Longitudinal meniscal tear

A longitudinal meniscal tear (sometimes called a vertical tear) is a morphological subtype of meniscal tear where a component of the tear is seen extending in vertical orientation parallel to the circumference of the meniscus.


They tend to occur in younger patients following significant knee trauma.


They are often always associated with a significant knee injuries (especially ACL tears).

  • almost always involve the posterior horns (often peripheral 3rd 2)

Radiographic features


They can be seen by the presence of a vertical line of increased T2/PD signal intensity contacting either the superior and/or inferior surfaces of the meniscus or both. Pure longitudinal tears spare the free edge of the meniscus.

Share article

Article information

rID: 39357
Synonyms or Alternate Spellings:
  • Longitudinal tear - meniscus
  • Longitudinal meniscal tears
  • Longitudinal tears of the meniscus - knee
  • Longitudinal tears of meniscus - knee
  • Verticlal meniscal tears
  • Verticlal meniscal tear
  • Vertical tear - meniscus

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Longitudinal meni...
    Case 1
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.