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Free Edge Tears

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There are two types of free edge tears based upon

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what we've already said.

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Longitudinal, horizontal,

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or horizontal tears,

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which produce a frayed ill-defined irregular inner margin

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and radial tears,

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which typically produce a sharp inner margin now

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to finish are, uh, forces

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that may produce meniscal pathology.

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I'm gonna finish up with penile forces

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because there are a couple of examples of this,

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which I think can be, uh, uh, interesting.

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So let's, uh, look at those.

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When we are dealing with a valgus injury, here are the body

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of the medial meniscus.

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We can have in fact, tension trying to separate

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that particular meniscus.

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And what I have found in a number of these cases,

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in addition to medial supporting structures being abnormal,

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you may have a corner meniscal tear.

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It may be the top corner or shown here, the lower corner.

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These tears may be more significant than their size

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illustrates, so be aware of that particular type of failure.

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Another example of that,

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and we'll talk more about this tomorrow, relates to the

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posterior o like ligament.

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On the medial side of the knee, one

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of its three arms is a central arm that connects

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to the posterior horn of the medial meniscus.

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So when in fact there is tension placed on the medial

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supporting structures, a peculiar corner type pattern

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of meniscal failure may occur owing to this particular arm,

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attaching to the posterior horn of the medial meniscus.

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And to complete our story of tensile failure

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of the meniscus, I call your attention to this recent

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finding that has been suggested.

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A ligament that runs from the ileal tibial tract to

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to the body and anterior horn of the lateral meniscus.

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It looks like a pica, it is a debated entity.

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Not everyone agrees that it exists, but you may see it,

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and it is associated with tears involving the anterior horn

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and body of the lateral meniscus.

Report

Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Mini N. Pathria, MD, FRCP(C)

Division Chief, Musculoskeletal Imaging

University of California San Diego

Eric Y. Chang, MD

Adjunct Professor, Radiology

University of California, San Diego

Brady K. Huang, MD

Clinical Professor of Radiology

UC San Diego Medical Center

Tags

Musculoskeletal (MSK)

MRI

Knee