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Meniscocapsular separation

Dr Tim Luijkx ◉ ◈ and Dr Yuranga Weerakkody ◉ et al.

Meniscocapsular separation refers to detachment of the meniscus from its capsular attachments. It is an uncommon injury.

On this page:

Article:

Clinical presentation
Pathology
Radiographic features
Treatment and prognosis
Differential diagnosis
Related articles
References

Clinical presentation

Clinical findings are nonspecific and can include pain, instability, and joint effusion.

Pathology

Location

it is more common in the medial (more frequently posterior horn region ⁵) than in the lateral compartment of the knee
meniscofemoral detachment is more common than meniscotibial detachment ⁴

Associations

While it can uncommonly occur in isolation, it is more often associated with other ligamentous injuries.

Radiographic features

MRI

Meniscocapsular separation is usually diagnosed arthroscopically and the positive predictive value (PPV) of MRI has been traditionally described as being low ³(as low as 9% medially and 13% laterally).

Low predictive value MRI findings that have been correlated with meniscocapsular separation include ^1-2:

interposition of fluid between the meniscus and the medial collateral ligament
meniscal corner tears: according to one study had a PPV of 0% medially and 50% laterally ³
perimeniscal fluid
meniscofemoral and meniscotibial extension tears
irregular meniscal outline
increased distance between the meniscus and the medial collateral ligament
visualization of fluid from the superior all the way to the inferior end of the meniscus has been described as a more suggestive feature ^{5 (PPV unknown)}

On MR arthrography meniscocapsular separations have been correlated with interposition of contrast medium between the meniscus and the medial collateral ligament.

Treatment and prognosis

It may heal after conservative treatment or after re-suturing the meniscus into the capsule.

Complications

Potential complications include:

increased meniscal mobility and resultant meniscal tears ⁵

Differential diagnosis

On MRI consider a normal menisco-synovial recess / perimeniscal recess ⁴.

References

Knee pathology

The knee is a complex synovial joint that can be affected by a range of pathologies:

bone and cartilage
ligaments
tendons
- patellar tendon rupture
- quadriceps tendon rupture
meniscal lesions
- meniscal tear
  - longitudinal tear
    - horizontal tear
    - longitudinal tear
      - Wrisberg rip
  - radial tear
  - root tear
  - displaced tear
  - signs
  - MRI grading system for meniscal signal intensity
- meniscal/parameniscal cyst
- meniscal flounce
- meniscal fraying
- meniscocapsular separation
- floating meniscus
bursosynovial lesions
fat pad
- fat pad impingement syndromes
  - Hoffa disease
- Hoffa fat pad herniation
popliteal fossa
fascia
- iliotibial band syndrome
alignment
- knee
- patella
  - patellar instability
  - patella alta
  - patella baja
  - indices
gamut

Article information

rID: 41824

System: Musculoskeletal

Tag: cases

Synonyms or Alternate Spellings:

Meniscocapsular separations
Menisco-capsular separation
Menisco-capsular separations

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