29-year-old female patient with joint line pain. MRI for possible meniscus tear status post ORIF tibial plateau fracture. Evaluation of the knee is limited by metal susceptibility artifact related to a plate and screw device affixing the proximal tibia; this is despite techniques to reduce artifact including a MAVRIC pulse sequence.MENISCI: There is perhaps mild blunting of the free edge of both the medial and lateral menisci, but this is equivocal and we see no discrete meniscal tears.ARTICULAR CARTILAGE AND BONE: Evaluation of the articular cartilage is extremely limited. There may be focal degeneration along the lateral tibial plateau beneath the posterior horn of the lateral meniscus. Furthermore, the articular cartilage of the medial compartment appears subjectively thinned with focal degeneration of the medial tibial plateau adjacent to the posterior horn of the medial meniscus.A subcentimeter low signal intensity focus within the posterior medial aspect of the distal femur may reflect sequela of a benign cortical defect.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: The extensor mechanism is intact.ADDITIONAL
Limited study as described above showing mild blunting of the free edge of the menisci but no discrete tears and possible cartilage degeneration.