scholarly journals Unusual Pattern of Bucket-Handle, Medial Meniscal Tear in Magnetic Resonance Imaging

2008 ◽  
Vol 173 (11) ◽  
pp. 1142-1144 ◽  
Author(s):  
Elizabeth A. Ballard ◽  
Scot E. Campbell
2021 ◽  
Vol 6 (1) ◽  
pp. 941-954
Author(s):  
Alberto Grassi ◽  
Nicola Pizza ◽  
Gian Andrea Lucidi ◽  
Luca Macchiarola ◽  
Massimiliano Mosca ◽  
...  

The popliteal hiatus is a complex region, formed by the confluence of various structures connecting the meniscus, popliteal tendon, tibia and fibula. The main structures that can be found are the three popliteomeniscal fascicles (anterior, postero-inferior and postero-superior), the lateral and posterior meniscotibial ligaments, the popliteofibular ligament and the meniscofibular fascicle. These structures can be identified in most cases using magnetic resonance imaging, and their ‘static’ assessment can be performed. Arthroscopic assessment is useful in identifying and testing ‘dynamically’ the integrity of the structures around the popliteal hiatus. Injuries or abnormalities of the popliteal hiatus and its structures could result in meniscal hypermobility and subluxation; however, these injuries are often unrecognized. Possible abnormalities in this region, apart from the well-known bucket-handle meniscal tear, are the Wrisberg Type III discoid meniscus, and meniscal fascicles tears. Cite this article: EFORT Open Rev 2021;6:941-954. DOI: 10.1302/2058-5241.6.200089


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Faik Türkmen ◽  
İsmail Hakkı Korucu ◽  
Cem Sever ◽  
Mehmet Demirayak ◽  
Gani Goncü ◽  
...  

The bucket-handle meniscal tear is a specific type of meniscal injuries which has specific signs on MRI. An attached fragment displaced away from the meniscus with any type of tear causes bucket-handle tear of the meniscus. Magnetic resonance imaging (MRI) is the most commonly used diagnostic tool for meniscal injuries. We present a case of free medial meniscal fragment which mimics the dislocated bucket-handle tear on MRI. The presence of “fragment within the intercondylar notch sign” and “the absence of the bow tie sign” may be an indication of a free meniscal fragment. This should be considered during diagnosis.


2014 ◽  
Vol 27 (02) ◽  
pp. 141-146 ◽  
Author(s):  
C. R. Lamb ◽  
M. S. Tivers ◽  
A. Li ◽  
F. Taylor-Brown

SummaryTo document the use of and to estimate the accuracy of magnetic resonance (MR) imaging for detection of late meniscal tears in dogs with cranial cruciate ligament injury treated with tibial tuberosity advancement (TTA).Medical records of dogs that had TTA followed by stifle MR imaging for suspected meniscal tear and subsequent arthrotomy were reviewed retrospectively. Magnetic resonance images were reviewed independently by an observer blinded to clinical information who classified menisci as torn, abnormal but intact, or normal. Magnetic resonance and surgical findings were compared.Eight stifles from large breed dogs were included. Six stifles had a medial meniscal tear identified in MR images and later confirmed surgically. In the remaining two stifles, the menisci appeared intact in MR images and no tear was identified at subsequent arthrotomy. Lateral menisci in all stifles appeared intact in MR images and were considered normal at surgery. Susceptibility artefacts associated with TTA implants were present in all images but did not adversely affect interpretation of intra-articular structures.Magnetic resonance imaging appears to be accurate for diagnosis of late meniscal tears. Artefacts associated with TTA implants did not prevent evaluation of critical intra-articular structures. Further investigation with MR imaging should be considered when late meniscal tear is suspected following TTA.


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Hirokazu Matsubara ◽  
Ken Okazaki ◽  
Yukihisa Takayama ◽  
Kanji Osaki ◽  
Yoshio Matsuo ◽  
...  

The Knee ◽  
2021 ◽  
Vol 30 ◽  
pp. 195-204
Author(s):  
Jeremy Keng Meng Goh ◽  
Tien Jin Tan ◽  
Charles Kam King Kon ◽  
Sean Pien Ming Leo ◽  
Yee Han Dave Lee

2006 ◽  
Vol 22 (9) ◽  
pp. 954-961 ◽  
Author(s):  
Patricia Thoreux ◽  
Frédérique Réty ◽  
Geoffroy Nourissat ◽  
Xavier Rivière ◽  
Patrick Safa ◽  
...  

2010 ◽  
Vol 4 (2) ◽  
pp. 215-222
Author(s):  
Numphung Numkarunarunrote ◽  
Anoma Sanpatchayapong ◽  
Pongsak Yuktanandana ◽  
Somsak Kuptniratsaikul

Abstract Background: Magnetic resonance imaging (MRI) has been recognized as the imaging method for non-invasive evaluation of knee pathology, particular meniscus and ligaments. Objective: Compare the sensitivity, specificity, and accuracy of MRI in the detection of meniscal tears with arthroscopy. Material and methods: Twenty-seven patients who were diagnosed as meniscal tear on arthroscopy with preoperative MRI were included in this study between January 2003 and June 2008. MRI was performed with a 1.5 Tesla Signa Horizon Echospeed MRI for eight patients between January 2003 and June 2005 and a 1.5 Tesla Signa Excited HD MRI for nineteen patients between July 2005 and June 2008. The location of meniscal tear was evaluated by studying three areas: anterior horn, body and posterior horn. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) of the anterior horn, body, posterior horn and overall meniscus were calculated. Results: The sensitivity of MRI for detecting meniscal tears at the anterior horn, body, posterior horn, and overall medial meniscus was 42.9%, 87.5%, 94.1%, and 81.3%, respectively. The specificity was 95.0%, 84.2%, 81.8%, and 88.0%, respectively. The accuracy was 81.5%, 85.2%, 89.3%, and 85.4%, respectively. The PPV was 75.0%, 70.0%, 88.9%, and 81.2%, respectively. The NPV was 82.6%, 94.1%, 90.0%, and 88.0%, respectively. The sensitivity of MRI for detecting meniscal tears at the anterior horn, body, posterior horn and overall lateral meniscus was 0%, 100%, 85.7%, and 80.0%, respectively. The specificity was 100%, 100%, 90.5% and 97.2%, respectively. The accuracy was 96.0%, 100%, 90.5%, and 97.2%, respectively. The PPV was 100%, 75% and 80%, respectively. The NPV was 96.3%, 100%, 95.0%, and 97.2%, respectively. Conclusion: MRI is a helpful technique to detect meniscal tear with different sensitivity and accuracy on the meniscal location.


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