Menisci congenital anomalies are rare morphologic abnormalities. The most frequently observed meniscal abnormality is discoid meniscus. Other congenital malformations including ring-shaped meniscus, accessory meniscus, double-layered meniscus, hypoplastic meniscus, and insertional abnormality are rare. The most frequently affected femoro-tibial compartment is the lateral one. We discuss a case of a 20 year-old male patient, whose Magnetic Resonance Imaging showed a bridging accessory bundle connecting the posterior cruciate ligament with the posterior horn of the medial meniscus. To the best of our knowledge the meniscal variation presented in this study was not described in any other study on meniscal abnormalities before. The recognition of meniscus variants is important as they can be misinterpreted for meniscal fragments or more significant pathology on magnetic resonance images.

Keywords: Knee; MRI; Anatomical meniscus variants