Skip to main content

Advertisement

SpringerLink
Log in

Repair of a torn medial meniscus with an anteromedial meniscofemoral ligament in an anterior cruciate ligament-injured knee

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We report a rare case of longitudinal tear of the anterior segment of the medial meniscus in association with the anteromedial meniscofemoral ligament (AMMFL) in an anterior cruciate ligament-injured knee. The tear was repaired, and the anterior horn was transferred to the tibia using the pull-out technique after excising the AMMFL. Repeat arthroscopy performed 7 months postoperatively revealed that the medial meniscus had completely healed and the anterior horn was firmly fixed to the tibia. Two years after the surgery, the patient could play basketball without any symptom. A posteroanterior flexion weight-bearing radiograph did not show any narrowing of the medial joint space. Considering the excellent healing observed in this case, preservation of the meniscus should be considered despite an association between a torn meniscus and an anomalous insertion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ahn JH, Lee YS, Chang JY, Chang MJ, Eun SS, Kim SM (2009) Arthroscopic all inside repair of the lateral meniscus root tear. Knee 16:77–80

    Article  PubMed  Google Scholar 

  2. Anderson AF, Awh MH, Anderson CN (2004) The anterior meniscofemoral ligament of the medial meniscus: case series. Am J Sports Med 32:1035–1040

    Article  PubMed  Google Scholar 

  3. Choi NH (2006) Meniscal repair for anterior horn tear of the lateral meniscus. Arthroscopy 22:1132.e1–1132.e2

    Article  Google Scholar 

  4. Choi NH, Son KM, Victoroff BN (2008) Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: a technical note. Knee Surg Sports Traumatol Arthrosc 16:891–893

    Article  PubMed  Google Scholar 

  5. Coulier B, Himmer O (2008) Anteromedial meniscofemoral ligament of the knee: CT and MR features in 3 cases. JBR-BTR 91:240–244

    PubMed  CAS  Google Scholar 

  6. DeHaven KE (1980) Diagnosis of acute knee injuries with hemarthrosis. Am J Sports Med 8:9–14

    Article  PubMed  CAS  Google Scholar 

  7. Hamada M, Miyama T, Takeyasu Y, Tsutsumi S, Shino K (2007) Arthroscopic reduction and internal fixation of an avulsion fracture of the posterior horn of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc 15:427–430

    Article  PubMed  Google Scholar 

  8. Jung YB, Yum JK, Bae YJ, Song KS (1998) Anomalous insertion of the medial menisci. Arthroscopy 14:505–507

    Article  PubMed  CAS  Google Scholar 

  9. Kim SJ, Jung KA, Kim JM, Kwun JD, Baek SH, Han JN (2005) Arthroscopic all-inside repair of tears of the anterior horn of the lateral meniscus. Arthroscopy 21:1399.e1–1399.e4

    Article  Google Scholar 

  10. McCormack D, McGrath J (1992) Antero-medial menisco-femoral ligament. Clin Anat 5:485–487

    Article  Google Scholar 

  11. Nakajima T, Nabeshima Y, Fujii H, Ozaki A, Muratsu H, Yoshiya S (2005) Symptomatic anomalous insertion of the medial meniscus. Arthroscopy 21:629.e1–629.e4

    Article  Google Scholar 

  12. Noyes FR, Bassett RW, Grood ES, Butler DL (1980) Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Joint Surg Am 62:687–695, 757

    Google Scholar 

  13. Rosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM (1988) The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am 70:1479–1483

    PubMed  CAS  Google Scholar 

  14. Shea KG, Westin C, West J (1995) Anomalous insertion of the medial meniscus of the knee. A case report. J Bone Joint Surg Am 77:1894–1896

    PubMed  CAS  Google Scholar 

  15. Shino K, Hamada M, Mitsuoka T, Kinoshita H, Toritsuka Y (1995) Arthroscopic repair for a flap tear of the posterior horn of the lateral meniscus adjacent to its tibial insertion. Arthroscopy 11:495–498

    Article  PubMed  CAS  Google Scholar 

  16. Shino K, Horibe S, Hamada M, Nakamura N, Nakata K, Toritsuka Y, Mae T (2002) Allograft anterior cruciate ligament reconstruction. Techn Knee Surg 1:78–85

    Google Scholar 

  17. Smith JP 3rd, Barrett GR (2001) Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med 29:415–419

    PubMed  Google Scholar 

  18. Slauterbeck JR, Kousa P, Clifton BC, Naud S, Tourville TW, Johnson RJ, Beynnon BD (2009) Geographic mapping of meniscus and cartilage lesions associated with anterior cruciate ligament injuries. J Bone Joint Surg Am 91:2094–2103

    Article  PubMed  Google Scholar 

  19. Soejima T, Murakami H, Tanaka N, Nagata K (2003) Anteromedial meniscofemoral ligament. Arthroscopy 19:90–95

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedic Sports Medicine, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka, Hirakata, Osaka, 573-8511, Japan

    Masayuki Hamada, Takahide Miyama & Yoshihiro Nagayama

  2. Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30 Habikino, Habikino, Osaka, 583-8555, Japan

    Konsei Shino

Authors
  1. Masayuki Hamada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takahide Miyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yoshihiro Nagayama
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Konsei Shino
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masayuki Hamada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hamada, M., Miyama, T., Nagayama, Y. et al. Repair of a torn medial meniscus with an anteromedial meniscofemoral ligament in an anterior cruciate ligament-injured knee. Knee Surg Sports Traumatol Arthrosc 19, 826–828 (2011). https://doi.org/10.1007/s00167-010-1340-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-010-1340-9

Keywords

Search

Navigation