Horizontal meniscal tear

Last revised by Dr Mostafa El-Feky on 12 Mar 2020

A horizontal meniscal tear, also known as a cleavage tear, is a type of meniscal tear in which the tear is oriented horizontally, parallel to the tibial plateau. These tears may be difficult to visualize on arthroscopy.


They usually tend to be degenerative with a greater occurrence in older individuals.



Radiographic features


Usually seen as region of signal alteration extending horizontally along the meniscus parallel to the tibial plateau. Associated parameniscal cysts may be present in some patients.

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Cases and figures

  • Case 1: of medial meniscus
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  • Case 2: with parameniscal cyst
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  • Case 3
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