Today we find out which is better legendary collection to a raw yellow mega pack What's up guys today? We're gonna be opening a raw yellow mega pack first edition box Which is a pretty rare box versus legendary collection to not one but four and you might wonder why they're already open That's cuz I started recording and then my camera ran out of space a.k. My phone and it didn't save so yeah We've opened one pack of each. I'll show you we have not got anything too crazy so far Raya on mega pack pulled these foils and then we have these from legendary collection to the cool part about these sets Is they're very similar they have a lot of the same card some are different rarities and stuff like that But a lot of the same card so I wanted to compare these two and see which was better There was only 20 of these packs as we use for these promos count for about $40 in value So that's kind of like the extra four packs there and the little advantage for being unlimited So a little bit of a bonus so they have a big lead already The score is up on the screen for the first packs that you guys missed and of course we had a giveaway that you guys didn't see We have amazing defenders first edition all you have to do is like the video be subscribed turn on notifications Let me know if you think legendary collection gx dual Academy years or raw yellow mega pack will win this bat All right, so this is what weird video because I felt like I had a great intro earlier and then all the sudden It's gone. You know you can only see the face cam so it doesn't really work Let's just keep going maybe we'll cut you know right to the opening just like you guys like Legendary collection to I was talking a little bit about the commons and rares back on the previous video The rares in this set are actually pretty good. There's some pretty high value ones legendary collection to has some crazy commons as well Rio's a decent car. We're gonna pull that out for the raw yellow mega pack We got a rare value you belt here incarnate you bells a regular rare is a few like it's like eight bucks or something like that So that's a good one regular you bell at least that one's probably okay. Come on. We've got dimensional fissure I would I would wager a gander. I don't think I'd say you say that another DD crow that that's a probably a good one as Well, oh, this is good rainbow neos this used to be better I think it recently got a reprint, but this used to be a crazy common I bet it's still worth a couple of bucks still very solid pulls so far for raw yellow mega pack It is a very expensive box So I'm expecting some value out and there's not a lot of crazy high like fifty hundred dollar pulls There's like none of those actually but almost every pack gives you like a few two to three to five to dollar cards It's a lot of quantity value like a bunch of different nice cards. All right legendary collection to so far You've had a nice pull. There's some really good commons We got to look out for and then like the glow neos rare is like eight bucks for some reason I have sold one of those the other day. I was like, wow, this is crazy money. Well, it's just a good card I don't think it's a dog. This is a big one. This is like a three dollar card I think you can't really find win-crebo level 10 that easily so nice common. We've got a dark lord desire That's a super rare Moses edge. I think that is a couple of bucks Even though I don't know who's buying this in for what reason I guess maybe collection cyber Phoenix You can use that in some old formats and fake hero just a rare any other cool commons not in that one Okay, next pack raw yellow mega pack. Let's see what we can get will we pull something big? This is like 20 or 44 packs tonight. So it's a lot right tonight for me It's the middle of the day for you guys But oh it's being in the devil kind of the devil honestly, so you bell very good rare That's big Jane the lights were impaled and probably nice for those Edison decks destiny draw I probably could be using some hero stuff might be a little bit and then darkened dragon for Edison I mean this is GX so a lot of it's gonna be Edison, you know the late GX stuff is very strong grandmaster I wonder if that's worth anything We got electrum and rainbow Dark dragon a lot of these cards are pretty warped which interesting look how warped they are Which is it's not horrible horrible, but it is very noticeable I would say or at least noticeable not very noticeable, but noticeable legendary collection, too Here's your chance to bring it back. I got to keep an eye on my cameras now I really hope they don't die. We got marin or like run out of room all rucks and special right into the burst into tricks I think dog was actually pretty decent burst into tricks all art is a very good one I think this is around a $10 card and unlimited. We have a dark fusion this I sold one of these the other day It's like 350 so that's pretty solid as well and then terra firma gravity So as I was saying it's like there's not a lot of big value cards, but you just keep pulling value It's like 10 bucks 3 bucks, you know 2 bucks $8 rare, you know crazy stuff like that So that's why I like opening these and I like doing the verses battles with these and look there's the altar I wonder if that's worth anything in common as I was saying I just so much to say about these the same sets just different rarities It's pretty wild so we got secret on one side common on the other side that thing has been dinged unfortunately I wonder if this common is worth anything. I'm not really sure rainbow gravity We have elemental hero neos as a common as always gets destroyed and screwed the nominaga the deity of poison snakes Conventional prison, that's a good ultra rare secret rare hero flash beautiful card I don't think it's gonna be worth a lot the ulti of this is crazy money though I feel like I've been talking at a hundred miles an hour in this video. Have I been I don't know Let me know in the comments hero blast super rare and look guys I had done a 10 minute thing before you guys even showed up. Well, it was a 10 minutes Some of it was me opening this Unfortunately, you guys are gonna miss the part where I actually open the box But oh well, it doesn't really matter that much to be honest.  We have hero barrier elements of hero lady heat I'm actually excited about this video. I really like these products evil hero wild cyclone super rare Oh a cyber in dragon, and this is not as much as you think I think I sold one of these like four bucks the other day I mean a really beautiful copy of a card for only four bucks. Honestly, not bad I think he actually had a print in the speed duel thing and didn't need so that might have heard a Seaguar value Octavius is cool. We got the crystal blessing as well blade master plasma Some of these elements of hero commons are worth a randomly large amount of money So that could be one of them rio mega pack. It's your time to shine a lot of packs to go test tiger Here's one of the ones that's big. I think this is like a five dollar card So that's like the best common in the set. I think test tiger regular old common We got a fusion recovery hero mask cyber and dragon alternate art. So we don't have the regular one I don't maybe you do. I don't know. There's the alternate art We got Jane lights were impaled and didn't we pull one of these in the other set just a second ago Crystal abundance of the crystal subs not really what you're looking for what I want to pull out of legendary collection Gx that I know is different from rio mega pack is the gladiator beast stuff from my Edison deck I have a lot of them in secret rare But not every card in there is secret right out and I have checked rio mega pack It doesn't really have any secret rare gladiator at least not many of them compared to this one So I want to pull them out of legendary collection gx while we're opening these thunder giant common pretty cool Hero ring I always think that maybe this is worth something and it's like 40 cents every time Gallus of starbeast not the secret we're looking for we got a white knight dragon also beautiful in secret rare and ancient prophecy Amazing looking and then the steam healer the healer of the steam insta neospice and dunca. There's LeBron Okay, next pack raw yellow mega pack. Let's do this judgment dragon. Okay, JD right off the bat I remember I pulled a pull this in auction series We didn't end up using it but pretty awesome common card card blocker offering the snake deity flame wingman So this is one we pulled in our first pack and I didn't mention it because well, you don't have the footage anymore But it was like a 250 rare. So pretty strong there gladiator proving ground Here's another nice one. This can upgrade my gladiator proving ground and my gladiator b-stack So no secret rare, but it is an ultra. I have commons right now. So that's good Cyber dragon all art secret rare one of the best cards in the set very very nice Neospatian grandma also a nice super rare printing very nice hollow pattern on these Sparkman common so it has them all as like commons. There's a regular cyber dragon So we got two cyber dragons in one pack imagine back in the day Don't have been sick, but I think by the time this came out by a rio mega pack I think was like 2010 2011 I you probably didn't want even one cyber dragon at that point, but very cool card system down We have elemental hero neos Lady heat mud ball man. Very cool. Hey, oh, and there's the glad base We're looking for the Darius secret rare dark fusion. We will pull this all day. It's a great ultra rare Fake hero. I want I want to know what the score is I bet there is a lot of value popping up on the screen right now because it feels like I mean It's almost impossible to have a pack I'm gonna say this in jinx us, but to have a pack with like nothing. That's a dollar I mean almost all of them do it's possible, but it's less likely than likely you're more likely to have something with You know multiple dollar cards There's the mud ball man that we just saw as a super rare. It's just a common now We've got the show shogun at she in offering the snake deity you've all the ultimate nightmare I think we have all three rares now. It's just pretty cool. We've got miracle fusion for Edison. I don't think this is big money I don't even think it's a dollar Okay, I jinxed myself. We're definitely in a poll with no dollar cards. We got righteous justice and amdiscat I think that was it. I think we just pulled one with no value. Okay. I definitely jinx myself Rainbow ruins is pretty cool to see. All right This is gonna be kind of a longer video because like these are both kind of like every every pack You got multiple rares, you know, we got a lot of packs here So there's a lot to look at marine neos made actually be money that I'm not sure about that prismos good Dreadmasters a cool card super rare banish or the radiance I think about three bucks if I had to guess macro cosmos That's our second copy of that and a rosebud. Wait, do we pull macro cosmos? Maybe out of raw yellow the first time Yeah, macro cosmos is an ultra rare in both sets. So Yeah, okay, interesting. I wonder how the prices differ raw yellow if these sets are so similar It's very weird like they made a set two sets that are almost the same Like they have a lot of the same card shut in doji gladiators return We got gear off lights when warrior for lights warrens. We got six samurai eeru H. Eater heart.  Wow feels like another lights one It feels like the raw yellow is kind of falling off right now But they do have four extra packs, but they also have that negative 40 point I mean, I'm assuming those are 10 bucks each for those promo packs. I'm not totally sure hero mask grandiose super rare Dawkin is destroyer wolf lights worn a beast ultra rare That's a solid pull and elements will hero ocean also can be used in Edison e-emergency calls a good one But I don't think that that used to be like a dollar every time and don't think it is anymore Okay, raw yellow mega pack you gotta believe let's do this. Will we pull something big? Let's go We already got the cyber dragon though. So that's pretty good magical mallet. We've got the disc commander solid six samurai Come on E-emergency call. This is literally one of the best cards secret rare e-emergency call beautiful Crystal v's tow pass tiger maybe worth a little bit and card ejector So e-emergency call I think is a 20 plus dollar card very strong right there Okay, I just double-checked the price guide because we pulled that and I realized dimensional fishers actually the best card We've already pulled it. So we pulled that second is e-emergency call So those are both big money and then I noticed that I forgot neil's wiseman ultra rare and raw yellow mega pack Or excuse me and legendary collection two is huge money. That's the number one card. It's an ultra rare Whoa flame wingman seeker rare Wow, that is nice cash. I think this is a terrible one. But okay flame wingman That's gonna be worth a few bucks. We have so many card troopers now good thing They just reprinted it, you know as a regular rare in a collector rare set So there's a million of them everywhere, but you know still a nice card. Okay, raw yellow This is gonna be I bet both of these in up with over a hundred bucks in value That's my get a hundred bucks is a lot maybe like 75 something like that system now. We got fusion recovery I think gx easily. I think they're gonna win as of right now because with the 40 extra you bell is nice It's gonna be hard miracle fusion. Oh Aquari, so raw yellow. I think just has la quaria secret rare So this is the one we needed raw yellow mega pack glad to be so look la quaria is very very nice secret rare We have the crystal beast amber mammoth rainbowed our dragon and Mazuki, okay, very nice. That's a nice secret rare pull. We'll take that all day every day I need to open a couple times with rio mega pack back-to-backs. We have a couple extra packs glow moss very crazy card We got a sun zanji. I should say our rainbow runes. We got clear world super rare Another la quaria from the different set. That's insane. So we have back-to-back secret rare la quarias from different sets but yet they're the same card armors out of the cow's phantom and Crystal abundance pretty cool. So hey, that's both copies. You really need you might play through them. Who knows? All right, we're gonna do back-to-back raw yellows here and see if we can uh You know make a comeback because they're gonna need it. They're gonna need it on the scoreboard We have the element. They're destiny hero plasma. We have glad to be slainista. I don't even know that one really We have stratos. This is a few dollars. That's a pretty good one. Uh chimeritech overdragon rare double edged sword technique. It's an ultra Uh You can't make this up. That's three straight secret la quarias. That's an entire play set and then a light in dragon super rare Wow, what a wild set of packs right there Raial omega pack and legendary collection gx. We just pulled an entire set of la quaria. That's pretty cool And now we're going back to back on raw yellow so that we can have an even number of packs There's a mud ball man common test tiger a great common there magical mallet Venom and naga six samurai yoriza ultra rare Oversoul and destiny signal super rare. So hey, that's a test tiger. I think I think it was like five bucks Something like that. So that's big value. All right, let's do three up raw yellows because they did have four extra packs So this will let's will catch them up by two when we do this right here We have an offering to the snake deity burst in a strict common Rainbow gravity you bell the ultimate nightmare six samurai nisashi I feel like we have a whole six sam deck which is kind of bad because six sams are not very valuable or very good This is the third best card. So we've now pulled the top three cards of the set super polymerization secret rare And then crystal right ganky It's gonna be ironic if we pull like all the best cards and then like lose the legendary collection gx I guess that would prove gx is better. All right back to legendary collection gx being unlimited I mean, I don't know if that's gonna hurt it too much. It doesn't seem like it is We got prisma heroes bond malicious fiends super rare. We got you belts here incarnate So they are rares and raial omega pack their secrets in gx white knight dragon ultra rare and then dark hauling Probably used to be money, but I think it came out in what the uh, the bakora legendary duelist, right? Wasn't that it? What was it called? Immortal destiny or something? I'm pretty sure that was in that set So it's probably not worth much anymore, but we'll see judgment dragon jd right at the front We have great shogun shian rainbow gravity glad to be sport cherry. This was about 250 as a rare I think that was a ruckus special right past the uriza not a big deal. We have the crystal blessing not great crystal All right, gucky. Here's the problem. I think the main difference here between these two sets is in raial omega pack they made a couple of archetypes that are just not very good Into the secret rare. So they have like crystal beast and six m versus legendary collection gx and stuff like glad beast Mostly and stuff like that and then like the the big cards like cyber and dragon and the heroes So those aged a lot better in terms of value. There's a rare value speaking of value Super bolly. Oh, it's a mobile to super bolly. That's big Conventional prison. That's our third of that and then terra firma gravity So another huge pack for legendary collection gx and I think it does have to do a lot with the archetype state shows Yeah, the uh the six samurai and the crystal beast just can't compare with those iconic monsters plus the glad beast Which is a really popular deck, you know of all time basically thunder king rio another good common glad his return offering the snake deedy You belt big big rare. That's nice. Lumina also great card So lumina is a great choice like the lights ones is a good thing. They're still pretty popular Necro garden is a good secret rare and then light in dragon. I don't think light in dragon is too crazy But another cyber dragon and an avian altered. Okay, we're gonna do one more raw yellow to get him caught up We're getting toward not quite the end, but we have you know, we're getting there We have a thunder king rio here. It feels like there has been a lot of value pulled We have divine neos. I wonder if that's worth any money as a common Dis see this is see you're in the other set. It's just a rare here Uh future fusion great card. I don't know how much money it's worth. We've pulled like three crystal blessing That's pretty rough ruby carbuncle is a super Respite I where my ultra rare glad ear to be proving ground. That's what I need. Okay Legendary collection two it just like I I'm talking like I know the score It feels like legendary collection two is winning. I don't actually know that necro. It's shaman got aqua mios But it they could be that's gonna be a little bit random a chaos maybe because of the uh, you know Edison's decent cyber phoenix and hero flash. That was not a great pack So that's good if you are rooting for raw yellow mega pack. Um, that is good for them We have I would guess like six packs left of each so about 12 packs of our 44 We've opened today somewhat of a longer video. Hope you've enjoyed it Uh, we off to a weird start when you know, we didn't save the video But seems like it's working better now divine neos wing crew bill level nine I think 10 was big Instant fusion. That's worth a few bucks very nice neos alias also maybe a dollar and gran well I think we've got three of those rainbow neos could be also be good as a common Just feels like so many good cards. There's so much potential in these so much potential Who will pull it off? You guys might have probably a better idea than I do That's a big one. That's a big common. I think that's a few bucks We got a neos patient air hummingbird rocks a special pass the tempest Which is actually a good card to the alternate art spark man's secret rare and defensive tactics That's a glad beast card. Uh, very nice. Wow. That was a great pack I literally like can't stop for two seconds without having a great pack. This is insane But to be fair, I mean this was like a $300 box and these were like about 300 bucks for the form They actually came out really evenly. It's about $600 opening. So we should get some good stuff theoretically Uh stratus very nice mudball man. Uh, stratus is like 250. I think she in we've got glad to be sport Right that I think is 250 iru probably not much crystal beacon more crystal stuff That is the worst part. The secret rare slots are just rough and raw yellow mega pack It's really killing everything and then in here. It's like almost every secret rare is a banger So that's like the big difference to me. It seems like it's gonna be funny if they're actually losing Even with the secret rare slot like that counter attack rate woodsman super rare hoplumus. Okay another glad beast I'm happy about that. We got a octavius. You don't really use that one too much crystal blessing Hey, look, it's just a rare in this one not a freaking secret rare. So that's much better. Okay. I miscalculated There's actually six raw yellow mega pack left. Oh, there's five here. Okay, so there's 11 total So yeah, we can open this will be even that'll be perfect That'll make it work. All right system down magical mallet. We have test tiger and great common. Good We got you belter incarnate nice rare. We got a glad air poofing. I got poofing ground very nice radiator poofing ground Okay, oh over soul and emerald tortoise. So I asked for the proofing ground and I received it I don't know if you guys I've I've visioned this a few times But this is how you guys, you know learn how to open you just ask for what you want and then you pull it That's how it works. I mean, we've been doing it recently. We've got the bubble man Man, this is a crazy opening mud ball man. Super rare darkness destroyer white knight dragon and Crystal beak and just a rare. Okay, and all but yeah. Oh, yeah. Why was I doing that? Like there's gonna be a foil after that. I've opened like a hundred of these. Maybe that's why I'm just losing down to the last Eight packs. What will we pull? Oh, no 10 battery man? We're up all kinds of technical issues today All right phone is on low battery with tech for technical difficulties coming up. All right. We have uh, Raul mega pack our fifth to last pack here We have opened a whole box so far some pretty good pulls fusion recovery judgment dragons always awesome cyber in dragon Wolf lights from beast probably pretty solid neos alias number two I think and then the tortoise nothing too crazy there But pretty nice stuff eight total packs left. I want to know the score I can't wait to rewatch this video after my my editor is done editing it. I'm excited to see Oh, wow rucks and special. It's only the super rare goes away. We got the dread master No, uh, super rucks and specials today, though We got a destiny draw cyber dragon So we've got both versions of cyber dragon and hollow and of course the rare and then glad I just returned with the infernal Gainer cool raw yellow. I believe in you. You can do this the raw yellow mega pack We have card blocker. We have offering the snake deity power bond The phenomenon of the deity of the boys and the snakes. All right lumen and the lights weren't summoner Necro guard to see that's like one of the best secrets. I feel like it's kind of okay hero signal It's at least just not really bad rainbow neos also a great common I really wish rainbow neos was the price it was before it used to be like a $10 common like randomly So we would have like four of those which would be crazy lonely king rio a great common rainbow ruins chance chance They're super rare disc commander nice secret rare and crystal release not that great You know, they only put them in the ultra slots. There's a few bad ones there, but not too too bad raw yellow Will you be able to pull out the w this has been a very fun opening? I've enjoyed it the divine neos plasmos probably good linista level nine differential prison great pole. We've got a lot of those Secret rare malicious. I forgot this was in here. This is a great one actually Secret rare malicious one of the best secret rares cobalt ego. We got rainbow dragon Okay, yeah a bunch of a bunch of stuff in there with the old commons But yeah malicious is a really good one actually two backs to go We've actually pulled a lot of the good secrets just only like one copy of each We pulled a lot of the bad ones though survivor. We got lighter redemption. That's andre goon super Cis guys give her to that's not that great miracle fusion ultra and glow neos. This is the one that's like eight bucks So that's a huge rare So it's kind of a dud pack in terms of value and that definitely turned it around Miracle fuses a great card though So not like just bad cards But not very valuable because I think miracle fusion does have several prints and like hollow prints and stuff Two packs left of raw yellow mega pack. Will we get another malicious to make it, you know playable? You gotta have two of them come here attack over dragon Yai chi Destiny draw, okay, if you didn't dig some malicious and then the destiny and dragon is not bad either drink wait Dark in dragon. What am I saying? I'm mixing dragoon and destiny. Yeah, you know, I'm just falling apart guys One bag of each left because I think raw yellow is probably behind. I'm gonna let them go last Let's do a legendary collection two d counter. We have the elements over captain gold yoriza Magma neo splattered beast hoplumus our second one of those Rainbow dragon. We didn't get any bestie r or anything like that, but still a pretty good opening for glad beast We've got two of the proving ground as well. So not terrible one more raw yellow mega pack I don't know how much they're down. It could be close for all I know I think there's been a lot of value on both sides. Let's see. Maybe we can make a comeback right here Let's get something big. There's a there's several pretty big cards that we could pull We need like a crazy pack where the great secret great ultra all that stuff shun doji We have a elementary stratus. That's a good start. That's a 250 common groth, okay, not terrible six samurai zanji and not that great And a crystal beacon. All right, that sums it up pull a lot of crystal beast Not that crazy. We at least got a good common in there. I guess not too too bad But I think overall it was a pretty good battle. Here's the score You guys can see it on the screen with how close it was. I think it was pretty awesome It was a lot of value pulled in both of them. I'm gonna say gx one Oh, my guess we'll see if I'm right or not if you guys enjoyed it Make sure to subscribe to the channel for more epic versus battles like this Shout out to tone foe show daxer jt show puffins of doom redester dana dizzy flexi boy hoppers choice three through three My cycle james jance tcg cluster cards america deutcher supreme sage 21 Frankie martinez and in a tide show Ian moose and junior barting mimic echo shadowfall and thomas mclean Thank you guys for supporting the channel and i'll see you guys in the next one peace


Okay, it's your search button and go to sp 127 go a little slower in the beginning My suggestion is you hit either two or three I usually go three up to give me size Give it a little magnification which I will do and my approach to Menisci is that I work off the sagittal if it's a younger person first The coronal if it's an older person first why efficiency You're gonna fish where the fish are and where are the fish when you're 60 in the meniscus body? And where do you see the body best? coronal Where are the fish when you're 20 in the back or the front? So that's why we'll use the sagittal first in a younger person. It's expedient. It's faster. It's efficient It's gonna make you better Next thing I do as I look at the meniscal size I Look at the depth the volume and the position relative to the condyles Is it under the condyle or as it slipped out from under the condyle? So-called partial extrusion or pseudo extrusion In other words, is there good conformity and alignment? The very last thing I do by the way is look at the signal and I analyze the signal For its verticality Horizontality complexity. I look for areas of interruption like this one or Disappearance like this one in the sagittal projection meniscal ghosting the next thing I do is I compare the two menisci For intra meniscal signal the medial meniscus because of weight-bearing and the normal valgus inclination of the knee Always has more signal than the lateral meniscus until you get a bit older and things start to Dry out a little bit and your knee starts to change The conformity of your knee changes the convexity of the condyles change Now if I've identified a meniscus abnormality, I'm going to look at where it is. Is it at the root? Next to the root. Is it in the posterior horn the horn body junction the body the anterior body horn junction or the smaller anterior horn medial or lateral the Position of the tear It's not critical to the to the clinician, but it's nice to have the right location I'm also going to assess in the body whether the tears in the inner third middle third or outer third so called White white zone red white zone and red red zone. We could also see White white zone red white zone white white zone inner third middle third outer third I'm going to give it a length No I don't sit there with my Measurer and measure the tear because that takes me an extra two minutes if I do that ten times a day That's 20 minutes of measuring people that measure things all day long They're boring and they usually not sexually active. So let me show you what I do I know that the meniscus is going to be Approximately Six and a half to seven centimeters long. So if my tear is here, I just break it up into thirds It's in the back. It's about two centimeters two and a half centimeters. I'll say two to two and a half I've got another two centimeters here and another two centimeters here. So I'll give a range So if it goes all the way from stem to stern from root to root It's about a six to six and a half centimeter tear. It's got the whole meniscus So you can guesstimate it by looking at The length of the tear based on the number of slices or if you're comfortable with the anatomy Where you are on the meniscal target now The covering of the meniscus is a bit different in other words How much meniscus you have we'll see a little bit later depends on which side you're on the lateral on the medial side It's about 80 60 in terms of the amount of covering of the articular surface But once you lose the meniscus not good things happen now the Highland cartilage underneath vulnerable the bone underneath vulnerable The shape of the condyle vulnerable So I look at these secondary findings to decide is my meniscus tear relevant because you know what everybody over age 60 has a meniscus tear quite a few of you have an asymptomatic meniscus tear the menisci crack What else do I look at I look at whether that tear is unstable and needs surgery And we're gonna talk about that a little later on. What are those criteria? So this is our introduction to to the meniscus So now that we've identified This tear where is it? It's all the way in the back So if we're getting a series of sagittal slices, what's gonna happen slice slice slice We're gonna go through this hole and that's where we are right here in the hole a meniscus ghost It's gapped. How much is it gapped? We could measure it. You can eyeball it, too Don't like to measure a lot But that's about a seven or eight millimeter gap from side to side which helps determine whether you're gonna operate on it Is it in the inner third middle third or outer third? Well, all three thirds are affected that even though It's not as bad as that that doesn't look like that That's not a nice black triangle, but started on the inside and went to the outside It's a radial type of tear radial tears looking like this. It's also right near the meniscus root So radial tears are like this It's a type of vertical tear and it's pretty straight. So you usually see it on one cut. You're out of it You're in it. So if you scroll sagittally, you'll be out of it and in it very quickly All right, what else is associated with this tear?  That is extensive class two to three Conrad Malaysia over the tear no surprise there How about the subconrad bone? Multiple linear hypo intense foci in the sub cortical subconrad bone with osteoedema lots of osteoedema a Sub-cortical insufficiency fracture also known as a SIF It's a 48 year old female. She was running across the street and felt a pop. What do you think popped answer? I don't know but there's only two possibilities Her meniscus popped or her bone popped Yes, a sub cortical insufficiency fracture acute will be associated with a pop So one or both of those things occurred when she was running across the street To complete the exercise We should close the loop Lots of people run across the street and they don't get a meniscus tear and a fracture. She needs a dexa.  Where is this thing? Let's blow up our coronal. Let's make it as big as we can get it I'm gonna focus on these structures right here the roots The meniscus roots are ligamentous anchors in the back To the posterior tibia in the front to the tibial spines Some of these anchors sit in very close proximity to the cruciates for instance the anterior Root sits right at the base of the ACL and many people say that they merge There's the ACL. There's the root attachment More commonly because the medial meniscus is more rigid. It is more prone to medial root injuries What do medial root injuries lead to? Partial extrusion of the meniscus Meniscus not there anymore partially extruded what happens? Conrad Malaysia Subcortical insufficiency fracture it all goes together Soon as I see a I know I'm looking for B C D and E. I know before I even see it You can classify these root abnormalities by purely ligamentous There's a classification system out we'll share with you a little bit later But they can purely involve the ligament they can be within three millimeters of the ligament They can be three to six millimeters away from the ligament or greater than six millimeters away from the ligament Or they can completely disrupt the ligament and completely disrupt the meniscus tissue itself So you see you could have true tears of the actual ligament You can have true tears of the meniscus interfacing with the ligament next to the ligament a little further away from the ligament and These posterior lesions near the root are very important to identify and have only come into our stream of consciousness in the last decade so the diagnosis is posterior horn meniscus tear Adjacent to the root attachment within three to five millimeters of the root root attachment with a gap of Seven to eight millimeters trizonal with subjacent class two to three Condro Malaysia and weight-bearing subcortical insufficiency fracture or SIF that is your dictation That is your conclusion and it's going to be tight and brief