Posteriosuperior Popliteomeniscal Fascicle Disruption and Iliotibial Band Syndrome in the Male High School Wrestler

Student: Joseph Erdos*
Mentor: Theresa Miyashita
Major: Athletic Training 

Objective: To present the case of a high school wrestler with a posterosuperior popliteomeniscal fascicle tear and Iliotibial band syndrome Background: Isolated popliteomeniscal fascicle tears are an uncommon and often misdiagnosed orthopedic injury. Misdiagnosis and improper treatment for the pathology can become more problematic for affected population Differential Diagnosis: meniscus tear, iliotibial band syndrome, iliotibial band tightness, coronary ligament tears, meniscocapsular separation, and popliteal meniscal fascicle tear. Treatment: MRI did not show superior lateral popliteomeniscal fascicle suggesting possible disruption of the fascicle. Athlete continued to wrestle with conservative treatment, physical therapy, cryotherapy, electrostimulation, and NSAID use. Uniqueness:Popliteomeniscal fascicle tears are often misdiagnosed or unrecognized due to lack of consistent diagnostic and clinical signs. Popliteal meniscal fascicle tears are often associated with anterior cruciate ligament tears as opposed to isolated. There are sevenreported cases of superior popliteal meniscal fascicle tears in the literature.

Conclusions: Knowledge, clinical examination, and diagnostic imaging of popliteal meniscal fascicle tears are crucial to the recognition, treatment, and intervention of such pathologies.

Key Words: posterosuperior popliteomeniscal fascicle tears, meniscus, knee, wrestling

*Honors Senior