Anterior cruciate ligament tear, Wrisberg rip and bucket-handle tear of medial meniscus
Diagnosis almost certain
Presentation
Previous twisting injury.
Patient Data
Age: 30 years
Gender: Female
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Joint effusion.
Proximal fibers of the anterior cruciate ligament are not identifiable and the course of the distal fibers is horizontal, in keeping with a complete ACL tear.
A longitudinal vertical tear of the posterior horn of the lateral meniscus, extending from the attachment of the ligament of Wrisberg anteriorly to the junction of the meniscal posterior horn and body.
A bucket-handle tear of the medial meniscus.
Additional finding of trochlear dysplasia - Dejour type C, with a prominent lateral facet and a hypoplastic medial facet.
Case Discussion
This case presents a complete ACL tear and injuries which are often associated with this type of injury:
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