(Fig 1-B.45) Radial tear sparing the MFL attachment without displacement

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1. Radial tear sparing the MFL attachment without displacement

• Radial tears that spare the meniscofemoral ligament attachment typically occur near where the meniscofemoral ligaments attach to the meniscus. 
• These intact ligaments help stabilize the lateral meniscus, preventing its extrusion.

 

2. LM Posterior Root Tear. Association with ACL Tears

•  In patients with ACL tears, there is a higher incidence of lateral meniscal root tears (8%) compared to those without ACL tears (0.8%). 
• This suggests the need for careful MRI examination of the lateral meniscus in cases of ACL injury.

 

3. Treatment Approaches

•    - Some surgeons opt for non-surgical treatment for small, stable posterior root tears of the lateral meniscus.
•    - Others advocate for repair, especially noting that a lateral meniscus posterior root tear, when accompanied by an ACL tear, can lead to significant biomechanical changes like increased anterior tibial translation, even if the meniscofemoral ligament is intact.

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