Typical features of a bucket handle meniscal tear include:

• commoner at medial versus lateral meniscus
• truncation and small size of body of meniscus on coronal images
• "Double PCL sign" on sagittal view

In a suspected case of ACL rupture, the radiologist must:

• evaluate integrity of the ACL on sagittal, coronal, and axial images
• look for associated injuries to posterolateral corner structures, medial collateral ligament, or menisci
• closely inspect the posterior horn lateral meniscus, including the attachment site of meniscofemoral ligament for subtle evidence of tearing