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A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee ... the menisci can be imaged with magnetic resonance imaging (an MRI scan).
Magnetic Resonance Imaging (MRI): [5] [6] The gold standard for diagnosing bucket-handle tears. Key findings on MRI include: Double PCL sign: The displaced meniscal fragment mimics the appearance of a second posterior cruciate ligament (PCL) on sagittal images. Flipped meniscus appearance: The displaced fragment creates an abnormal signal ...
The double PCL sign is best observed on sagittal T2-weighted or proton density-weighted MRI images. [5] Key features include: [6] Duplicated PCL Appearance: The native PCL appears as a curvilinear low-signal intensity structure in its typical anatomical location.The displaced meniscal fragment appears as a second parallel low-signal structure inferior to the PCL.
Damage to the outer third of the meniscus has the best healing potential because of the blood supply, but the inner two thirds of the medial meniscus has a limited blood supply and thus limited healing ability. Large tears to the meniscus may require surgical repair or removal. In terms of a meniscus tear, the doctor can categorize the injury ...
Discoid meniscus on coronal proton-density weighted MRI. The transverse diameter of a normal meniscus is approximately 10 to 11 mm; therefore a normal meniscus body will be visible on only 2 slices of a MR with 4-5-mm sagittal slices. A discoid meniscus should be considered if more than two contiguous body segments are present.
The blood flow of the meniscus is from the periphery (outside) to the central meniscus. Blood flow decreases with age and the central meniscus is avascular by adulthood, which slows healing. Menisci show low-intensity on MRI images. [5]
Joint disease and injury. [5] High signal from meniscus tears. [6] (pictured) Gradient echo (GRE) Steady-state free precession: SSFP: Maintenance of a steady, residual transverse magnetisation over successive cycles. [7] Creation of cardiac MRI videos (pictured). [7] Effective T2 or "T2-star" T2*
An anterior cruciate ligament injury occurs when the anterior cruciate ligament (ACL) is either stretched, partially torn, or completely torn. [1] The most common injury is a complete tear. [ 1 ] Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling . [ 1 ]