Complex Medial Meniscus Tear - Vertical Bucket Handle and Deep Horizontal Cleavage Components

Description

In this detailed presentation, Dr. Nicholas Colyvas, a Clinical Professor from the Department of Orthopedic Surgery at UCSF, discusses a complex case involving a 47-year-old active chiropractor who suffered a fall while mountain biking, resulting in a medial meniscus tear in his knee. The patient is described as physically fit, with normal knee alignment and unremarkable x-rays.



Further imaging via MRI revealed an intra-substance tear of the medial meniscus, potentially involving a meniscus-capsular separation. Detailed imaging on both sagittal and coronal views showcased additional complexities within the tear, though there was no extrusion observed. Following diagnosis, the surgical repair involved multiple sutures aimed at restoring the meniscus's anatomy and effectively addressing the horizontal cleavage tear with good compression.



Post-surgery, the patient adhered to a rehabilitation protocol for meniscus repair, enabling him to return to all preferred sports six months later. During a two-year follow-up, he reported complete recovery with no pain and full engagement in his activities.

Specialties