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. 2023 Dec;107(4):447-453.
doi: 10.1007/s12306-022-00757-8. Epub 2022 Aug 9.

Isolated radial tears of the lateral meniscus midbody: a case series of professional athletes treated with outside-in repair

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Isolated radial tears of the lateral meniscus midbody: a case series of professional athletes treated with outside-in repair

G Torre et al. Musculoskelet Surg. 2023 Dec.

Abstract

Purpose: The main aim of the study is to assess clinical and functional outcomes of arthroscopic outside-in repair of isolated radial tears of the midbody of lateral meniscus in professional athletes and to evaluate the return to the sport activity after surgery.

Methods: A retrospective data collection on professional athletes with isolated complete lesion of the midbody of lateral meniscus, treated with arthroscopic outside-in repair was carried out. Outcome measures included functional assessment, Limb Symmetry Index (LSI) and Hamstring Quadriceps Ratio (HQR) and Lysholm score collected before surgery and at 4-month follow-up. Data on return to sport practice and re-injury were also retrieved.

Results: Fourteen patients satisfied the selection criteria. Full return to professional sport activity (Tegner 10) was registered in the 86% of the cohort at 4 months after the surgery. Functional testing of the athletes showed a return of the LSI and HQR to the pre-surgical condition, demonstrating a full recovery of the functional ability and muscle strength. Similarly, clinical evaluation through Lysholm score showed an improvement, reaching an average of 97.7 points at 4 months follow-up.

Conclusion: A good functional recovery and a high rate of return to play has been observed in a population of professional athletes, at 4 months after outside-in repair.

Keywords: Knee; Meniscus; Midbody; Outside-in repair; Professional athletes; Radial tear.

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