Tx and Followup:
This patient was treated with a partial meniscectomy via arthroscopy
Meniscal tears are common injuries in both the sport and non-sport population with acutely torn menisci cases numbering at 61 per 100,000. (1) The medial meniscus is the more commonly torn than the lateral meniscus in sports injuries where the mechanism for injury â€śis a compressive, rotational, and shearing force.â€ť (1)
MRI is reported to have a 95% accuracy of detection rate for meniscal tears, but studies note that this number also depands on magnetic field strength of the scanners. (1)
The key to diagnosing meniscal tears on MRI is by noting abnormal signal in the meniscus. Nevertheless, the abnormal signal must clearly touch the inferior or superior articular surface to call a tear on MRI. Note that a normal meniscus can have some signal within it. Tears that have minimal symptoms can be left without treatment, but oftentimes tears are treated at the time of arthroscopy with shaving or debridement.
1) Ruddy, Kelley's Textbook of Rheumatology, 6th ed., Copyright 2001 W. B. Saunders Company, pp. 447-448