Advanced Musculoskeletal MRI

Orthopedic MRI for Northern Virginia, Maryland, and Washington DC

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  • Age: 65 years
  • Height: 6 feet 1 inch
  • Weight: 205 lbs. (93 kg.)
  • BMI (Body Mass Index): 27.0
  • Body Part:Average to large size knee

Case #4 : Jon S.

Jon S. is an active adult who enjoys yard work. His knee “catches” with certain movements.

Jon was referred for a knee MRI. We carefully adjusted the MRI parameters to his body size and weight. The Arthroscan MRI revealed the cause of the “catching” sensation— a tear of the medial meniscus. In the image on the left, the red arrow identifies the tear of the meniscus, while the orange arrow identifies the torn, displaced meniscal fragment within the intercondylar notch.

This confirmed the surgeon’s clinical suspicion, and surgery was recommended for definitive treatment. At arthroscopy, the surgeon visualized the meniscal tear:

“The medial compartment was entered, where a large displaced bucket-handle tear was seen starting at the anterior horn junction with the body and extending into the body. The tear was completely displaced into the intercondylar notch.”

Given Jon’s age, it was unlikely that a meniscal repair would heal properly. Thus, the torn portion of the meniscus was removed and the remaining meniscus trimmed back to a stable rim.

Six months later, Jon is much improved. He is walking every day, usually four miles a day. He is “able to do pretty much anything”. His knee does ache every once in a while, but the catching sensation he had before surgery is completely gone.

 

Note: Patient names have been modified, to protect patient confidentiality.

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