title: A lateral meniscus tear incarcerated behind the popliteus tendon: a case report.
abstract: A 51-year-old male, sustained an injury to his left knee after being pinned between his motorcycle and a road barrier. In the ER, the patient complained of medial knee pain, and had a significant joint effusion. MRI demonstrated an ACL injury, medial meniscal tear, bone bruising and impaction at the lateral femoral condyle and tibial plateau, and a tear of the posterior horn of the lateral meniscus that was displaced behind the popliteus. Unfortunately, the patient also presented with a deep vein thrombosis and thus could not proceed to the operating room for two months. During this time, scar tissue developed around the lateral meniscus. The purpose of this report is to present an unusual variant of a common injury pattern previously unreported where the posterior horn of the lateral meniscus became incarcerated behind the popliteus tendon and was left in place. It is likely that our patient will develop osteoarthritis in the future, but considering the circumstances he received a favorable early clinical outcome. Early recognition and a mobile fragment are essential restoring a patient's original anatomical features and achieving an optimal clinical outcome.
authors.affiliation: Department of Orthopedic Surgery, University of Massachusetts Medical School, Worcester, Massachusetts 01655, United States. eskanm01@ummhc.org
authors.forename: Mark S
authors.initials: MS
authors.lastname: Eskander
authors.forename: Jacob M
authors.initials: JM
authors.lastname: Drew
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Osuch
authors.forename: Jeff
authors.initials: J
authors.lastname: Metzmaker
mesh_terms: D016118:Anterior Cruciate Ligament / Q000473:pathology / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D007719:Knee Joint / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000503:physiopathology; D008875:Middle Aged; D016059:Range of Motion, Articular; D020127:Recovery of Function; D053682:Tendon Entrapment / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D013710:Tendons / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome