Hello,
Happy 4th all!! Enjoy a photo with my 85 yr old parents celebrating the independence day!
Congratulations to
Drs. Roy Gottleib, Damon Sacco, Pritish Bawa, Kulvinder Singh, Cyrus Golcaz, and Xianjing Peng.
This is a complex tear with several components- calcified flap in med gutter (see xr/mr attached) and complete radial near the root and horizontal flap components
Mimics of bucket are-
-chondrocalcinosis (as in this case xray attached- looks like fragment in notch on MRI)
- – meniscofem lig
- – air
also attached is how bucket looks like on 3D and arthroscopy for those not used to axial 3D MRI!
Responses are pasted below!
Looks like a complex tear with predominant undersurface horizontal tear, large posterior horn radial tear and a flap in the meniscofemoral recess.
Looks complex with flap, I don’t see the bucket on the 3d axial provided.
Complex
I would say it’s complex (option B).
Flap tear of posterior horn / root, hoop stress, extrusion of torn body and torn fragments of posterior horn / root lying adjacent to posterior junction and posterior part of body of MM.
c. bucket handle
b. complex tear
Best!
AC
Avneesh Chhabra, M.D. M.B.A. F.A.C.R
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
Begin forwarded message:
From: Avneesh Chhabra <Avneesh.Chhabra>
Date: July 3, 2023 at 10:37:52 AM CDT
To: ocad-msk
Subject: monday quiz
What kind of meniscus tear do you see?
a. horizontal
b. complex
c. bucket handle
d. can’t tell- even on 3D reconstructionBest!
AC
Avneesh Chhabra, M.D. M.B.A. F.A.C.R
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122