This nice meniscal flap leading to bone edema is also known as “shiny corner” for the knee, as I usually refer to during residents/fellows read-outs. Nice reference on the topic for by dear Cristine Chung and team:
Chang EY, Chen KC, Chung CB. The shiny corner of the knee: a sign of meniscal osteochondral unit dysfunction. Skeletal Radiol. 2014 Oct;43(10):1403-9. doi: 10.1007/s00256-014-1958-7. Epub 2014 Jul 23. PMID: 25052537.
Thanks for sharing. I believe that such classic cases are those we learn more and can use for great educational purposes.
Atul
Em qui., 19 de jun. de 2025 às 8:08 AM, Simon screveu:
You’ve just touched on a very important point. In this world of evidence based medicine, we should never forget the importance of experienced based medicine. After all, that is what the text-books that filled our heads as baby-rads really were…..distillations of experience.
On Wed, 18 Jun 2025, 22:16 Phillip wrote:
When OCAD started 20+ years ago MSK MRI was still in a somewhat nascent stage. I really used to enjoy sending out emails of what are now classic type examples of different concepts. With that in mind, knowing that you all are advanced greatly beyond this, I thought it would still be fun to resurrect the practice not too frequently but enough hopefully to be enjoyable. I think it is nice to be reminded of the basics but I’m still a simple guy.
Here’s an example of what our fellows have heard ad nauseum, "Bone marrow edema is the Radiologist’s friend". In other words if you see Bone marrow edema where it usually isn’t, then try to explain it. Typically either an impact injury or adjacent inflammation so in other words reactive. Here is an unstable displaced flap tear of the medial meniscus into the coronary recess with bone edema next to it acting as a flashing light saying look here.
