{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:02:02Z","timestamp":1789621322261,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify risk factors for medial meniscus posterior root tears (MMPRT) and arthroplasty\u2010free survival in postmenopausal women, while secondary objectives included analyzing menopause\u2010specific factors associated with MMPRT and defining risk factors for conversion to arthroplasty in patients with a confirmed MMPRT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients at our institution with a diagnosed meniscal tear through December 2024 were identified. From this cohort, women with a menopausal diagnosis preceding their meniscal tear were matched one\u2010to\u2010one with men by age and body mass index. Imaging studies were reviewed to identify MMPRTs. Subsequent arthroplasty, Charlson Comorbidity Index, menopausal type (surgical or physiologic), hormone replacement therapy, bisphosphonate usage, and bone mineral density were recorded. Logistic and Cox regression were used to define risk factors for MMPRT and arthroplasty; survivorship was determined using Kaplan\u2010Meier analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final cohort consisted of 1564 patients (n\u2009=\u2009782 women) with a median age of 63\u2009years, of which 244 patients (15.6%) had MMPRT. Age and female sex were associated with MMPRT. The presence of an MMPRT, female sex, body mass index, and Charlson Comorbidity Index were associated with arthroplasty. Among postmenopausal women, age at menopause, surgical menopause, hormone replacement therapy, and bone mineral density were associated with MMPRT. For patients with MMPRT, female sex was associated with arthroplasty. Ten\u2010year survivorship\u2010free from arthroplasty in patients with MMPRT was 53.5% for women and 78.4% for men (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Postmenopausal status, age, and hormone replacement therapy usage are risk factors for MMPRT. Compared with men, postmenopausal women with MMPRT exhibit reduced arthroplasty\u2010free survival, underscoring the need for targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70561","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:04:23Z","timestamp":1789617863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postmenopausal Status Is Associated With Increased Risk of Medial Meniscus Posterior Root Tears and Subsequent Arthroplasty"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5499-0896","authenticated-orcid":false,"given":"Joseph A.","family":"Panos","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Teubner","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7548-5022","authenticated-orcid":false,"given":"Kyndra","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9205-3924","authenticated-orcid":false,"given":"Adam J.","family":"Tagliero","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Hevesi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B. F.","family":"Saris","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2582-8387","authenticated-orcid":false,"given":"Christopher V.","family":"Nagelli","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3248-8007","authenticated-orcid":false,"given":"Aaron J.","family":"Krych","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1148\/radiol.13122544","article-title":"Medial posterior meniscal root tears are associated with development or worsening of medial tibiofemoral cartilage damage: The multicenter osteoarthritis study","volume":"268","author":"Guermazi A","year":"2013","journal-title":"Radiology."},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.5435\/JAAOS-D-19-00102","article-title":"Meniscal root injuries","volume":"28","author":"Krych AJ","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s00167-016-4359-8","article-title":"Non\u2010operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5\u2010year follow\u2010up","volume":"25","author":"Krych AJ","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_5_1","first-page":"250","article-title":"Meniscal root tears: Current concepts review","volume":"6","author":"Pache S","year":"2018","journal-title":"Arch Bone Jt Surg."},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/0749-8063(91)90131-G","article-title":"Extrusion of the medial meniscus","volume":"7","author":"Pagnani MJ","year":"1991","journal-title":"Arthroscopy."},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"1922","DOI":"10.2106\/JBJS.G.00748","article-title":"Biomechanical consequences of a tear of the posterior root of the medial meniscus. 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