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半月板根部撕裂：最新进展

Meniscus root tears: state of the art.

作者信息

Hantouly Ashraf T, Aminake Ghislain, Khan Anfal Sher, Ayyan Muhammad, Olory Bruno, Zikria Bashir, Al-Khelaifi Khalid

机构信息

Department of Orthopaedic Surgery, Surgical Specialty Center, Hamad Medical Corporation, Doha, Qatar.

Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Int Orthop. 2024 Apr;48(4):955-964. doi: 10.1007/s00264-024-06092-w. Epub 2024 Jan 23.

DOI:10.1007/s00264-024-06092-w
PMID:38261073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10933189/
Abstract

BACKGROUND

Meniscus root tears represent significant pathology that, historically, has been underdiagnosed and undertreated. However, the recognition of their clinical and functional significance has recently surged, mainly due to their frequent association with anterior cruciate ligament injuries.

AIM

This comprehensive review discusses various aspects of meniscal root tears, including their epidemiology, biomechanics, etiology, clinical and radiological findings, classification, management and surgical techniques.

摘要

背景

半月板根部撕裂是一种重要的病理状况，在历史上一直存在诊断不足和治疗不足的问题。然而，近年来对其临床和功能意义的认识迅速增加，主要是因为它们经常与前交叉韧带损伤相关。

目的

本综述全面讨论半月板根部撕裂的各个方面，包括其流行病学、生物力学、病因、临床和影像学表现、分类、治疗及手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6fb/10933189/0b179f4632a7/264_2024_6092_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6fb/10933189/1ddc329e5969/264_2024_6092_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6fb/10933189/0b179f4632a7/264_2024_6092_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6fb/10933189/1ddc329e5969/264_2024_6092_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6fb/10933189/0b179f4632a7/264_2024_6092_Fig3_HTML.jpg

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Sci Rep. 2025 Jul 3;15(1):23748. doi: 10.1038/s41598-025-07642-x.
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Why Hoop Tension Matters: A Biomechanical Perspective on Medial Meniscus Posterior Root Tears-A Narrative Review.

本文引用的文献

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Epidemiological features of acute medial meniscus posterior root tears.急性内侧半月板后根撕裂的流行病学特征
Int Orthop. 2023 Oct;47(10):2537-2545. doi: 10.1007/s00264-023-05848-0. Epub 2023 Jun 17.
2
Improved tibiofemoral contact restoration after transtibial reinsertion of the anterior root of the lateral meniscus compared to in situ repair: a biomechanical study.与原位修复相比，经胫骨侧半月板前角根部再植入后可更好地恢复胫股接触：一项生物力学研究。
Int Orthop. 2023 Oct;47(10):2419-2427. doi: 10.1007/s00264-023-05769-y. Epub 2023 Mar 22.
3
Medial joint space narrowing progresses after pullout repair of medial meniscus posterior root tear.
为何环向张力至关重要：内侧半月板后根撕裂的生物力学视角——一篇叙述性综述
Bioengineering (Basel). 2025 Jun 11;12(6):638. doi: 10.3390/bioengineering12060638.
4
Medial Meniscus Root Tears: Management With Single-Tunnel Repair and Meniscus Centralization.内侧半月板根部撕裂：单隧道修复与半月板复位治疗
Cureus. 2025 May 19;17(5):e84425. doi: 10.7759/cureus.84425. eCollection 2025 May.
5
Evidence-based weight-bearing protocols after meniscal repair: balancing functional recovery and healing safety across injury types.半月板修复术后基于证据的负重方案：平衡不同损伤类型下的功能恢复与愈合安全性
J Orthop Surg Res. 2025 Jun 19;20(1):604. doi: 10.1186/s13018-025-05988-6.
6
Saving the Meniscus: A Retrospective Observational Study of the Incidence, Treatment, and Failure Rate of the Main Meniscal Tear Types at 24-Month Follow-Up.挽救半月板：一项关于主要半月板撕裂类型在24个月随访时的发病率、治疗及失败率的回顾性观察研究。
J Clin Med. 2025 May 12;14(10):3350. doi: 10.3390/jcm14103350.
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ESR Bridges: imaging and treatment of knee injuries-a multidisciplinary view.红细胞沉降率桥接：膝关节损伤的影像学与治疗——多学科视角
Eur Radiol. 2025 May 20. doi: 10.1007/s00330-025-11690-2.
8
Association between anatomical risk factors and medial meniscus posterior root tears: a retrospective study.解剖学危险因素与内侧半月板后根撕裂之间的关联：一项回顾性研究。
BMC Musculoskelet Disord. 2025 May 9;26(1):455. doi: 10.1186/s12891-025-08676-y.
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[Treatment of anterior cruciate ligament tibial avulsion fracture involving anterior root of lateral meniscus with wire anchor nailing composite double pulley technique].带线锚钉复合双滑轮技术治疗累及外侧半月板前根的前交叉韧带胫骨髁间嵴撕脱骨折
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Apr 15;39(4):440-445. doi: 10.7507/1002-1892.202502013.
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The preoperative flexion tear gap affects postoperative meniscus stability after pullout repair for medial meniscus posterior root tear.术前屈曲时的撕裂间隙会影响内侧半月板后根撕裂拔出修复术后半月板的稳定性。
Knee Surg Relat Res. 2025 Apr 3;37(1):16. doi: 10.1186/s43019-025-00264-7.
内侧半月板后根撕裂的拉出修复术后，内侧关节间隙变窄会进展。
Int Orthop. 2023 Oct;47(10):2401-2407. doi: 10.1007/s00264-023-05701-4. Epub 2023 Jan 30.
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Concomitant posterior anchoring further reduces posterior meniscal extrusion during pullout repair of medial meniscus posterior root tears: a retrospective study.伴随后方固定在半月板后根部撕裂的拉出修复术中进一步减少半月板后向挤压：一项回顾性研究
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Arch Bone Jt Surg. 2022 May;10(5):366-380. doi: 10.22038/ABJS.2021.60054.2958.
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AJR Am J Roentgenol. 2022 Aug;219(2):269-278. doi: 10.2214/AJR.22.27338. Epub 2022 Mar 16.
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Am J Sports Med. 2022 Sep;50(11):3130-3139. doi: 10.1177/03635465211031250. Epub 2021 Oct 11.
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The Natural History of Medial Meniscal Root Tears: A Biomechanical and Clinical Case Perspective.内侧半月板根部撕裂的自然史：生物力学与临床病例视角
Front Bioeng Biotechnol. 2021 Sep 23;9:744065. doi: 10.3389/fbioe.2021.744065. eCollection 2021.