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Traumatic tears are usually radial or vertical in the meniscus and more likely to produce a moveable fragment that can catch in the knee and therefore require surgical treatment. [citation needed] A meniscus can tear due to an internally or externally rotated knee in a flexed position, with the foot in a flexed position. [5]
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 ...
Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes. They are often treated with surgical repair depending upon the patient's age as they rarely heal on their own. Chronic tears are treated symptomatically: physical therapy with or without the addition of injections and anti-inflammatory medications.
A discoid meniscus is a congenital anomaly of the knee found in 3% of the population (up to 15% in Asia). It typically affects the lateral meniscus and may be found bilaterally (20%). Instead of the narrow crescent shape, as seen in a normal meniscus above, a discoid meniscus is thickened, and has a fuller crescent shape.
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 ...
A tear in the meniscus may cause a pedunculated tag of the meniscus which may become jammed between the joint surfaces. To perform the test, the knee is held by one hand, which is placed along the joint line, and flexed to complete flexion while the foot is held by the sole (of the foot) with the other hand.
The lateral meniscus has firm attachments medially to the intercondylar area via the ends of the meniscus, and posteromedially via the posterior meniscofemoral ligament, which attaches the posterior limb of the meniscus to the posterior cruciate ligament and medial femoral condyle.
Diffusion imaging is an MRI method that produces in vivo magnetic resonance images of biological tissues sensitized with the local characteristics of molecular diffusion, generally water (but other moieties can also be investigated using MR spectroscopic approaches). [15] MRI can be made sensitive to the motion of molecules.