Welcome to ICL360, a cutting-edge CME course designed to provide a holistic learning experience. Immerse yourself in curated video content sourced from the AAOS Annual Meeting, featuring expert-selected ICL lectures. Enhance your understanding with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.
This Instructional Course Lecture explores meniscal extrusion, radial tears, and root tears, focusing on clinical implications, diagnostic approaches, and evolving treatment options. The lecture aims to provide experienced orthopaedic surgeons with up-to-date knowledge and the practical skills necessary to effectively manage these common yet complex knee injuries.
At the conclusion of this course learners should be able to:
- Describe the anatomy and biomechanics of meniscal structures, particularly the circumferential collagenous fibers and their role in maintaining meniscal hoop stresses.
- Identify the clinical and imaging characteristics of meniscal extrusion, radial tears, and root tears, with an emphasis on the diagnostic accuracy of T2-weighted MRI and ultrasonography.
- Analyze the pathophysiologic implications of unmanaged meniscal root tears on joint biomechanics and their association with conditions, such as subchondral insufficiency fractures, and osteoarthritis progression.
- Evaluate the latest surgical techniques for meniscal radial and root repair, including inside-out and all-inside repair methods, and assess their biomechanical outcomes and clinical effectiveness.
- Implement appropriate treatment strategies for meniscal extrusion, considering patient symptoms, underlying causes, and concomitant joint conditions, with a focus on minimizing residual extrusion.
- Formulate postoperative rehabilitation protocols for patients undergoing meniscal repair, emphasizing the importance of protected weight bearing and controlled range of motion to ensure optimal healing.
- Discuss the indications, procedural steps, and potential advantages of meniscal centralization for the management of residual meniscal extrusion and the restoration of tibiofemoral contact mechanics.
- Assess the long-term outcomes and risk for osteoarthritis progression after the management of meniscal root tears, including surgical repair versus nonsurgical management.
