Displaced horizontal flap tear medial meniscal body

Case contributed by Andrew Dixon
Diagnosis almost certain

Presentation

Medial knee pain

Patient Data

Age: 45 years
Gender: Female

Horizontal tear of the medial meniscal posterior horn extending to the tibial surface. The tear extends into the medial meniscal body where a horizontal flap tear from the inferior portion of the meniscus is displaced into the tibial recess. There is localized synovitis/meniscocapsular inflammation adjacent to the tearing. 

Case Discussion

Horizontal flap tear involving the inferior portion of the medial meniscal body with the meniscal flap displaced into the tibial recess. This tear is important to identify as they are often symptomatic (as in this case with localized synovitis) and can be missed at arthroscopy unless the surgeon knows to check the tibial recess at this site.  

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