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MUSCULOSKELETAL RADIOLOGY Table of Contents   
Year : 2014  |  Volume : 24  |  Issue : 3  |  Page : 291-296
MRI imaging of displaced meniscal tears: Report of a case highlighting new potential pitfalls of the MRI signs


Department of Radiology, Sector 62, Phase VIII, Fortis Hospital, Mohali, Punjab, India

Correspondence Address:
Abhishek Prasad
Department of Radiology, Sector 62, Phase VIII, Fortis Hospital, Mohali, Punjab - 160 062
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.137056

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Magnetic resonance imaging (MRI) has been found to be an excellent imaging tool for meniscal injuries. Various MRI signs have been described to detect displaced meniscal injuries, specifically the bucket-handle tears. Although these signs are quite helpful in diagnosing meniscal tears, various pitfalls have also been reported for these signs. Double anterior cruciate ligament (ACL) sign refers to presence of a linear hypointense soft tissue anterior to the ACL, which represented the flipped bucket-handle tear of the meniscus. Disproportional posterior horn and flipped meniscus signs represent asymmetrically thickened horns of the menisci due to overlying displaced meniscal fragments. We report a case wherein MRI of the knee showed tear and displacement of the medial patellofemoral ligament (MPFL) and vastus medialis complex, medial collateral ligament (MCL), and posterior cruciate ligament (PCL) mimicking these signs. To our knowledge, internally displaced MPFL and MCLs have not been described as mimics for displaced meniscal fragments.


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