Mariani Pier Paolo, Battaglia Michael J, Torre Guglielmo
Villa Stuart Sport Clinic-FIFA Medical Centre of Excellence, University of Rome Foro Italico, Rome, Italy.
Villa Stuart Sport Clinic-FIFA Medical Centre of Excellence, Rome, Italy.
BMC Musculoskelet Disord. 2021 Sep 24;22(1):823. doi: 10.1186/s12891-021-04696-6.
Anatomical variations of the attachment of medial meniscus are a common finding. However, anomalies of the posterior horn are extremely rare. Only two cases of posterior root anomaly have been described prior to the routine use of arthroscopy for evaluation and treatment of meniscal pathology. In this report, we present an anomaly of both the anterior and posterior roots of the medial meniscus that posed both a diagnostic and therapeutic dilemma.
The patient is young male soccer player who is currently 16 years of age and began having the atraumatic onset of pain and symptoms that limited performance starting at age 14 and was referred for failure of response to nonoperative treatment. Diagnostic arthroscopy revealed the presence of an anteromedial meniscofemoral ligament whereas the posterior root showed no bony attachment. The radiographic and arthroscopic findings are described. The clinical decision was made after to proceed with observation, reassurance, and gradual return to full activity with physiotherapy guidance.
The absence of injury, the mild complaints reported by the patient, his age, skeletal immaturity, and remaining growth led us to adopt a conservative approach to treating this anatomic variant and currently the patient is able to participate fully in sports without symptoms or restrictions.
内侧半月板附着处的解剖变异是常见现象。然而，后角异常极为罕见。在关节镜常规用于评估和治疗半月板病变之前，仅报道过两例后根异常病例。在本报告中，我们呈现了一例内侧半月板前根和后根均异常的病例，该病例带来了诊断和治疗上的两难困境。
患者是一名年轻男性足球运动员，现年16岁，自14岁起开始出现无创伤性疼痛和症状，这些症状限制了他的运动表现，因非手术治疗无效而前来就诊。诊断性关节镜检查发现存在一条前内侧半月板股骨韧带，而后根未发现骨性附着。描述了影像学和关节镜检查结果。临床决定是进行观察、安抚，并在物理治疗指导下逐渐恢复至完全活动状态。
由于没有损伤、患者报告的轻微症状、他的年龄、骨骼未成熟以及仍有生长发育，我们采取了保守方法来治疗这种解剖变异，目前患者能够毫无症状或限制地完全参与运动。
