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- Title
Anterior meniscus root avulsion following intramedullary nailing for a tibial shaft fracture.
- Authors
Ellman, Michael; James, Evan; LaPrade, Christopher; LaPrade, Robert
- Abstract
This paper presents the first reported case of iatrogenic injury to the anterior medial meniscal root attachment following intramedullary nailing for a tibial shaft fracture. The patient experienced a closed right tibia-fibula fracture 7 years prior to presentation, which was treated with a reamed intramedullary nail. The nail was removed 3 years after the index surgery due to chronic anterior knee pain, which persisted following hardware removal. At presentation, the patient was diagnosed with an anterior horn medial meniscal root tear likely secondary to insertion of the intramedullary nail through the anatomic footprint of the anterior medial root. After undergoing a medial meniscus anterior horn root repair, the patient was asymptomatic and resumed normal activities. Level of evidence: Case report, Level IV.
- Subjects
TIBIA injuries; INTRAMEDULLARY fracture fixation; MENISCUS injuries; AVULSION fractures; KNEE pain; IATROGENIC diseases; THERAPEUTICS
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2015, Vol 23, Issue 4, p1188
- ISSN
0942-2056
- Publication type
Report
- DOI
10.1007/s00167-014-2941-5