✅ Knee MRI Mastery/Chap 1. Meniscus

(Fig 1-B.29) Indirect signs of root tears -2

MSK MRI 2024. 2. 6. 21:31

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Parameniscal Cyst: 

  • Parameniscal cysts are commonly used and well-established secondary or indirect signs of a meniscal tear. 
  • They, along with meniscal extrusion and subchondral marrow edema, play a crucial role in increasing the diagnostic confidence of radiologists, particularly in cases with technical limitations or equivocal findings.

 

Deep Lateral Femoral Notch Sign: 

  • In cases of lateral meniscus (LM) posterior root injuries, the primary secondary MRI finding of significance is the "deep lateral femoral notch sign." 
  • This sign is characterized by an impaction fracture of subchondral bone measuring greater than or equal to 2 mm in depth. 
  • Notably, LM posterior root tears are associated with almost 40% of ACL injuries, resulting in this impaction injury. This occurrence is over five times more likely in patients with these root tears compared to those without them.

 

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