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      Meniscal ossicle

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          Abstract

          Meniscal ossicle, or bone within the substance of meniscus, is a rare entity and commonly confused with a loose body both clinically and radiologically. MRI is the modality that can definitely diagnose meniscal ossicle and avoid unnecessary diagnostic arthroscopy. Here we report one such case diagnosed using MRI; this patient is doing well without surgery one year after diagnosis.

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          Meniscal ossicle: radiographic and MR imaging findings.

          To determine the magnetic resonance (MR) imaging appearance of meniscal ossicles and correlate that with the radiographic and clinical features. Radiographs and MR images were studied retrospectively in six patients with meniscal ossicles; all patients had intermittent discomfort in the knee, and five patients had experienced knee trauma. Imaging findings were correlated with the clinical history. Four patients underwent arthroscopy. All patients had a visible ossicle on conventional radiographs initially interpreted as a loose joint body. MR imaging features included a corticated marrow-containing structure within the substance of the medial meniscus near the tibial attachment that appeared as a rounded focus of increased signal intensity on T1-weighted images that decreased in signal intensity on T2-weighted images. Meniscal ossicles have a characteristic MR appearance that may help distinguish them from loose bodies. They should be considered diagnostically when a circumscribed ossification is identified near the posterior horn of the medial meniscus on radiographs.
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            Two cases of ossification in the internal semilunar cartilage

            H Burrows (1934)
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              Calcification, decalcification, and ossification

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                Author and article information

                Contributors
                BTMM.submissions@gmail.com
                Journal
                J Orthop Traumatol
                Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
                Springer Milan (Milan )
                1590-9921
                1590-9999
                10 July 2009
                September 2009
                : 10
                : 3
                : 143-145
                Affiliations
                [1 ]Department of Radiodiagnosis and Imaging, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, 124001 Haryana India
                [2 ]Department of Orthopedics, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, 124001 Haryana India
                [3 ]Department of Biotechnology and Molecular Medicine, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, 124001 Haryana India
                Article
                56
                10.1007/s10195-009-0056-4
                2744733
                19590936
                76accfa6-5f2d-4a00-8b88-6218cedad34e
                © Springer-Verlag 2009
                History
                : 31 October 2008
                : 22 June 2009
                Categories
                Case Report
                Custom metadata
                © Springer-Verlag 2009

                Orthopedics
                meniscal ossicle,conservative treatment,mri
                Orthopedics
                meniscal ossicle, conservative treatment, mri

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