Presentation
Right knee trauma.
Patient Data
Age: 35 years
Gender: Male
From the case:
Bucket-handle tear and ACL tear
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Axial PD fat sat
MRI shows chronic completed ACL tear. The bucket handle tear of the medial meniscus with the fragment in the intercondylar notch, double PCL sign.
Knee joint effusion.
From the case:
Bucket-handle tear and ACL tear
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Red arrow: meniscal fragment in the intercondylar notch. Green arrow: double PCL sign. Pink arrow: flipped meniscus reminiscent of "bucket-handle".
Case Discussion
MR findings are consistent with the typical features of the bucket-handle medial meniscal tear with the fragment in notch sign and double PCL sign.
Bucket handle meniscal tears more commonly occur in the medial meniscus and are often associated with an anterior cruciate ligament tear.
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