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A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee called menisci.When doctors and patients refer to "torn cartilage" in the knee, they actually may be referring to an injury to a meniscus at the top of one of the tibiae.
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.
To test the medial meniscus, the hand at the heel applies a valgus force and external rotates the leg while extending the knee. To test for the lateral meniscus, the varus force, internal rotation are applied to the leg while extending the knee. Any clicking, popping, or catching at the respective joint line indicates the corresponding meniscal ...
If the tear causes continued pain, swelling, or knee dysfunction, then the tear can be removed or repaired surgically. The unhappy triad is a set of commonly co-occurring knee injuries which includes injury to the medial meniscus.
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 ...
MRI can also show associated bone bruises on the lateral side of the knee, which one study shows, happen in almost half of medial knee injuries. [ 19 ] Knee MRIs should be avoided for knee pain without mechanical symptoms or effusion, and upon non-successful results from a functional rehabilitation program.
Anterior meniscofemoral ligament is found in 11.8% of the subjects during MRI scan of the knee. [2] It may be confused for the posterior cruciate ligament during arthroscopy. In this situation, a tug on the ligament while observing for motion of the lateral meniscus can be used to tell the two apart. [citation needed]