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Indirect Soft-Tissue and Osseous Signs on Knee MRI of Surgically Proven Meniscal Tears

Diane Bergin1,2, Hilary Hochberg1, Adam C. Zoga1, Naila Qazi1, Laurence Parker1 and William B. Morrison1

1 Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19066.
2 Present address: Department of Radiology, University Hospital Galway, Newcastle Rd., Galway, Ireland.


Figure 1
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Fig. 1 62-year-old woman with knee pain. Coronal T2-weighted fat-suppressed fast spin-echo MR image (TR/TE, 4,000/60) shows parameniscal cyst (arrow) associated with lateral meniscal tear and nonlinear subchondral marrow edema (arrowhead) associated with medial meniscal tear at arthroscopy.

 

Figure 2
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Fig. 2 49-year-old man with tear of posterior horn and body of medial meniscus at arthroscopy. Coronal T2-weighted fast spin-echo fat-suppressed MR image (TR/TE, 4,000/60) shows edema around medial collateral ligament (arrows) and nonlinear subchondral marrow edema of medial tibial plateau (arrowhead).

 

Figure 3
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Fig. 3 56-year-old man with extruded medial meniscus and bowing of medial collateral ligament (arrow). Coronal T2-weighted fast spin-echo fat-suppressed MR image (TR/TE, 4,000/60) shows nonlinear subchondral marrow edema (arrowhead) in medial tibial plateau extending to articular surface.

 

Figure 4
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Fig. 4 48-year-old woman with torn posterior horn of medial meniscus. Sagittal T2-weighted fat-suppressed fast spin-echo MR image (TR/TE, 4,000/60) shows linear area of increased T2 signal intensity (arrowheads) parallel and immediately abutting tibial cortex.

 

Figure 5
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Fig. 5A 48-year-old man with arthroscopic finding of medial meniscal tear. Coronal T2-weighted fat-suppressed fast spin-echo (TR/TE, 4,000/60) MR image shows ill-defined marrow edema (arrows) that does not extend to articular surface and surrounds vascular channel of medial femoral condyle and tibial plateau, consistent with reactive perivascular edema.

 

Figure 6
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Fig. 5B 48-year-old man with arthroscopic finding of medial meniscal tear. Coronal T2-weighted fat-suppressed fast spin-echo MR image (TR/TE, 4,000/60) shows nonlinear marrow edema in medial femoral condyle and medial tibial plateau. Subchondral marrow edema is present in medial femoral condyle (arrow). Ill-defined marrow edema around vascular channels of medial femoral condyle and medial tibial plateau is consistent with perivascular edema (arrowheads).

 

Figure 7
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Fig. 6 52-year-old man with meniscal tear. Coronal T2-weighted fast spin-echo MR image (TR/TE, 4,000/60) shows focal fluid-filled defect of femoral and tibial cartilage (arrows).

 

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