Meniscal root injuries can be described as radial splits that lie within 1 cm of a meniscal connection or as a bone base rupture. Meniscal root injuries may account for as much as 20% of all meniscal tears. Meniscal root tears, once disregarded or treated with meniscectomy, are now recognised for their impairment of the meniscus’s biomechanical function in the joint, leading to the “early progression of knee osteoarthritis”. This injury is biomechanically similar to a full meniscectomy, causing decreased hoop strains, which results in a diminished tibiofemoral contact region and raised contact stresses in the afflicted compartment. Injuries “of the medial and lateral posterior meniscal” bases are associated with specific causes and effects, especially regarding their function as additional stabilising substances of a knee, making base injuries a critical consideration in ligament reconstruction surgery. Thus, early identification and assessment will yield enhanced result. Meniscal separation is a “common finding in magnetic resonance imaging (MRI) “that indicates a disruption in the hoop stress function of the meniscus. The choice of patients and their understanding of the disease’s natural history are especially vital. As meniscal root pathology becomes increasingly acknowledged and clinically assessed, it is imperative for surgeons to understand classifications, repair methodologies, and associated symptoms.