Learning objectives
Review the meniscus anatomy,
pathology and common findings during MRI study.
Background
The meniscus function to absorb shock,
distribute axial load,
assist in joint lubrication,
and facilitate nutrient distribution.
The medial meniscus (MM) and lateral meniscus LM are wedge-shaped,
semilunar, brocartilaginous structures.
Imaging findings OR Procedure Details
MR imaging in lateral and medial meniscus (LM/MM) studies still has many limitations,
namely
- Detection of small posterior horn tears
- Tears that involve less than one-third of the LM.
It also has an high false-positive rate has been reported for longitudinal tears of the MM posterior horn,
possibly secondary to incomplete visualization of the far periphery of the MM at arthroscopy or to spontaneous healing (1,2).
Typical Knee MRI protocol
Fonte- https://essr.org/content-essr/uploads/2016/10/ESSR-MRI-Protocols-Knee.pdf
MR Imaging Parameters
The use of high-spatial-resolution MR imaging allows the...
Conclusion
The meniscus appearance in MRI (pathologic or not) is a mandatory knowledge even for the general radiologist.
References
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Effect of chondrocalcinosis on the MR imaging of knee menisci.
AJR Am J Roent- genol 2001;177(4):905–909.
De Smet AA,
Norris MA,Yandow DR,
Quintana FA,
Graf BK,
Keene JS.
MR diagnosis of meniscal tears of the knee: importance of high signal in the meniscus that extends to the surface.
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De Smet AA,...