Complex medial meniscal tear

Case contributed by Dr Utkarsh Kabra

Presentation

Pain in medial side of knee

Patient Data

Age: 50 years
Gender: Male
MRI

Complex tear of posterior horn of medial meniscus with grade III signal(abnormal hyperintensity extends to at least one articular surface),multiple small flaps and a predominant vertical component reaching tibial articular surface. Possible extension of tear upto femoral articular surface is also seen.

Mild loss of articular cartilage is seen along medial tibial condyle with subtle subchondral marrow edema.

Grade IV chondromalacia is seen along medial articular facet and ridge of patella.

Mild hyperintensity is seen in Hoffa’s fat pad.

Case Discussion

Complex tear of posterior horn of medial meniscus with grade III signal(abnormal hyperintensity extends to at least one articular surface),multiple small flaps and a predominant vertical component reaching tibial articular surface. Possible extension of tear upto femoral articular surface also seen.

Mild loss of articular cartilage along medial tibial condyle with subtle subchondral marrow edema.

Grade IV chondromalacia along medial articular facet and ridge of patella.

Mild hyperintensity in Hoffa’s fat pad – needs clinical correlation for Hoffa’s fat pad impingement.

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Case information

rID: 69867
Published: 4th Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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