Abstract
Many anatomical variations have been described in the menisci, especially in the lateral meniscus. Among these, discoid meniscus is the most common variation. Others are described in the literature as double-layered meniscus, accessory meniscus, ring-shaped meniscus, and hypoplastic meniscus. Also, combined variations associated with ring-shaped meniscus have been described, and they can be confused with fragmented complex tears and cause unnecessary surgery. Increasing awareness of the imaging features of these accompanying combined variations may aid in the recognition and differentiation of this entity from meniscus tears. We report the case of a ring-shaped meniscus and accompanying intermeniscal bridge meniscus, which has not been described before in the literature, highlighting the MRI and arthroscopic imaging findings of it.
Similar content being viewed by others
References
Braz PRP, Silva WG. Meniscus morphometric study in humans. J Morphol Sci. 2010;27(2):62–6.
Pandey V, Dinesh KV, Acharya KK, Rao PS. Ring meniscus mistaken for incomplete discoid meniscus: a case report and review of literature. Knee Surg Sports Traumatol Arthrosc. 2010;18(4):543–5. https://doi.org/10.1007/s00167-009-0924-8.
Ossola C, Duvia M, Carlizzi CN, Genovese EA. MR- arthrography: anatomic variant from link between lateral meniscus and anterior and posterior cruciate ligaments A case report and review of the literature. Radiol Case Rep. 2021;16(10):3012–5. https://doi.org/10.1016/j.radcr.2021.07.012.
Fujii M, Furumatsu T, Miyazawa S, et al. Formation of ring-shaped lateral meniscus following anterior cruciate ligament reconstruction: a case report. Int J Surg Case Rep. 2017;31:229–32. https://doi.org/10.1016/j.ijscr.2017.01.060. (Epub 2017 Jan 30).
Koukoulias NE, Papastergiou SG. Symptomatic ring-shaped lateral meniscus. MRI findings. BMJ Case Rep. 2011;2011:bcr1020114914. https://doi.org/10.1136/bcr.10.2011.4914.
Lee SK, Yang BS, Kim TW, Choi NH. Ring-shaped lateral meniscus combined with an accessory meniscus: a rare anatomical variant. J Orthop Surg (Hong Kong). 2020;28(1):2309499019893059. https://doi.org/10.1177/2309499019893059.
Iqbal A, McLoughlin E, Botchu R, James SL. The ring-shaped meniscus: a case series demonstrating the variation of imaging appearances on MRI. Skeletal Radiol. 2020;49(2):281–9. https://doi.org/10.1007/s00256-019-03277-y.
Noble J. Congenital absence of the anterior cruciate ligament associated with a ring meniscus. J Bone Joint Surg Am. 1975;57(8):1165–6.
Kim YG, Ihn JC, Park SK, Kyung HS. An arthroscopic analysis of lateral meniscal variants and a comparison with MRI findings. Knee Surg Sports Traumatol Arthrosc. 2006;14(1):20–6. https://doi.org/10.1007/s00167-005-0629-6.
Atay OA, Aydingöz U, Doral MN, Tetik O, Leblebicioğlu G. Symptomatic ring-shaped lateral meniscus: magnetic resonance imaging and arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2002;10(5):280–3. https://doi.org/10.1007/s00167-002-0292-0.
Nguyen JC, De Smet AA, Graf BK, Rosas HG. MR imaging-based diagnosis and classification of meniscal tears. Radiographics. 2014;34(4):981–99. https://doi.org/10.1148/rg.344125202.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval and consent to participate
The ınstitutional review board was not required for this retrospective report. Informed consent was obtained from the subject described in this report.
Conflict of ınterest
The authors declare no competing of interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Asadullayeva, M., Altintas Taslicay, C., Dervisoglu, E. et al. “Ring-shaped” meniscus and accompanying intermeniscal bridge meniscus: a rare combined variant resembling a bucket-handle tear. Skeletal Radiol 53, 805–809 (2024). https://doi.org/10.1007/s00256-023-04439-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-023-04439-9