Meniscal tear with synovial hyperplasia

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Incidental finding.

Patient Data

Age: 50 years
Gender: Male

Horizontal tear of the posterior horn of the medial meniscus with joint effusion and hypertrophy of the synovium in the suprapatellar pouch.

On a PD-weighted magnetic resonance imaging sagittal view: there's an injury of the tibial insertion of the anteromedial bundle of the anterior cruciate ligament.

Anomalous insertion of the anterior horn of the medial meniscus (AIMM).

 

Annotated image

On a PD-weighted magnetic resonance imaging sagittal view: injury of tibial insertion of anteromedial bundle of cruciate anterior ligament (yellow arrowheads).

Case Discussion

Early through to late-stage knee osteoarthritis has been linked with effusion-synovitis and synovial hypertrophy, especially when seen in the suprapatellar pouch.

 

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