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ON THE TOPIC OF "ROOT" TEARS OF THE MENISCUS AND MORE: There is an unusual type of meniscus tear pattern which we call "root avulsion" or "root tears". These tears occur in the back of the knee at the point where the meniscus attaches to the bone. When these tears happen they usually lead to abrupt onset knee pain usually in the back of the knee. They are difficult to Identifying on an MRI. They are tricky to diagnosis. You really have to look for the tears to find them. It's also not uncommon for the radiologist and the surgeon to miss the tears. When they are identified it's usually best to repair them. The repair is not like other meniscus tear repairs. It is actually a type of repair that requires the torn meniscus stump to be reattached to the bone. It takes extra time and special techniques. I did a couple of root tear repairs today. I wanted to share a short video clip. The clip shows me preparing the attachment site of the root tear. I'll be putting sutures through the meniscus stump and reattaching it to bone. The interesting thing about this video is that I was doing the procedure under local anesthesis while the patient was awake. So there are a few things to point out here. 1- Root tears are difficult to diagnose and often missed by the doctor and the radiologist. 2- The repair is unique and not easy. 3-Arthroscopy of the knee is possible under local anesthesia. However it requires a special technique and a team approach. Hope you found this post interesting. If you would like to learn more about sports medicine, knee, shoulder, and MMA injuries please go to my webpage www.MyOrthoDoc.com Cheers. About Steve A. Mora MD: Dr. Mora is a board-certified orthopedic surgeon at Restore Orthopedics and Spine Center in Orange County. He specializes in: -Sports Trauma -Arthroscopy of the knee, shoulder, hip and elbow. -Arthritis of the Knee -Mixed Martial Arts Injuries -First Responder Injuries -Regenerative Medicine:Lipogems, Bone Marrow Stem Cells, Plasma therapy. For a consultation please call Restore Orthopedics and Spine Center in the City of Orange 714-598-1745