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Complex Meniscus Tear
Donna G. Blankenbaker, MD, FACRAndrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Stellate meniscus tear
            • Definitions

              • Tear of meniscus characterized by > 1 type or pattern of morphology

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    • Reporting Tips

                                      Selected References

                                      1. Hoover KB et al: Reliability of meniscus tear description: a study using MRI from the Osteoarthritis Initiative. Rheumatol Int. 40(4):635-41, 2020
                                      2. Saygili A et al: Knee meniscus segmentation and tear detection from MRI: a review. Curr Med Imaging Rev. 16(1):2-15, 2020
                                      3. Karakoç Y et al: The role of magnetic resonance imaging and clinical assessments in predicting meniscal tear surgery. Eklem Hastalik Cerrahisi. 30(2):85-90, 2019
                                      4. Kise NJ et al: Complex tears, extrusion, and larger excision are prognostic factors for worse outcomes 1 and 2 years after arthroscopic partial meniscectomy for degenerative meniscal tears: a secondary explorative study of the surgically treated group from the odense-oslo meniscectomy versus exercise (OMEX) Trial. Am J Sports Med. 47(10):2402-11, 2019
                                      5. Shakoor D et al: Diagnosis of knee meniscal injuries by using three-dimensional mri: a systematic review and meta-analysis of diagnostic performance. Radiology. 290(2):435-45, 2019
                                      6. Ariyachaipanich A et al: Update on MRI pulse sequences for the knee: imaging of cartilage, meniscus, tendon, and hardware. Semin Musculoskelet Radiol. 21(2):45-62, 2017
                                      7. Nguyen JC et al: MR imaging-based diagnosis and classification of meniscal tears. Radiographics. 34(4):981-99, 2014
                                      8. Prasad A et al: MRI imaging of displaced meniscal tears: report of a case highlighting new potential pitfalls of the MRI signs. Indian J Radiol Imaging. 24(3):291-6, 2014
                                      9. Davis KW et al: Magnetic resonance imaging and arthroscopic appearance of the menisci of the knee. Clin Sports Med. 32(3):449-75, 2013
                                      10. Jung JY et al: MRI findings with arthroscopic correlation for tear of discoid lateral meniscus: comparison between children and adults. Acta Radiol. 54(4):442-7, 2013
                                      11. Shieh A et al: Meniscus tear patterns in relation to skeletal immaturity: children versus adolescents. Am J Sports Med. 41(12):2779-83, 2013
                                      12. Henry S et al: Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship? Arthroscopy. 28(8):1124-1134.e2, 2012
                                      13. Noyes FR et al: Repair of complex and avascular meniscal tears and meniscal transplantation. Instr Course Lect. 60:415-37, 2011
                                      14. Stärke C et al: Meniscal repair. Arthroscopy. 25(9):1033-44, 2009
                                      15. Lee YG et al: Magnetic resonance imaging findings of surgically proven medial meniscus root tear: tear configuration and associated knee abnormalities. J Comput Assist Tomogr. 32(3):452-7, 2008
                                      16. Mustonen AO et al: MRI of acute meniscal injury associated with tibial plateau fractures: prevalence, type, and location. AJR Am J Roentgenol. 191(4):1002-9, 2008
                                      17. Mohan BR et al: Reliability of clinical diagnosis in meniscal tears. Int Orthop. 31(1):57-60, 2007
                                      18. Coulier B: Direct 3D imaging of the knee menisci during 16-row multislice CT arthrography. JBR-BTR. 89(6):291-7, 2006
                                      19. Costa CR et al: Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear? AJR Am J Roentgenol. 183(1):17-23, 2004
                                      20. Jee WH et al: Meniscal tear configurations: categorization with MR imaging. AJR Am J Roentgenol. 180(1):93-7, 2003
                                      21. Rubman MH et al: Technical considerations in the management of complex meniscus tears. Clin Sports Med. 15(3):511-30, 1996
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Stellate meniscus tear
                                                • Definitions

                                                  • Tear of meniscus characterized by > 1 type or pattern of morphology

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      • Image Interpretation Pearls

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Hoover KB et al: Reliability of meniscus tear description: a study using MRI from the Osteoarthritis Initiative. Rheumatol Int. 40(4):635-41, 2020
                                                                          2. Saygili A et al: Knee meniscus segmentation and tear detection from MRI: a review. Curr Med Imaging Rev. 16(1):2-15, 2020
                                                                          3. Karakoç Y et al: The role of magnetic resonance imaging and clinical assessments in predicting meniscal tear surgery. Eklem Hastalik Cerrahisi. 30(2):85-90, 2019
                                                                          4. Kise NJ et al: Complex tears, extrusion, and larger excision are prognostic factors for worse outcomes 1 and 2 years after arthroscopic partial meniscectomy for degenerative meniscal tears: a secondary explorative study of the surgically treated group from the odense-oslo meniscectomy versus exercise (OMEX) Trial. Am J Sports Med. 47(10):2402-11, 2019
                                                                          5. Shakoor D et al: Diagnosis of knee meniscal injuries by using three-dimensional mri: a systematic review and meta-analysis of diagnostic performance. Radiology. 290(2):435-45, 2019
                                                                          6. Ariyachaipanich A et al: Update on MRI pulse sequences for the knee: imaging of cartilage, meniscus, tendon, and hardware. Semin Musculoskelet Radiol. 21(2):45-62, 2017
                                                                          7. Nguyen JC et al: MR imaging-based diagnosis and classification of meniscal tears. Radiographics. 34(4):981-99, 2014
                                                                          8. Prasad A et al: MRI imaging of displaced meniscal tears: report of a case highlighting new potential pitfalls of the MRI signs. Indian J Radiol Imaging. 24(3):291-6, 2014
                                                                          9. Davis KW et al: Magnetic resonance imaging and arthroscopic appearance of the menisci of the knee. Clin Sports Med. 32(3):449-75, 2013
                                                                          10. Jung JY et al: MRI findings with arthroscopic correlation for tear of discoid lateral meniscus: comparison between children and adults. Acta Radiol. 54(4):442-7, 2013
                                                                          11. Shieh A et al: Meniscus tear patterns in relation to skeletal immaturity: children versus adolescents. Am J Sports Med. 41(12):2779-83, 2013
                                                                          12. Henry S et al: Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship? Arthroscopy. 28(8):1124-1134.e2, 2012
                                                                          13. Noyes FR et al: Repair of complex and avascular meniscal tears and meniscal transplantation. Instr Course Lect. 60:415-37, 2011
                                                                          14. Stärke C et al: Meniscal repair. Arthroscopy. 25(9):1033-44, 2009
                                                                          15. Lee YG et al: Magnetic resonance imaging findings of surgically proven medial meniscus root tear: tear configuration and associated knee abnormalities. J Comput Assist Tomogr. 32(3):452-7, 2008
                                                                          16. Mustonen AO et al: MRI of acute meniscal injury associated with tibial plateau fractures: prevalence, type, and location. AJR Am J Roentgenol. 191(4):1002-9, 2008
                                                                          17. Mohan BR et al: Reliability of clinical diagnosis in meniscal tears. Int Orthop. 31(1):57-60, 2007
                                                                          18. Coulier B: Direct 3D imaging of the knee menisci during 16-row multislice CT arthrography. JBR-BTR. 89(6):291-7, 2006
                                                                          19. Costa CR et al: Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear? AJR Am J Roentgenol. 183(1):17-23, 2004
                                                                          20. Jee WH et al: Meniscal tear configurations: categorization with MR imaging. AJR Am J Roentgenol. 180(1):93-7, 2003
                                                                          21. Rubman MH et al: Technical considerations in the management of complex meniscus tears. Clin Sports Med. 15(3):511-30, 1996