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✅ Knee MRI Mastery/Chap 1. Meniscus

(Fig 1-B.48) Tear of popliteomeniscal fascicle associated with ACL tear

by MSK MRI 2024. 2. 7.

https://youtu.be/IOGe7CeYy0w

https://youtu.be/nKQsItyKAtM

🔴🇰🇷Summary of the popliteomeniscal fascicles:

1️⃣Anteroinferior Popliteomeniscal Fascicle: Originating at the lateral compartment's lateral aspect, this fascicle runs from the inferior aspect of the lateral meniscus posteroinferiorly and merges with the popliteofibular ligament fibers.

2️⃣Posterosuperior Popliteomeniscal Fascicle: Positioned more medially, it extends from the superior margin of the lateral meniscus's peripheral posterior horn, attaching to the posterior joint capsule above the popliteus tendon.

3️⃣Posteroinferior Popliteomeniscal Fascicle: This is the least consistently visualized fascicle. When it is visible, it can be found near the root of the posterior horn, traveling from the meniscus's inferior margin posteroinferiorly to attach to a capsular extension of the popliteus tendon.

 

🔴🇰🇷Disruption of the popliteomeniscal fascicles

  • A disruption of the popliteomeniscal fascicles can lead to increased motion of the meniscus at the hiatus, particularly causing hypermobility of the posterior horn of the lateral meniscus. 
  • Specifically, a disrupted posterosuperior fascicle is often associated with a tear in the posterior horn of the lateral meniscus.

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