Arthroscopic Diagnosis and All-Inside Repair of Meniscofibular Ligament Tear.
- 1Department of Biomedical and Neuromotor Sciences (DIBINEM) Alma Mater Studiorum University of Bologna Bologna Italy.
- 22nd Orthopaedic and Traumatologic Clinic IRCCS Rizzoli Orthopaedic Institute Bologna Italy.
Abstract
Meniscofibular ligament (MFL) tears are an under-recognized source of lateral meniscal instability, frequently encountered in association with anterior cruciate ligament injury. Failure to identify and address MFL insufficiency may result in persistent posterolateral pain and meniscal hypermobility despite successful anterior cruciate ligament reconstruction. This Technical Note describes a reproducible, all-inside arthroscopic technique for the diagnosis and repair of MFL tears. Diagnostic arthroscopy includes systematic evaluation of the popliteal hiatus and posterolateral gutter, with dynamic probing of the lateral meniscus and identification MFL tear. The repair is performed through standard anterior portals, using all-inside vertical sutures to re-establish continuity between the MFL stump, the inferior border of the posterolateral meniscus, and the posterolateral capsule. This technique allows an anatomic, meniscus-preserving repair without additional open dissection or hardware in the fibular head. It is reproducible with standard arthroscopic equipment and can be combined with concomitant anterior cruciate ligament reconstruction.
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BibTeX
@article{grassi2026arthroscopic,
title = {{Arthroscopic Diagnosis and All-Inside Repair of Meniscofibular Ligament Tear.}},
author = {Alberto Grassi and Tosca Cerasoli and Vito Gaetano Rinaldi and Claudio Rossi and Giulio Maria Marcheggiani Muccioli and Stefano Zaffagnini},
journal = {Arthroscopy techniques},
year = {2026},
month = oct,
doi = {10.1002/atn2.70339},
url = {https://europepmc.org/article/MED/42921443},
note = {CC BY},
}
RIS
TY - JOUR
TI - Arthroscopic Diagnosis and All-Inside Repair of Meniscofibular Ligament Tear.
AU - Alberto Grassi
AU - Tosca Cerasoli
AU - Vito Gaetano Rinaldi
AU - Claudio Rossi
AU - Giulio Maria Marcheggiani Muccioli
AU - Stefano Zaffagnini
PY - 2026
DA - 2026/10/23
JO - Arthroscopy techniques
DO - 10.1002/atn2.70339
UR - https://europepmc.org/article/MED/42921443
AB - Meniscofibular ligament (MFL) tears are an under-recognized source of lateral meniscal instability, frequently encountered in association with anterior cruciate ligament injury. Failure to identify and address MFL insufficiency may result in persistent posterolateral pain and meniscal hypermobility despite successful anterior cruciate ligament reconstruction. This Technical Note describes a reproducible, all-inside arthroscopic technique for the diagnosis and repair of MFL tears. Diagnostic arthroscopy includes systematic evaluation of the popliteal hiatus and posterolateral gutter, with dynamic probing of the lateral meniscus and identification MFL tear. The repair is performed through standard anterior portals, using all-inside vertical sutures to re-establish continuity between the MFL stump, the inferior border of the posterolateral meniscus, and the posterolateral capsule. This technique allows an anatomic, meniscus-preserving repair without additional open dissection or hardware in the fibular head. It is reproducible with standard arthroscopic equipment and can be combined with concomitant anterior cruciate ligament reconstruction.
SN - 2212-6287
ER -