Meniscal tear in horizontal plane, dissecting through circumferential collagen fibers.
MRI Appearance of Tear
Appears as a horizontally oriented line of increased intrameniscal signal extending to the superior or inferior surface of the meniscus, typically near the free edge.
Common Location
Most common within the posterior horn of the medial meniscus.
Characteristics of Tear
A pure horizontal cleavage tear extends only to the meniscal apex without superior or inferior articular surface disruption.
Parameniscal Cysts
Appear as lobulated lesions with increased signal adjacent to the meniscus. A high-signal-intensity fluid collection either directly overlying or adjacent to the meniscus.
Secondary Signs of Tear
Common secondary or indirect signs include parameniscal cyst, meniscal extrusion, and subchondral marrow edema. Horizontal cleavage or flap tears with horizontal components are often associated with meniscal cysts.