Why is a meniscocapsular junction lesion significant?
Meniscocapsular junction tears are generally 'occult', and can be totally missed during arthroscopy unless the surgeon follows a meticulous system of examination.
Damage to the area where the meniscus is tethered to the capsule may be missed on an MRI scan, and cannot be seen during arthroscopy without probing. So it may go unrecognised - commonly when there is a concomitant ligament injury (eg ACL) dominating the clinical picture. Their significance become apparent when knee laxity continues despite ligament reconstruction.
"....this type of injury is often missed, both during MRI reading and due to its "blind" point of arthroscopic vision....[and]....may lead to meniscocapsular or meniscotibial disruption....."