{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:10:25Z","timestamp":1791267025905,"version":"4.1.0"},"reference-count":63,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2016,8,9]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Meniscal root tears or avulsions compromise the biomechanical function of the menisci to a greater extent than simple meniscal tears do. As such, if left untreated, root injuries render the menisci incapable of properly distributing axial load and resisting rotation and translation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The clinical diagnosis of meniscal root abnormalities may be difficult as the signs and symptoms typically associated with meniscal body injuries, such as mechanical locking and catching, may not be present in patients with root injury and there may not be a history of an acute traumatic event. Treating practitioners need to have a high suspicion for meniscal root abnormalities in patients presenting with joint line tenderness and pain with deep flexion activities.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Magnetic resonance imaging (MRI) signs indicative of meniscal root abnormality include a radial tear of the meniscal root (on axial imaging), a vertical linear defect in the meniscal root (truncation sign on coronal imaging), meniscal extrusion &gt;3 mm outside the peripheral margin of the joint (on coronal imaging), and increased signal within the meniscal root (ghost sign on sagittal sequences).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Two main approaches for meniscal root repair have evolved. One approach involves the use of a transtibial pullout technique, and the other involves the use of a suture anchor repair. The goal of both approaches is to restore an anatomical attachment of the meniscal root to bone that is capable of converting axial weight-bearing loads into hoop stresses.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 In a recent systematic review of meniscal root repairs, healing (partial and complete) was reported to have occurred in 96% of cases, with all studies demonstrating improvements in terms of subjective and functional scores at a mean of 30.2 months postoperatively.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.15.00082","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T23:03:37Z","timestamp":1470783817000},"source":"Crossref","is-referenced-by-count":33,"title":["Evaluation, Treatment, and Outcomes of Meniscal Root Tears"],"prefix":"10.2106","volume":"4","author":[{"given":"Eric J.","family":"Strauss","sequence":"first","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Day","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ryan","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laith","family":"Jazrawi","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"10","key":"r1-20230809","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1016\/j.arthro.2015.03.035","article-title":"Comparison of clinical and radiologic results between partial meniscectomy and refixation of medial meniscus posterior root tears: a minimum 5-year follow-up","volume":"31","author":"Chung","year":"2015","journal-title":"Arthroscopy"},{"issue":"4","key":"r2-20230809","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/1941738111429419","article-title":"The basic science of human knee menisci: structure, composition, and function","volume":"4","author":"Fox","year":"2012","journal-title":"Sports Health"},{"issue":"3","key":"r3-20230809","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","year":"2013","journal-title":"Radiology"},{"issue":"3","key":"r4-20230809","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.arthro.2010.08.005","article-title":"Medial meniscus root tear refixation: comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy","volume":"27","author":"Kim","year":"2011","journal-title":"Arthroscopy"},{"issue":"9","key":"r5-20230809","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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