedale Santa Maria della Misericordia, Rovigo, Ospedale San Luca, Trecenta, ItalyDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg–Clinique d’Eich, Luxembourg, LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg–Clinique d’Eich, Luxembourg, Luxembourg; Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg–Clinique d’Eich, Luxembourg, Luxembourg; Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, Luxembourg; Human Motion, Orthopaedics, Sports Medicine and Digital Methods (HOSD), Luxembourg Institute of Health (LIH), Luxembourg, Luxembourg; Address correspondence to Romain Seil, Ph.D., M.D., Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg–Clinique d’Eich, 78 Rue d’Eich L-1460 Luxembourg.Our understanding and ability to identify meniscal tears has dramatically increased over the past decade. Many studies have, for example, focused their attention in describing the hidden meniscocapsular and meniscotibial lesions of the posterior horn of the medial meniscus. They highlighted that a significant amount of meniscal tears could still be easily overlooked depending on their location and complexity. These “hidden lesions” are difficult to diagnose with standard preoperative imaging, so arthroscopic probing remains the gold standard. Apart from these particular lesions, in-depth probing of the rest of the the meniscus may have been underestimated, especially in the presence of an unaltered external surface of the meniscus during visual arthroscopic inspection. In this Technical Note, the arthroscopic diagnostic procedure and repair technique of a hidden meniscal injury, identified as an “intrameniscal fracture,” is described.http://www.sciencedirect.com/science/article/pii/S2212628724005887
spellingShingle Maximiliano Ibañez, M.D.
Michele Saragnese, M.D.
Felix Hoffmann, M.D.
Caroline Mouton, Ph.D.
Romain Seil, Ph.D., M.D.
Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
Arthroscopy Techniques
title Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
title_full Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
title_fullStr Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
title_full_unstemmed Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
title_short Arthroscopic Diagnosis and Treatment of a Hidden Intrameniscal Fracture of the Medial Meniscus
title_sort arthroscopic diagnosis and treatment of a hidden intrameniscal fracture of the medial meniscus
url http://www.sciencedirect.com/science/article/pii/S2212628724005887
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