Anterior cruciate ligament tear and bucket-handle meniscal tear

Case contributed by Mate Kover
Diagnosis certain

Presentation

Pain and locked knee after a soccer injury.

Patient Data

Age: 50 years
Gender: Male

No fracture is seen.  The lateral femoral notch sign suggests anterior cruciate ligament tear ( the depth is 1,9 mm).

The anterior cruciate ligament lost its continuity, heterogeneous. The posterior cruciate ligament looks normal.

Case Discussion

The patient was injured during soccer. On the x-ray, no fracture was seen, a large amount of fluid in the knee joint and the lateral femoral notch sign suggested anterior cruciate ligament tear. The MRI examination confirmed the complete tear of the anterior cruciate ligament and showed a displaced, bucket-handle medial meniscal tear. The ruptured ACL was repaired surgically, and also medial meniscectomy was done.

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