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Meniscocapsular Separation
Donna G. Blankenbaker, MD, FACRAndrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Meniscocapsular separation (MCS)
            • Definitions

              • Disruption of capsular attachment of meniscus

            IMAGING

            • General Features

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Edgar C et al: Incidence of posteromedial meniscocapsular separation and the biomechanical implications on the anterior cruciate ligament. J Am Acad Orthop Surg. 27(4):e184-92, 2019
                                    2. Lecouvet F et al: Magnetic resonance imaging (MRI) of the knee: identification of difficult-to-diagnose meniscal lesions. Diagn Interv Imaging. 99(2):55-64, 2018
                                    3. Kumar NS et al: Anatomic repair of posteromedial meniscocapsular separation using an all-inside technique. Arthrosc Tech. 6(4):e921-6, 2017
                                    4. Dugas JR et al: Tibiofemoral contact biomechanics following meniscocapsular separation and repair. Int J Sports Med. 36(6):498-502, 2015
                                    5. Fukuda A et al: Double-Layered lateral meniscus accompanied by meniscocapsular separation. Case Rep Orthop. 2015:357463, 2015
                                    6. Lee SY et al: Lateral meniscocapsular separation in patients with tibial plateau fractures: detection with magnetic resonance imaging. J Comput Assist Tomogr. 39(2):257-62, 2015
                                    7. Hetsroni I et al: Small medial meniscocapsular separations: a potential cause of chronic medial-side knee pain. Arthroscopy. 27(11):1536-42, 2011
                                    8. De Maeseneer M et al: MRI spectrum of medial collateral ligament injuries and pitfalls in diagnosis. JBR-BTR. 93(2):97-103, 2010
                                    9. De Maeseneer M et al: Medial meniscocapsular separation: MR imaging criteria and diagnostic pitfalls. Eur J Radiol. 41(3):242-52, 2002
                                    10. George J et al: Radiological classification of meniscocapsular tears of the anterolateral portion of the lateral meniscus of the knee. Australas Radiol. 44(1):19-22, 2000
                                    11. De Maeseneer M et al: Normal and abnormal medial meniscocapsular structures: MR imaging and sonography in cadavers. AJR Am J Roentgenol. 171(4):969-76, 1998
                                    12. Rubin DA et al: Are MR imaging signs of meniscocapsular separation valid? Radiology. 201(3):829-36, 1996
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Meniscocapsular separation (MCS)
                                              • Definitions

                                                • Disruption of capsular attachment of meniscus

                                              IMAGING

                                              • General Features

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Edgar C et al: Incidence of posteromedial meniscocapsular separation and the biomechanical implications on the anterior cruciate ligament. J Am Acad Orthop Surg. 27(4):e184-92, 2019
                                                                      2. Lecouvet F et al: Magnetic resonance imaging (MRI) of the knee: identification of difficult-to-diagnose meniscal lesions. Diagn Interv Imaging. 99(2):55-64, 2018
                                                                      3. Kumar NS et al: Anatomic repair of posteromedial meniscocapsular separation using an all-inside technique. Arthrosc Tech. 6(4):e921-6, 2017
                                                                      4. Dugas JR et al: Tibiofemoral contact biomechanics following meniscocapsular separation and repair. Int J Sports Med. 36(6):498-502, 2015
                                                                      5. Fukuda A et al: Double-Layered lateral meniscus accompanied by meniscocapsular separation. Case Rep Orthop. 2015:357463, 2015
                                                                      6. Lee SY et al: Lateral meniscocapsular separation in patients with tibial plateau fractures: detection with magnetic resonance imaging. J Comput Assist Tomogr. 39(2):257-62, 2015
                                                                      7. Hetsroni I et al: Small medial meniscocapsular separations: a potential cause of chronic medial-side knee pain. Arthroscopy. 27(11):1536-42, 2011
                                                                      8. De Maeseneer M et al: MRI spectrum of medial collateral ligament injuries and pitfalls in diagnosis. JBR-BTR. 93(2):97-103, 2010
                                                                      9. De Maeseneer M et al: Medial meniscocapsular separation: MR imaging criteria and diagnostic pitfalls. Eur J Radiol. 41(3):242-52, 2002
                                                                      10. George J et al: Radiological classification of meniscocapsular tears of the anterolateral portion of the lateral meniscus of the knee. Australas Radiol. 44(1):19-22, 2000
                                                                      11. De Maeseneer M et al: Normal and abnormal medial meniscocapsular structures: MR imaging and sonography in cadavers. AJR Am J Roentgenol. 171(4):969-76, 1998
                                                                      12. Rubin DA et al: Are MR imaging signs of meniscocapsular separation valid? Radiology. 201(3):829-36, 1996