Meniscal extrusion (ultrasound)

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Chronic bilateral knee pain. Left more than right for the last few weeks. No history of trauma.

Patient Data

Age: 65 years
Gender: Female
x-ray

There is a moderate reduction of the medial femorotibial compartment with marginal osteophytes from the peri-articular surface of femur and tibia. There is no fracture/ dislocation/ bone lesion. Soft tissue swelling is present at the medial joint line. There is no suprapatellar effusion.

Ultrasound in supine position

ultrasound

The long-axis view of the medial side of the left knee shows joint space reduction, marginal osteophytes from femur-tibia, and extruded medial meniscus. The overlying medial collateral ligament is intact.

The less symptomatic contralateral side shows similar findings.

Case Discussion

The case shows medial meniscal extrusion with osteoarthritis.

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