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Inferiorly Displaced Flap Tears of the Medial Meniscus

MR Appearance and Clinical Significance

¹ Department of Radiology, Duke University Medical Center, Erwin Rd., Box 3808, Durham, NC 27710.
² Department of Orthopedic Surgery, University of North Carolina, Manning Dr. Chapel Hill, NC 27514.

OBJECTIVE. We describe the MR imaging features of medial meniscus flap tears in which the fragment becomes located inferomedial to the tibial plateau and deep in relation to the medial collateral ligament.

CONCLUSION. Inferior flap tears of the medial meniscus can be inconspicuous and overlooked by both radiologists and orthopedic surgeons. Inferiorly displaced meniscal fragments may escape detection during arthroscopic surgery unless the fragment is sought with a probing hook. Recognition of this meniscal abnormality on MR imaging is important for preoperative planning.

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