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Evaluation of Different Patterns PHMM Root Tears

Evaluation Of Different Patterns Of Posterior Horn Medial Meniscus Root Tears

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07602985
Enrollment
30
Registered
2026-05-22
Start date
2026-06-01
Completion date
2027-07-01
Last updated
2026-05-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Medial Meniscus Knee Injury

Keywords

PHMM

Brief summary

1. To evaluate and classify different morphological patterns of posterior horn medial meniscus root tears (PHMMRTs) and assess their correlation with clinical presentation, MRI findings, and arthroscopic features. 2. To determine the association between tear patterns and degree of meniscal extrusion. 3. To evaluate the relationship between tear patterns and articular cartilage degeneration. 4. To identify predictors of specific tear patterns based on clinical and radiological findings

Detailed description

The medial meniscus posterior horn root plays a pivotal role in maintaining normal knee biomechanics by converting axial loads into circumferential hoop stresses. Injury to this structure leads to loss of meniscal function, increased tibiofemoral contact pressure, and accelerated degeneration of articular cartilage, resembling the biomechanical effects of total meniscectomy. Posterior horn medial meniscus root tears (PHMMRTs) present with various morphological patterns, including radial tears, oblique tears, complex tears, and complete root avulsions. Each tear pattern has distinct clinical, radiological, and arthroscopic characteristics, which may influence management strategies and prognosis. Despite increasing recognition of these injuries, data correlating tear patterns with clinical presentation and imaging findings remain limited. Despite increasing recognition of PHMMRTs, limited studies have comprehensively correlated different tear patterns with clinical, radiological, and arthroscopic findings in a single prospective cohort. This study aims to fill this gap and provide clinically applicable correlations that may guide decision-making and prognosis assessment

Interventions

RADIATIONMRI

all population should do MRI

Sponsors

Assiut University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients aged ≥18 years (no upper age limit, as PHMMRTs are prevalent in elderly population) * Clinical suspicion of medial meniscal injury * MRI-confirmed posterior horn medial meniscus root tear * Patients undergoing diagnostic or therapeutic knee arthroscopy

Exclusion criteria

* Previous surgical intervention to the affected knee * Lateral meniscus root tears * Advanced knee osteoarthritis (Kellgren-Lawrence grade IV) * Inflammatory or rheumatoid arthritis * Acute ligamentous injuries requiring immediate surgical intervention

Design outcomes

Primary

MeasureTime frameDescription
different morphological patterns of posterior horn medial meniscus root tears.BaselineIdentification and distribution of different morphological patterns of posterior horn medial meniscus root tears Using Magnetic Resonance Imaging (MRI)

Secondary

MeasureTime frameDescription
Correlation between meniscal tear pattern and articular cartilage degenerationBaselineAssessment of the correlation between MRI -defined meniscal tear pattern and grade of articular cartilage degeneration assessed using Outerbridge classification

Contacts

CONTACTAhmed Gamal Ahmed sayed, orthopedic resident
ggemi800@gmail.com+201003663138
CONTACTHesham Abdelrahim Alkady, PROF
hesham.elkadi@med.aun.edu.eg+201005211797
STUDY_DIRECTORIslam Karam Karam Allah, A PROF

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 23, 2026