Abstract
PURPOSE: To determine the types of meniscal tears and type of popliteal muscle
attachment in lateral disccid menisci.
MATERIALS AND METHODS: MR images from 40 patients with arthroscopically
proven disccid meniscal tears were reviewed. The type of capsular attachment of
the popliteal muscle in these patients was compared with 100 normal controls.
Fourteen men and 26 women were included in this study ranging in age from 8 to
52 years.
RESULTS: Disccid mensical tears were divided into five types. Arthroscopic correlation revealed that thirty-six cases(90%) of disccid meniscal tears were correctly diagnosed using MR imaging. Peripheral tear wasthe commonest tear type
occurring in 13 patients. In 9 of these the meniscal fragment was displaced. Horizontal tears occurred in 5, longitudinal tears in 4 and transverse tears in 2
patients. Multiple tears were present in 16 patients with the commonest combination of peripheral and horizontal.
Popliteal capsular attachments of disccid mensical tears were more prominent
than in the normal control group.
CONCLUSION: The types of tears in disccid menisci were different from normal
meniscal tears. Peripheral detachment with displacement of torn segments was a
very frequent finding in disccid mensical tears.
Prominent capsular attachment of popliteal muscles is probably an associated
finding in disccid menisci.