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Patients with Suspected Meniscal Tears: Prevalence of Abnormalities Seen on MRI of 100 Symptomatic and 100 Contralateral Asymptomatic Knees

Marco Zanetti1, Christian W. A. Pfirrmann1, Marius R. Schmid1, José Romero2, Burkhardt Seifert3 and Juerg Hodler1

1 Department of Radiology, Orthopedic University Hospital Balgrist, Forchstr. 340, CH-8008 Zurich, Switzerland.
2 Department of Orthopedic Surgery, Orthopedic University Hospital Balgrist, CH-8008 Zurich, Switzerland.
3 Institute of Biostatistics, University of Zurich, Sumatrastr. 30, CH-8006 Zurich, Switzerland.



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Fig. 1A. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Sagittal intermediate-weighted MRIs (TR/TE, 3610/14) show partial-thickness tears (arrow) on both symptomatic (A) and asymptomatic (B) sides.

 


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Fig. 1B. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Sagittal intermediate-weighted MRIs (TR/TE, 3610/14) show partial-thickness tears (arrow) on both symptomatic (A) and asymptomatic (B) sides.

 


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Fig. 1C. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Coronal T1-weighted (450/14) spin-echo (C and D) and coronal STIR (5550/35; inversion time, 160 msec (E and F) MRIs show edema-like (arrowheads, E) and necrosis-like (straight arrow, C) bone abnormalities on symptomatic side (C and E) but not on asymptomatic side (D and F). Slight collateral ligament thickening (curved arrow, C) and pericapsular edema (arrows, E) are seen only on symptomatic side (C and E).

 


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Fig. 1D. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Coronal T1-weighted (450/14) spin-echo (C and D) and coronal STIR (5550/35; inversion time, 160 msec (E and F) MRIs show edema-like (arrowheads, E) and necrosis-like (straight arrow, C) bone abnormalities on symptomatic side (C and E) but not on asymptomatic side (D and F). Slight collateral ligament thickening (curved arrow, C) and pericapsular edema (arrows, E) are seen only on symptomatic side (C and E).

 


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Fig. 1E. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Coronal T1-weighted (450/14) spin-echo (C and D) and coronal STIR (5550/35; inversion time, 160 msec (E and F) MRIs show edema-like (arrowheads, E) and necrosis-like (straight arrow, C) bone abnormalities on symptomatic side (C and E) but not on asymptomatic side (D and F). Slight collateral ligament thickening (curved arrow, C) and pericapsular edema (arrows, E) are seen only on symptomatic side (C and E).

 


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Fig. 1F. 41-year-old man with abnormalities on symptomatic and contralateral asymptomatic sides of knee. Coronal T1-weighted (450/14) spin-echo (C and D) and coronal STIR (5550/35; inversion time, 160 msec (E and F) MRIs show edema-like (arrowheads, E) and necrosis-like (straight arrow, C) bone abnormalities on symptomatic side (C and E) but not on asymptomatic side (D and F). Slight collateral ligament thickening (curved arrow, C) and pericapsular edema (arrows, E) are seen only on symptomatic side (C and E).

 


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Fig. 2. 41-year-old man in whom sagittal intermediate-weighted MRI (TR/TE, 3610/14) shows vertical full-thickness meniscal tear (arrows) on symptomatic side.

 


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Fig. 3. 73-year-old man with complex full-thickness meniscal tear (arrow) on symptomatic side, which is shown on sagittal intermediate-weighted MRI (TR/TE, 3610/14).

 


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Fig. 4. 33-year-old man with displaced bucket handle meniscal tear. Sagittal intermediate-weighted MRI (TR/TE, 3610/14) shows displaced bucket handle meniscal tear (straight arrows) on symptomatic side with characteristic doubling of posterior cruciate ligament (curved arrow).

 


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Fig. 5. 24-year-old man with cartilage defect on symptomatic side. Sagittal intermediate-weighted MRI (TR/TE, 3610/14) shows grade 3 defect (> half cartilage thickness but bone not exposed) (arrows) in femoral cartilage.

 

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