Popliteomeniscal Fascicle Tear: Diagnosis and Operative Technique

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Popliteomeniscal Fascicle Tear: Diagnosis and Operative Technique Hong-Kwan Shin, M.D., Hee-Sung Lee, M.D., Young-Kuk Lee, M.D., Ki-Cheor Bae, M.D., Chul-Hyun Cho, M.D., Kyung-Jae Lee, M.D. Arthroscopy Techniques Volume 1, Issue 1, Pages e101-e106 (September 2012) DOI: 10.1016/j.eats.2012.04.004 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 Hypermobility of lateral meniscus. (A) The arthroscopic view (30°) through the anterolateral portal without probing seems normal. (B) However, it can be observed through arthroscopic probing that more than half of the lateral meniscus excursed. Arthroscopy Techniques 2012 1, e101-e106DOI: (10.1016/j.eats.2012.04.004) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 Observations with the arthroscope routed through the portal and visualizing the popliteomeniscal fascicle tear. (A) Arthroscopic view (30°) through the anterolateral portal. (B) Arthroscopic view (70°) through the anteromedial portal of the knee posterior joint space. Arthroscopy Techniques 2012 1, e101-e106DOI: (10.1016/j.eats.2012.04.004) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 3 An osteochondral lesion (arrowheads) in the posterior area of the lateral femoral condyle adjacent to the popliteomeniscal fascicle tear area observed through an anteromedial portal with a 70° arthroscope. Arthroscopy Techniques 2012 1, e101-e106DOI: (10.1016/j.eats.2012.04.004) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 4 All-inside suture technique. (A) A rasp is used to stimulate the tissue in the tear area. (B) A suture hook is maneuvered past the popliteomeniscal fascicle tear area. (C) A sliding knot is used to tie the No. 0 PDS. (D) The first knot has been completed. Arthroscopy Techniques 2012 1, e101-e106DOI: (10.1016/j.eats.2012.04.004) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 5 Placement of additional 2 or 3 sutures. (A) Arthroscopic view (70°) through the anteromedial portal of the knee posterior joint space. (B) Arthroscopic view (30°) through the anterolateral portal of the knee anterior joint space. (C) The restoration of the popliteal hiatus is confirmed. Arthroscopy Techniques 2012 1, e101-e106DOI: (10.1016/j.eats.2012.04.004) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions