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Horizontal meniscal tear

Last revised by Craig Hacking on 12 Jun 2024

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

Epidemiology

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

Pathology

Associations

Radiographic features

MRI

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.

Cases and figures

  • Figure 1: meniscal tear types
  • Case 1: of medial meniscus
  • Case 2: with parameniscal cyst
  • Case 3
  • Case 4
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