Abstract
We describe a new arthroscopic technique for repair of meniscal ossicles in support
of the theory that meniscal ossicles are traumatic in nature. Using a standard inferolateral
portal, the arthroscope is passed under the posterior cruciate ligament to permit
visualization of the “root” of the medial meniscus with a matching donor lesion on
the tibia. A limited debridement should be performed of the donor site as well as
the posterior horn of the meniscus if it has healed over with fibrocartilage to allow
bone-to-bone healing. A posteromedial working portal is made at an angle amenable
to the repair and a 6-mm cannula is placed. A Beath passing pin commonly used for
anterior cruciate ligament reconstruction is used to pass suture for the outside-inside-out
repair. The pin is passed through the cannula in the posterior medial portal. The
root of the medial meniscus and the avulsed ossicle are pierced with the Beath pin
and tensioned, after which the pin is drilled into the matching donor site and out
through the tibia. Two passes are used to create a mattress suture through the ossicle,
and the suture is tied over a bone bridge on the anterolateral tibia.
Key Words
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Article Info
Footnotes
Cite this article as: Raustol OA, Poelstra KA, Chhabra A, Diduch DR. The meniscal ossicle revisited: Etiology and an arthroscopic technique for treatment. Arthroscopy 2006;22:687.e1-687.e3 [doi:10.1016/j.arthro.2005.12.022].
Identification
Copyright
© 2006 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.