Table 1.
Pearls and Pitfalls With Percutaneous Outside-In MCL Release by Finding the Magic Point During Arthroscopic Medial Meniscus Surgery
| Pearls | Pitfalls |
|---|---|
| Draw a straight line from the posterior tibial cortex to the adductor tubercle. | Iatrogenic injury to articular cartilage, rarely medial meniscus and saphenous structures. |
| A single, bold puncture is needed approximately 1.2 cm above the joint line on this line. | Complete release of the MCL with multiple punctures. |
| Visible or palpable click or cracking sound occurs, indicating the release of MCL. | |
| Measure the medial joint space before and after the release. | |
| Less chance of meniscus injury, as the magic point is well above the joint line. |
MCL, medial collateral ligament