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Detailed review of funding for diagnostic imaging services. Harrison BK, Abell BE, Gibson TW. summary. I have an oblique horizontal tear posterior horn medial meniscus, what does that mean? Only a small peripheral rim of meniscal tissue (arrowhead) is present at the native site of the lateral meniscus. (6a) A radial tear of the body of the lateral meniscus also appears vertical on sagittal MR images (arrow), though in the case of radial tears, the lesion is oriented perpendicular to the c-shaped fibers of the meniscus. These are often 'bucket-handle tears', in which there is a vertical or oblique tear in the posterior horn running toward the anterior horn,5 forming a loose section which remains attached anteriorly and posteriorly.1 In older patients, tears are generally due to degeneration associated with ageing and tend to be horizontal tears. Peripheral meniscal tears are among the most common causes of meniscal pathology, particularly occurring in conjunction with anterior cruciate ligament (ACL) injury or deficiency. The medial meniscus is on the inner side of the knee joint. Barrett GR, Field MH, Treacy SH, Ruff CG. (10a) A GRE T2*-weighted sagittal image reveals a complex tear of the posterior horn of the medial meniscus, having horizontal (arrows) and longitudinal (arrowhead) components. During weight-bearing activities, the menisci dissipate axial loads and contain hoop stresses. These are the menisci. Nonoperative treatments are often successful in patients with certain types of tear patients who have no loss of joint function, suffer minimal pain or swelling and are willing to reduce their activities temporarily or in the long term. The doctors at the Orthopaedic Associates of Central Maryland are here to repair your knee problems, hip pain, and arthritis issues so you can get back to enjoying life. (16a) Sagittal and (16b) axial proton density weighted images reveal a very large radial tear (arrows) that extends broadly across the entire width of the anterior body of the lateral meniscus. RICE. Disclosures: LaPrade reports he is a consultant for and receives royalties from Arthrex, Ossur and Smith & Nephew. You might feel a pop when you tear the meniscus. Oblique tear of the posterior horn of the medial meniscus McMurray test: The patient lies supine on the bed with the hip and knee both flexed. One of the main tests for meniscus tears is the McMurray test. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. The meniscus is a piece of C-shaped cartilage that helps cushion the knee. All rightsreserved. Surgical treatment is usually reserved for younger patients with a vertical longitudinal tear within the vascularised outer third of the meniscus. Absence of the medial meniscus (entire medial meniscal root tear) places large stresses on the ACL, the primary ligament that prevents anterior translation of the knee. Disclosures: Blake and Johnson report no relevant financial disclosures. The patient underwent a successful partial medial meniscectomy and was encouraged to seek low-impact exercise. Oblique tears combine features of radial and longitudinal tears in that they lie perpendicular to the free edge of the meniscus but then curve such that a portion of it lies parallel to the c-shaped fibers of the meniscus. Pain, especially when twisting or rotating your knee.