✅ Knee MRI Mastery/Chap 1. Meniscus 103

(Fig 1-B.21) Double ACL Sign Bucket-Handle Tear (Lateral meniscus)

https://youtu.be/OHke0RUhmi0 https://youtube.com/shorts/mylJNLBdp1Q https://youtu.be/nKQsItyKAtM Double ACL Sign: Occasionally, a bucket-handle tear of the lateral meniscus can present with what's known as the "Double ACL Sign." This sign occurs when the torn fragment is positioned just posterior to the anterior cruciate ligament (ACL). It's important to note that this sign is specific to latera..

(Fig 1-B.20) Double PCL Sign Bucket-Handle Tear (Medial meniscus)

https://youtu.be/ozN1U6WaN4s https://youtube.com/shorts/ktPsagkexiE https://youtu.be/nKQsItyKAtM 🧐 Double Posterior Cruciate Ligament (PCL) Sign: Double posterior cruciate ligament (PCL) sign results from meniscal material in the notch, inferior and parallel to the PCL in the same sagittal plane. The intact ACL serves as a barrier, preventing further lateral displacement of the meniscal segment...

(Fig 1-B.18) Change in the slope of a flap tear

https://youtu.be/F0VOgHL4EYg https://youtube.com/shorts/05xM7BZFR_8 https://youtu.be/nKQsItyKAtM 🦵 Recognizing Flap Tears in Meniscus 🦵 When dealing with meniscal flap tears, keep an eye out for a crucial indicator – a change in the slope of the meniscus's superior surface. This change signals a shift in the tear's direction, forming the characteristic flap. 🔍 Changing Slope Sign: Flap tears oft..

(Fig 1-B.17) Horizontal tear versus horizontal flap tear

https://youtu.be/RvrGR990D0Q https://youtube.com/shorts/ATQAm2YVYSU https://youtu.be/nKQsItyKAtM 🦵 Horizontal Flap Tear vs. Horizontal Tear 🦵 Horizontal Flap Tear In a horizontal flap tear, we observe a meniscal fragment displaced deeper than the Medial Collateral Ligament (MCL). However, in a horizontal cleavage tear, there is no meniscal fragment situated deeper than the MCL. 👁️‍🗨️ Diagnosing ..

(Fig 1-B.16) Tips for detecting flap tear in MRI findings

https://youtu.be/Xj1xqcs9RSo https://youtube.com/shorts/lLrrwrie-wE https://youtu.be/nKQsItyKAtM 🦵Radial Tear: 🔄 The meniscus-free edge is blunted, suggesting a partial thickness tear. 🔍 The radial tear exhibits a cleft with vertical high signal intensity. 🚫 However, there is no relative deficiency of the inferior surface of the meniscus. 🦵Flap Tear: Characteristic findings in flap tears include..

(Fig 1-B.15) Displaced flap tear into the Popliteal hiatus

https://youtu.be/A0HbFl2NEkE https://youtube.com/shorts/KHtzDrMSN64 https://youtu.be/nKQsItyKAtM 🧲 MRI Insights: Displaced Flap Tear into the Popliteal Hiatus 🏥 🌀 Beyond a Simple Tear: This case isn't just a full-thickness radial tear. It's a displaced flap tear, with a trajectory moving posteromedially due to a tear in the body of the lateral meniscus. Originating from the lateral meniscus's bo..

(Fig 1-B.14) displaced flap tear into the intercondylar notch -2

https://youtu.be/vfRwbrm5l3M https://youtube.com/shorts/6Ws0F1EzU2g https://youtube.com/shorts/IodGjmAGzgA https://youtu.be/nKQsItyKAtM Flap Tear vs. Bucket-Handle Tear: Flap tears, unlike bucket-handle tears, do not show complete posterior-to-anterior extension and displacement of the involved meniscal fragment. In this scenario, the flap tear mimics a bucket-handle tear, yet distinct differenc..

(Fig 1-B.13) Displaced flap tear into the intercondylar notch -1

https://youtu.be/sMbeDDeLTXs https://youtu.be/nKQsItyKAtM 🔍 Exploring Displaced Meniscal Tears in MRI Understanding meniscal tears is key in knee MRI. Let’s break down the three main types of tears involving displaced meniscal material: 1️⃣ Bucket-Handle Tear with Displacement 2️⃣ Flap Tear with Displacement 3️⃣ Free Fragment Displacement ⚠️ Why It Matters: Identifying any displaced fragments is..

(Fig 1-B.11) Horizontal flap tears -2 Superior recess

https://youtu.be/fy92wt6sc88 https://youtu.be/nKQsItyKAtM Insight into Horizontal Flap Tears of the Meniscus Patterns of Displacement: For medial meniscus tears, 93% of fragments are located medially or posterolaterally, commonly in the superior or inferior recesses. In contrast, lateral meniscal fragments exhibit a more varied distribution. In medial cases, two-thirds show the fragment displace..