Posterior oblique ligament injury

Case contributed by Bálint Botz
Diagnosis almost certain

Presentation

Sport injury. MCL or medial meniscal tear?

Patient Data

Age: 18 years
Gender: Male
  • Subtle marrow edema predominantly posterior to the femoral MCL insertion, more in line with the POL attachment. 
  • Small amount of fluid around the ligaments in this region, also enveloping the distal adductor tendons, and the adductor tubercle. 
  • Subtle chondral irregularity of the lateral tibial plateau. 
  • Mild knee joint effusion. 
Annotated image

Arrows: bone marrow edema adjacent to the POL/MCL attachment.

Arrowheads: fluid tracking along the ligament.  

Case Discussion

Subtle posteromedial corner injury, with the bone edema and fluid more in line with a low grade POL than MCL tear. 

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