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The absent bowtie sign is a radiologic sign indicative of a meniscal tear in the knee joint. On sagittal magnetic resonance (MR) images, the body of the meniscus normally looks like a bow tie, with two distinct segments.
Traumatic tears are usually radial or vertical in the meniscus and more likely to produce a moveable fragment that can catch in the knee and therefore require surgical treatment. [citation needed] A meniscus can tear due to an internally or externally rotated knee in a flexed position, with the foot in a flexed position. [5]
A bucket-handle tear of the knee is a specific type of meniscal injury characterized by a longitudinal tear of the medial or lateral meniscus, where a displaced inner fragment resembles the appearance of a "bucket handle". [1]
The double PCL sign is best observed on sagittal T2-weighted or proton density-weighted MRI images. [5] Key features include: [6] Duplicated PCL Appearance: The native PCL appears as a curvilinear low-signal intensity structure in its typical anatomical location.The displaced meniscal fragment appears as a second parallel low-signal structure inferior to the PCL.
There are two general types of meniscus injuries: acute tears that are often the result of trauma or a sports injury and chronic or wear-and-tear type tears. Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes.
A tear in the meniscus may cause a pedunculated tag of the meniscus which may become jammed between the joint surfaces. To perform the test, the knee is held by one hand, which is placed along the joint line, and flexed to complete flexion while the foot is held by the sole (of the foot) with the other hand.
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Damage to the outer third of the meniscus has the best healing potential because of the blood supply, but the inner two thirds of the medial meniscus has a limited blood supply and thus limited healing ability. Large tears to the meniscus may require surgical repair or removal. In terms of a meniscus tear, the doctor can categorize the injury ...