Radial meniscal tear and ACL injury

Case contributed by Magdalena Chmiel-Nowak
Diagnosis certain

Presentation

A twisting injury a few weeks ago. Clinically anterior instability, extension deficit.

Patient Data

Age: 45 years
Gender: Male

There's a high-grade partial ACL tear, with torn fibers rolled up anteriorly to the Hoffa fat pad and concomitant bone bruises at locations typical for a pivot-shift injury. A complete radial tear of the posterior horn of the lateral meniscus is also visible, with separation of the torn edges and meniscal body extrusion.

Case Discussion

When a large radial meniscal tear transects the meniscus completely, it gives the appearance of a 'ghost meniscus' on sagittal MR images, with no visible meniscus on slices that course through the fluid gap.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.