Wednesday, 30 November 2016

POPLITIOMENISCAL FASCICLE TEARS

Did we miss this injury in the past. The fascicle move the lateral meniscus dynamically during the lateral femoral condyle roll back. one needs to repair it all inside or with a suture lasso as shown  in arthroscopic techniques. to diagnose the same on mri is sometimes difficult.

Pt complaints of a pop sound or locking.
Laprade figure or four test yield is negligible in my hands so far
 most accurate diagnosis is introp, the meniscus can be displaced anteriorly by more than 50% of its width . one might see some chondral defect adjoining to the popliomeniscal fascicle deep to the meniscal

 one could use a mid lateral portal  to repair the same

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