Bucket handle meniscal tear

Case contributed by Dr Sakher Alkhaderi

Presentation

Knee pain and swelling following a twisting injury since few days

Patient Data

Age: 20 years
Gender: Male
MRI

The coronal T1 images demonstrate longitudinal tear in the posterior horn of the medial meniscus with displaced inner meniscal fragment along the medial aspect of the intercondylar notch. The sagittal PD images demonstrate double PCL sign and deformity and enlargement of the anterior horn of the medial meniscus, appearances are consistent with bucket handle tear of the medial meniscus.

Case Discussion

Bucket handle tears (BHT) are dispalced vertical longitudinal tears and usually involve the medial meniscus, the separated inner fragment when viewed axially resembles the hand of a bucket and the remaining large peripheral portion resembles the bucket, these tears account for about 10% of the meniscal tears and are usually seen in young adults with history of locking .  

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Case information

rID: 42059
Case created: 4th Jan 2016
Last edited: 4th Jan 2016
Inclusion in quiz mode: Included

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