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Review Question - QID 7468

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QID 7468 (Type "7468" in App Search)
Figure 80a shows an arthroscopic view from an infralateral portal of a right knee. Figure 80b shows a coronal MRI scan, and Figures 80c through 80e show consecutive sagittal images of the knee. The images show what anatomic finding?
  • A
  • B
  • C
  • D
  • E

Loose body

1%

5/776

Discoid lateral meniscus

87%

675/776

Transverse meniscal ligament

1%

10/776

Displaced lateral meniscus tear

8%

64/776

Displaced medial meniscus tear

2%

16/776

  • A
  • B
  • C
  • D
  • E

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The arthroscopic view and the coronal MRI scan show a discoid lateral meniscus covering almost the entire lateral tibial plateau. The sagittal views show a contiguous meniscus or "bow tie" sign on three consecutive images, pathognomonic for a discoid meniscus. Lateral discoid menisci are much more common than medial. There is no evidence of abnormal signal to indicate meniscal tearing. A transverse meniscal ligament is best seen anterior to the anterior horn of the lateral meniscus on multiple views. There is no evidence of a loose body on the arthroscopic or MRI images.

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