ACL tear with medial and lateral meniscal vertical longitudinal tears

Case contributed by Andrew Dixon
Diagnosis almost certain


Post twisting injury. ?internal derrangement.

Patient Data

Age: 30 years
Gender: Male

Acute complete tear of the ACL. Pivot shift impaction contusion of the posterior tibial plateau and lateral femoral sulcus. High grade partial tearing of the medial collateral ligament.  Lateral collateral ligament, popliteus tendon and arcuate ligament complex are intact. 

Vertical longitudinal tear of the outer third of the medial meniscus posterior horn extending into the meniscal body. Vertical longitudinal tear of the outer third of the lateral meniscus posterior horn continuous with the meniscofemoral ligament of Wrisberg (Wrisberg rip).  

Case Discussion

Complete ACL tear, high grade partial tear of MCL and vertical longitudinal meniscal tears of the medial and lateral menisci including Wrisberg rip. 

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