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Usefulness of Two Indirect MR Imaging Signs to Diagnose Lateral Meniscal Tears

Donna G. Blankenbaker1, Arthur A. De Smet and Joshua D. Smith

1 All authors: Department of Radiology-E/311, University of Wisconsin Hospital and Clinics, 600 Highland Ave., Madison, WI 53792.



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  		Fig. 1. —21-year-old man with lateral meniscal tear and anterior cruciate ligament tear. Sagittal fast spin-echo T2-weighted MR image with fat saturation shows disruption at superior fascicle (straight arrow) and posterior pericapsular edema (curved arrow). Bone bruises are present in femoral condyle and beneath tibial plateau.

 


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  		Fig. 2. —59-year-old man with lateral meniscal tear. Sagittal fast spin-echo T2-weighted MR image with fat saturation shows intact superior fascicle (straight arrow) and posterior pericapsular edema (curved arrow).

 


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  		Fig. 3A. —32-year-old man with lateral meniscal tear. Sagittal proton density—weighted MR image shows disruption at superior fascicle (curved arrow). Note subtle intrameniscal signal contacting inferior surface of posterior horn of lateral meniscus (straight arrow). This was only image showing signal contacting surface. Superior fascicle is disrupted.

 


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  		Fig. 3B. —32-year-old man with lateral meniscal tear. Sagittal fast spin-echo T2-weighted MR image with fat saturation confirms disruption of superior fascicle (arrow). Bone bruise is present posteriorly beneath tibial plateau.

 

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