Top
39
Doctor insights on: Can Mri Miss Meniscus Tear

Share
1

1
What can be done if a knee MRI comes back negative but the patient is still having problems? Can a MRI miss a medial meniscus tear? Please explain

MRI: Mri can under estimate joint surface cartilage changes that cause pain. Referred pain from vascular or sciatic etiology may also be the culprit. Check with your orthopedic surgeon. ...Read more

Dr. Sandra Lora Cremers
5 Doctors shared insights

Mri (Definition)

Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more


3

3
How does one know if they have a torn meniscus? I had a MRI and it said I a displacement if the meniscus root does that mean a tear of the meniscus?

How does one know if they have a torn meniscus? I had a MRI and it said I a displacement if the meniscus root does that mean a tear of the meniscus?

You have a tear: Your MRI has confirmed your presumed symptoms of sharp based pain typically medially or posteriorly based made worse with bending twisting or pivoting. Gonna probably need surgery... ...Read more

4

4
In MRI report, they told me lateral and medial meniscus tear. Can I get it corrected by excercise/medicine etc? How to confirm if I need surgery?

In MRI report, they told me lateral and medial meniscus tear. Can I get it corrected by excercise/medicine etc? How to confirm if I need surgery?

See ORS: A meniscus tear may feel better w/nsaids and pt but the meniscus will not heal w/this treatment. Turning, twisting and squatting activities may further tear the meniscus. They generally cause pain, sometimes popping or'catching' and swelling. See your ors. The tx. Of choice is arthroscopy w/meniscus repair vs. Resection. ...Read more

5

5
Anterior Horn Meniscus Tear and Displacement (MRI READ) 12 year old boy?

Anterior Horn Meniscus Tear and Displacement (MRI READ) 12 year old boy?

What is the question: I am not sure what you are asking; however, that reading would warrant an evaluation promptly from an orthopedist. If the child has not seen the orthopedic physician, get his pediatrician to make a STAT referral today. ...Read more

6

6
Do I expect to have surgery same day as MRI if I have a meniscus tear? Or would I have to wait? I need to figure this out before prom.

Not emergent: While it would be nice to have surgery the same day as an mri, it usually takes some number of days to get the MRI back, read by the radiologist or surgeon, determine if surgery is appropriate, and then schedule surgery. Surgery can be done soon, or it can be delayed for a period of time if your symptoms are manageable (and the tear is not too large). ...Read more

7

7
Mri results displacement of the meniscus root. Surgeon said it was just wear and tear but I think I have a meniscus tear due to the catching? Explain

Mri results displacement of the meniscus root. Surgeon said it was just wear and tear but I think I have a meniscus tear due to the catching? Explain

?: Don't understand root of the menisc. But I assume it means the posterior attachment. If this is torn u will have catching and if big enough od the tear gets larger as they don't heal u will have catching or locking. I don't kno what 2 explain, it is a mechanical problem in the knee that needs 2 b addressed by arthroscopy. ...Read more

8

8
10 mths ago MRI showed grade 2 degen meniscus tear. New MRI results state no tear. Could it have healed? Knee was locking weekly up until 1 month ago.

10 mths ago MRI showed grade 2 degen meniscus tear. New MRI results state no tear. Could it have healed? Knee was locking weekly up until 1 month ago.

Yes: Yes, meniscal tears can absolutely heal, and this at also be why you are not having your symptoms of knee locking anymore. Good news all around. ...Read more

9

9
2years ago an Mri showed meniscus tear it wasn't treated at all and now knee is swelled and is extremely painful can't stand on it what can I do, wrong?

2years ago an Mri showed meniscus tear it wasn't treated at all and now knee is swelled and is extremely painful can't stand on it what can I do, wrong?

Quick fix and more: See an orthopedic surgeon or a physiatrist. They can evaluate the knee. If appropriate, they can drain the fluid and that will give you some immediate relief. Use ice and a compression wrap which will also reduce the pain a bit. Use a cane or crutches so that you take some weight off the affected leg and try to walk without stressing the other leg or your back! But see the Doc, get a diagnosis. ...Read more

10

10
Is it still possible to have a meniscus tear and ligament tear even when the MRI scans show nothing?

Is it still possible to have a meniscus tear and ligament tear even when the MRI scans show nothing?

For sure: This is a great question and a touchy subject.

1st of all, MRI cannot make the diagnosis 100% of the time even in the best of hands (with the top rad in the world). There are many technical limitations that come into play, the tear may be small or partial, and different magnets have varying quality.

Tears can be present and missed. Consider getting another opinion from an orthopedic radiologist. ...Read more

11

11
So I got the results from my MRI & its a meniscus tear the doctor going to shave it off hope it helps?

So I got the results from my MRI & its a meniscus tear the doctor going to shave it off hope it helps?

Routinely helpful: Sucessful relieving activity related swelling and or locking catching symptoms if no other damage ...Read more

12

12
Thanks for advice on here, I had mri shown lateral meniscus tear heading to ortho in a week. What should I expect, same leg as previous TTT?

Thanks for advice on here, I had mri shown lateral meniscus tear heading to ortho in a week. What should I expect, same leg as previous TTT?

Arthroscopy: The orthopedist may suggest an arthroscopic repair. This would be the most logical approach. Any subsequent therapy would come after a full objective examination of the joint space. ...Read more

13

13
What are the symptoms of a meniscus tear? What does it mean when a MRI says a displacement at the meniscus root? Does that cause a knee to lock?

What are the symptoms of a meniscus tear? What does it mean when a MRI says a displacement at the meniscus root? Does that cause a knee to lock?

Giving way: Meniscal tears usually cause mechanical instability. The primary symptom is buckling or giving out. A displaced meniscus can cause the knee to lock. The meniscal root is where it attaches either in the front or back of the knee. Depending on your age it can be repaired or removed but is almost always a surgical treatment. See a good orthopedic surgeon. ...Read more

14

14
So a medial extrusion would mean a meniscus tear? Please help explain this to me? I have conflicting report on two mri? Doctor hasn't really helped

Yes: Medial extrusion usually refers to the meniscus and would hurt on the side or back of your knee. Pain in front is usually related to your knee cap...And likely due to wear and tear. ...Read more

15

15
I had a knee scope to fix a torn meniscus in february. I still had pain 6 months later so I had another MRI which showed another tear on the other sid?

I had a knee scope to fix a torn meniscus in february. I still had pain 6 months later so I had another MRI which showed another tear on the other sid?

MRI knee: Sounds like you need to discuss it with your orthopedic surgeon. It may or may not be a significant new tear. There may be other issues of arthritis, etc. That may be causing your pain. ...Read more

16

16
So I went to go see an orthopedic surgeon he thinks I have an meniscus tear so now I have to get an MRI what's an meniscus tear?

Knee Cartilage.: A meniscus tear is a rip or tear in a special cartilage located in the knee. This cartilage is a key element in the workings of the function of the knee. The mri will help find out just how much the cartilage is damaged. ...Read more

17

17
Can I have chronic lateral meniscus tear or lateral meniscocapsular separation even if the MRI was normal?

Can I have chronic lateral meniscus tear or lateral meniscocapsular separation even if the MRI was normal?

It is possible: MRI results are not 100% accurate. Meniscocapsular junction tears can be hard to identify on MRI. Your symptoms and what you are experiencing as well as your clinical exam are important to determine your exact diagnosis even with an MRI. I always tell my patients as an orthopedic surgeon I treat patients, I don't treat MRI's. ...Read more

18

18
Does medial meniscus tear get worser at night? And does it cause a "pulsation" feeling just behind the knee? I have knee MRI also. Thanks.

Does medial meniscus tear get worser at night? And does it cause a "pulsation" feeling just behind the knee? I have knee MRI also. Thanks.

Not necessarily: At night you are more aware of your bodily pain mental thoughts. So every thing seems worse. Take Ibuprofen before going to bed. Apply ice also. Ay use heating pas at night when it feels throbbing. Do follow up with your doctor after6 weeks. ...Read more

20

20
Had surgery 5 mo ago for meniscus tear. Still having complications - should doc order MRI or continue with injections such as cortisone & euflexxa?

Knee Problems: You mention that you had meniscus surgery, but also note that you have had cortisone and euflexxa injections. Why? At age 35 you are young to have degenerative changes. Complications covers a lot of things and usually implies that things didn't go as planned. If you have pre-existing arthritis then you are going to need to deal with that. Are you overweight? Really we need more information. ...Read more

21

21
Is it possible that I can have a torn meniscus and or ligament tear even though the MRI came back clean? I am constantly have knee pain and buckling

Is it possible that I can have a torn meniscus and or ligament tear even though the MRI came back clean? I am constantly have knee pain and buckling

See details: A normal MRI (if the reading is correct) makes tears unlikely. However, the symptom of buckling is impressive. See the orthopedist and discuss whether an mr-arthrogram is indicated. This is a more sensitive test than the plain mri. ...Read more

22

22
I've a possible small meniscus tear in knee, what is relative rest and how should I limit myself at gym? I've been told 6-8 weeks, if not healed mri

Varies: It really varies quite a bit based upon the size and location of the tear. Some tears don't heal at all and require surgery to fix or excise, while other can heal quite uneventfully very quickly. 6-8 weeks with follow up is a very reasonable recommendation. ...Read more

24

24
So I went to get an MRI done but the doc hasn't called to tell me the results he thinks its an meniscus tear or bone tumor the pain is so bad?

So I went to get an MRI done but the doc hasn't called to tell me the results he thinks its an meniscus tear or bone tumor the pain is so bad?

these are painful: Obviously you bear weight across your knee and it bends with every step do either of these conditions are going to be painful. Certainly they call for different treatments which your surgeon will explain to you. ...Read more

27

27
Does only a MRI confirm a meniscus tear? Is there any other test to confirm that? Locking knee joint when sitting and raise the knee straight

Does only a MRI confirm a meniscus tear? Is there any other test to confirm that? Locking knee joint when sitting and raise the knee straight

It's the best: A meniscus does not show on an x-ray. The history and physical exam can really help make the diagnosis. An arthrogram, dye and air injected into the knee used to be used to help decide if a tear is present or not. Painful test, often inconclusive, and frankly just about a lost art. An MRI is fast, painless, and rarely wrong. Mris are usually done prior to suggesting surgery. ...Read more

28

28
Is it possible to have a meniscus tear even though the MRI comes back clean? I still experience severe pain when walking and knee buckles and pops

Is it possible to have a meniscus tear even though the MRI comes back clean? I still experience severe pain when walking and knee buckles and pops

Yes, it is possible: 25% of lateral meniscus tears are missed on mri. It is the job of your treating orthopedic surgeon to correlate MRI findings with your symptoms. Sometimes surgery is recommended despite relatively negative MRI findings. On the other hand, your symptoms may have nothing to do with your meniscus. Popping and buckling are not specific to meniscus problems. ...Read more

30

30
Torn left knee meniscus twice, torn right achillis tendon, and symptoms of right knee meniscus tear after mri, no trauma, what could be the cause?!

Torn left knee meniscus twice, torn right achillis tendon, and symptoms of right knee meniscus tear after mri, no trauma, what could be the cause?!

Some activity: You do not have to have a specific injury to cause a meniscal tear.
Sometimes the meniscus can degenerate and
tear from repetitive activities such as running
basketball and other pseudotraumatic sports
i would work a lot on strengthening and
plyometrics to help prevent further problems. ...Read more

31

31
Acl surgery about 15 months back, again 3 months meniscus tear on interior took MRI and doctor said its ok to continue soccer, but pain n swelling?

Acl surgery about 15 months back, again 3 months meniscus tear on interior took MRI and doctor said its ok to continue soccer, but pain n swelling?

Pain& swelling notok: If it is painful and swollen then something is not rigth and to cont to play on it is less than a good idea
you should re discuss with your surgeon or seek another opinion. ...Read more

33

33
24 female, mri: medial meniscus tear (i've had for 10yrs) mild chondromalacia. Knees ache most when seated. Could strengthening/pt substitute surgery?

24 female, mri: medial meniscus tear (i've had for 10yrs) mild chondromalacia. Knees ache most when seated. Could strengthening/pt substitute surgery?

Absolutely: Nonoperative treatments like strengthening and therapy are always the first choice before surgery. When you have given these a real effort, and are still bothered by your complaints, then the only real option to get better may be to have the 20 min scope procedure and move on. Give it an honest try and then decide if surgery is right for you. ...Read more

35

35
I have a cyst in my left knee close to the medial meniscus. There is no meniscus tear (confirmed via MRI & arthroscopy). Could it be a ganglion cyst?

I have a cyst in my left knee close to the medial meniscus. There is no meniscus tear (confirmed via MRI & arthroscopy). Could it be a ganglion cyst?

Meniscus cyst: The location you have mentioned is more likely to be a cyst of the meniscus. A ganglion cyst of the joint is possible but knee is a very uncommon location for it. ...Read more

37

37
Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?

See below:: Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be:
1: do nothing except maybe pain meds, for 3 months; if no improvement, then;
2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or;
3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read more

38

38
Injured right knee possible meniscus tear plus lcl. 24 hrs later foot is swollen. MRI in 2 days. Should I be worried about swelling in foot?

Injured right knee possible meniscus tear plus lcl. 24 hrs later foot is swollen. MRI in 2 days. Should I be worried about swelling in foot?

If it is only: In the foot and if it is not severe. If the swelling or pain extends into calf or it worsens, it could be DVT, so re-consult with your doctor. ...Read more

Dr. Frederick Buechel, jr. md
356 Doctors shared insights

Torn Meniscus (Definition)

In the knee joint there are two types of cartilage, articular cartilage and meniscal cartilage. The meniscus is a triangular shaped piece of fibro-cartilage that sits between the femur and tibia. The meniscus can tear as a result of injury or secondary degenerative changes that occur over time. Because the meniscus cartilage dies not have it's own blood supply, tears often ...Read more