Double meniscal ossicle – A rare finding

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.29860

Keywords:

Meniscus; Knee Injuries; Ossification, Heterotopic; Magnetic Resonance Imaging; Teaching.

Abstract

The meniscal ossicle is considered a rare condition and its etiology are very controversial. Clinically, the ossicle may be associated with pain and a feeling of blockage in the movement of patients, but it is also described as asymptomatic and incidental during arthroscopy. When the presence of a bone structure within the knee joint is identified on plain radiographs, MRI can be used to differentiate between a meniscal ossicle and a loose body. The vast majority of ossicles, about 89% are located in the medial meniscus and 95% were located in the posterior horn or root of the meniscus.5 Thus, the present study aimed to describe the case of a 63-year-old woman with chronic pain diffuse in the right knee for 5 months with difficulty in carrying out his daily activities where a meniscal ossicle was identified in MRI in the coronal section in the T1 in A sequence and in the axial section in the DP SPIR sequences. Our objective is to report a case of double meniscal ossicle diagnosed by MRI.

References

Berg, E.E. (1991). The meniscal ossicle: the consequence of a meniscal avulsion. Arthroscopy. 7(2):241-3. 10.1016/0749-8063(91)90114-d. PMID: 2069638.

Bernard, C.D., McGauvran, A.M., Desai, V.S., Frick, M.A., Tiegs-Heiden, C., Camp, C.L.A., Krych, A.J., Collins, M.S. (2021). Understanding the Implications of the Meniscal Ossicle: Patient Presentation, Treatment, and Outcomes. J Knee Surg. Jan;34(2):155-163. 10.1055/s-0039-1693724. Epub 2019 Aug 7. PMID: 31390669.

Caudal, A., Guenoun, D., Lefebvre, G., Nisolle, J. F., Gorcos, G., Vuillemin, V., & Berg, B. V. (2021). Medial meniscal ossicles: Associated knee MRI findings in a multicenter case-control study. Diagnostic and interventional imaging. 102(5), 321-327.

Chien, A., Weaver, J. S., Kinne, E., & Omar, I. (2020). Magnetic resonance imaging of the knee. Polish Journal of Radiology. 85, e509.

Hall, F.M. & Hochman, M.G. (1997). Medial Segond-type fracture: cortical avulsion off the medial tibial plateau associated with tears of the posterior cruciate ligament and medial meniscus. Skeletal Radiol. ep;26(9):553-5. 10.1007/s002560050285. PMID: 9342817.

Gajjar, S. M., Solanki, K. P., Shanmugasundaram, S., & Kambhampati, S. B. (2021). Meniscal Extrusion: A Narrative Review. Orthopaedic Journal of Sports Medicine, 9(11), 23259671211043797.

Harris, H.A. (1934) Calcification and ossification in the semilunar cartilages. Lancet. 223 (5578): 1114-1116.

Kumar, P., Dey, A.K., Mittal, K., Sharma, R., Hira, P. (2015). Double Meniscal Ossicle, the First Description: CT and MRI Findings-Different Etiologies. Case Rep Radiol. 2015:737506.

Martinoli, C., Bianchi, S., Spadola, L., & Garcia, J. (2000). Multimodality imaging assessment of meniscal ossicle. Skeletal radiology. 29(8), 481-484.

Mokankumar, R., Palisch, A., Khan, W., White, L.M., Morrison, W.B. (2014). Meniscal ossicle: posttraumatic origin and association with posterior meniscal root tears. AJR Am J Roentgenol. 203 (05): 1040-1046.

Ogassawara, R., Zayni, R., Orhant, E., et al. (2011). Meniscal ossicle in a professional soccer player. Orthop Traumatol Surg Res. 97 (04): 443-446.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Prabhudesai, V., & Richards, P. J. (2003). Radiological appearance as a meniscal ossicle develops: a case report and review of literature. Injury, 34(5), 378-382.

Raustol, O.A., Poelstra, K.A., Chhabra, A., Diduch, D.R. (2006). The meniscal ossicle: the consequence of a meniscal ossicle revisited: etiology and a arthroscopic technique for treatment. Arthroscopy 22 (6): 687 .e3.

Rohilla, S., Yadav, R. K., Singh, R., Devgan, A., & Dhaulakhandi, D. B. (2009). Meniscal ossicle. Journal of Orthopaedics and Traumatology, 10(3), 143-145.

Sousa, E. O. de .; Marcião, L. G. de A. .; Silva, J. F. T. .; Melo, A. C. B. da S. .; Carvalho, L. de L. V. .; Cerqueira , D. B. B. .; Feitosa, A. L. M. Proprioceptive rehabilitation in acl injury associated with medial menisco. Research, Society and Development, [S. l.], v. 10, n. 12, p. e178101220187, 2021. 10.33448/rsd-v10i12.20187.

Vangrinsven, G., & Vanhoenacker, F. (2020). Meniscal ossicle mimicking a radial meniscal tear. Journal of the Belgian Society of Radiology, 104(1).

Ververidis, A. N., Keskinis, A., Paraskevopoulos, K., Ververidis, N. A., Tottas, S., Drosos, G., & Tilkeridis, K. (2021). Diagnostic and therapeutic approach to meniscal ossification: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 29(9), 3037-3048.

Winkler, P. W., Rothrauff, B. B., Buerba, R. A., Shah, N., Zaffagnini, S., Alexander, P., & Musahl, V. (2020). Meniscal substitution, a developing and long-awaited demand. Journal of Experimental Orthopaedics, 7(1), 1-15.

Yen, P., Hunter, J., & Escobedo, E. (2009). Meniscal ossicle in the lateral meniscus: an unusual variant of a rare entity. Radiology case reports, 4(2), 289.

Published

22/05/2022

How to Cite

FLORES, L. C. C. .; TANAKA , G. .; DUARTE, M. L. . Double meniscal ossicle – A rare finding. Research, Society and Development, [S. l.], v. 11, n. 7, p. e25711729860, 2022. DOI: 10.33448/rsd-v11i7.29860. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29860. Acesso em: 13 apr. 2024.

Issue

Section

Health Sciences