Bucket-handle tear and ACL tear

Case contributed by Luu Hanh
Diagnosis almost certain


Right knee trauma.

Patient Data

Age: 35 years
Gender: Male

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.  

Annotated image

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.