title: Complex Medial Meniscus Tears Are Associated With a Biconcave Medial Tibial Plateau.
abstract: OBJECTIVE
  To determine whether an association exists between a biconcave medial tibial plateau and complex medial meniscus tears.
  
  
  METHODS
  A consecutive series of stable knees undergoing arthroscopy were evaluated retrospectively with the use of preoperative magnetic resonance imaging (MRI), radiographs, and arthroscopy documented by intraoperative videos. Investigators independently performed blinded reviews of the MRI or videos. Based on the arthroscopy findings, medial tibial plateaus were classified as either biconcave or not biconcave. A transverse coronal plane ridge, separating the front of the tibial plateau from the back near the inner margin of the posterior body of the medial meniscus, was defined as biconcave. The medial plateau slope was calculated with MRI sagittal views. General demographic information, body mass index, and arthroscopically confirmed knee pathology were recorded.
  
  
  RESULTS
  A total of 179 consecutive knees were studied from July 2014 through August 2015; 49 (27.2%) biconcave medial tibial plateaus and 130 (72.8%) controls were identified at arthroscopy. Complex medial meniscus tears were found in 103. Patients with a biconcave medial tibial plateau were found to have more complex medial meniscus tears (69.4%) than those without a biconcavity (53.1%) (P = .049) despite having lower body mass index (P = .020). No difference in medial tibial plateau slope was observed for biconcavities involving both cartilage and bone, bone only, or an indeterminate group (P = .47).
  
  
  CONCLUSIONS
  Biconcave medial tibial plateaus were present in 27.4% of a consecutive series of patients undergoing knee arthroscopy. A biconcave medial tibial plateau was more frequently associated with a complex medial meniscus tear.
  
  
  METHODS
  Level III, case-control study.
authors.affiliation: Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
authors.forename: F Alan
authors.initials: FA
authors.lastname: Barber
authors.affiliation: Southern California Orthopedic Institute, Van Nuys, California, U.S.A.
authors.forename: Mark H
authors.initials: MH
authors.lastname: Getelman
authors.affiliation: Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
authors.forename: Kathy L
authors.initials: KL
authors.lastname: Berry
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods; D016022:Case-Control Studies; D004838:Epiphyses / Q000473:pathology; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000072600:Meniscus; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D012307:Risk Factors; D012421:Rupture / Q000473:pathology; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology; D000070600:Tibial Meniscus Injuries / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D055815:Young Adult