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Diagnosing Meniscal Pathology and Understanding How to Evaluate a Postoperative Meniscus Based on the Operative

Monica Tafur1,2, Linda Probyn3,4, Jaskarndip Chahal5

  • 1Joint Department of Medical Imaging, University of Toronto, University Health Network, Sinai Health System and Women's College Hospital, Toronto, Ontario, Canada.

The Journal of Knee Surgery
|January 13, 2018
PubMed

Insights

Magnetic resonance imaging (MRI) is the top choice for diagnosing meniscal tears and assessing knee injuries. Advanced MRI techniques and other imaging methods like ultrasound (US) and computed tomography (CT) arthrography aid in evaluating meniscal pathology.

Area of Science:

  • Orthopaedic Surgery
  • Radiology
  • Medical Imaging

Background:

  • Magnetic resonance imaging (MRI) is the standard for diagnosing meniscal pathology.
  • Advanced MRI techniques allow detailed characterization of meniscal tissue properties.
  • The International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification system standardizes reporting of meniscal tears.

Purpose of the Study:

  • To review the role of MRI in diagnosing meniscal pathology.
  • To discuss advanced MRI techniques for meniscal assessment.
  • To compare MRI with alternative imaging modalities like ultrasound (US) and computed tomography (CT) arthrography.

Main Methods:

  • Review of current literature on meniscal imaging.
  • Discussion of diagnostic criteria for meniscal tears on MRI.
  • Evaluation of US and CT arthrography for meniscal pathology.

Main Results:

  • MRI is the preferred noninvasive technique for pre- and postoperative meniscal evaluation.
  • Advanced MRI techniques enhance characterization of meniscal tissue.
  • Ultrasound (US) and CT arthrography are viable alternatives for specific meniscal assessments, especially with MRI contraindications.

Conclusions:

  • MRI remains the gold standard for diagnosing meniscal tears and postoperative changes.
  • US and CT arthrography offer valuable, accessible alternatives for meniscal assessment in select cases.
  • Standardized reporting systems like ISAKOS improve communication and diagnosis of meniscal pathology.

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