Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usual

In this multicenter study, 65% of pediatric and adolescent patients undergoing MMRL repair during primary ACLR had a concomitant LMT and the majority were localized to the posterior horn and posterior root. As 31% of concomitant LMTs were missed on preoperative MRI, the posterior aspect of the lateral meniscus should be carefully evaluated at the time of surgery in pediatric patients with MMRLs. Nearly half of the concomitant LMTs identified in this cohort were LMRTs, complex tears, complete radial tears, or bucket-handle tears. Overall, surgeons should anticipate performing an additional lateral meniscal repair in nearly half of pediatric patients undergoing an MMRL repair during primary ACLR.

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Publication Details

Journal
Orthopaedic Journal of Sports Medicine
Published
2026-02-01
DOI
https://doi.org/10.1177/23259671251396140
Primary Topic
Knee injuries and reconstruction techniques
Type
article
Field-Weighted Citation Impact
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article

Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usual

Andrew E. Jimenez, Elizabeth C. Gardner, Michael J. Medvecky, Udit Dave et al.
Orthopaedic Journal of Sports Medicine
Knee injuries and reconstruction techniques
article

Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usual

Andrew E. Jimenez, Elizabeth C. Gardner, Michael J. Medvecky, Udit Dave, Jason Zarahi Amaral, Jonathan Salandra, John E. Kuhn, Hewett Te, Robert F. LaPrade, Lee D. Katz, Jack Porrino, Luke V. Tollefson, Ruth H. Jones, Nikhil N. Verma, Scott D. McKay, Michael S. Lee, Jorge Chahla, Christopher M. LaPrade, Jay Moran, Peter D. Fabricant
article en

Abstract

In this multicenter study, 65% of pediatric and adolescent patients undergoing MMRL repair during primary ACLR had a concomitant LMT and the majority were localized to the posterior horn and posterior root. As 31% of concomitant LMTs were missed on preoperative MRI, the posterior aspect of the lateral meniscus should be carefully evaluated at the time of surgery in pediatric patients with MMRLs. Nearly half of the concomitant LMTs identified in this cohort were LMRTs, complex tears, complete radial tears, or bucket-handle tears. Overall, surgeons should anticipate performing an additional lateral meniscal repair in nearly half of pediatric patients undergoing an MMRL repair during primary ACLR.

Orthopaedic Journal of Sports MedicineVol. 14(2)
Hospital for Special Surgery (US), Yale University (US), Twin Cities Orthopedics (US), Texas Children's Hospital (US), Rush University (US), Marshall University (US)
Openalex Percentile: Top 48%
Knee injuries and reconstruction techniques
DOIOpen Access PDFOpenAlex
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