Pictorial Essay

Pediatric Radiology

, Volume 42, Issue 1, pp 104-112

First online:

MRI of displaced meniscal fragments

  • Brian DunoskiAffiliated withDepartment of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineDepartment of Radiology, Children’s Hospital of Michigan Email author 
  • , Andrew M. ZbojniewiczAffiliated withDepartment of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine
  • , Tal LaorAffiliated withDepartment of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine

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Abstract

A torn meniscus frequently requires surgical fixation or debridement as definitive treatment. Meniscal tears with associated fragment displacement, such as bucket handle and flap tears, can be difficult to recognize and accurately describe on MRI, and displaced fragments can be challenging to identify at surgery. A displaced meniscal fragment can be obscured by synovium or be in a location not usually evaluated at arthroscopy. We present a pictorial essay of meniscal tears with displaced fragments in patients referred to a pediatric hospital in order to increase recognition and accurate interpretation by the radiologist, who in turn can help assist the surgeon in planning appropriate therapy.

Keywords

Knee Children Meniscus Tear