Publications [#133618] of Nancy M Major

Papers Published

1. RS Bikkina, CA Tujo, AB Schraner, NM Major, The "floating" meniscus: MRI in knee trauma and implications for surgery., AJR. American journal of roentgenology, United States, vol. 184 no. 1 (January, 2005), pp. 200-4, ISSN 0361-803X
   (last updated on 2006/10/17)

   Abstract:
   OBJECTIVE: We describe 21 cases involving meniscal injury in which the meniscus appears free-floating on MRI of the knee. In these cases, the meniscus is completely surrounded by fluid. Correlation with surgical reports shows that the "floating" meniscus corresponds to a meniscal avulsion or detachment from the tibial plateau with an associated disruption of the meniscotibial coronary ligaments, which attach the meniscus to the tibia, allowing fluid to encompass the meniscus. A floating meniscus on MRI may represent a new specific finding for an uncommon form of meniscal injury known as meniscal avulsion. CONCLUSION: The presence of a floating meniscus on MRI is a result of significant trauma to the knee leading to meniscal avulsion and is often associated with significant ligamentous injury. Alerting the surgeon to the presence of a meniscal avulsion facilitates appropriate surgical planning with meniscal reattachment to the tibial plateau.

   Keywords:
   Adolescent • Adult • Female • Humans • Knee Injuries • Magnetic Resonance Imaging* • Male • Menisci, Tibial • Middle Aged • Retrospective Studies • diagnosis* • injuries* • surgery