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✅ Knee MRI Mastery/Chap 1. Meniscus

(Fig 1-E.03) Expected appearance of High-grade partial meniscectomy

by MSK MRI 2024. 2. 9.

https://youtu.be/NzeljQPtQtU

https://youtu.be/SXRAadVysHc

✅ High-grade partial meniscectomy (>25%)

  • In cases of high-grade partial meniscectomy, where more than 25% of the meniscus is removed, diagnosing tears becomes less accurate. 
  • For T2-weighted MRI scans, a high signal intensity specifically indicates synovial fluid within a tear's cleft with over 90% specificity, but this sign lacks sensitivity (about 60%–80%).

📌 Criteria for identifying a recurrent tear after more than 25% of the meniscus has been resected include:

  • A definite surfacing T2 fluid signal (or a high T1 signal that is isointense to intra-articular gadolinium in MR arthrography) visible on two or more images or the presence of a displaced meniscal fragment.
  • A definitive surfacing fluid signal on just one image suggests a possible tear.

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