Bucket handle tear - lateral meniscus

Case contributed by Mohamed Mahmoud Elthokapy


Knee twisting trauma two weeks ago, complaining of knee pain and locking.

Patient Data

Age: 30 years
Gender: Male

Non-visualized posterior horn of the lateral meniscus which is seen ventrally flipped into the anterior central compartment of the joint cavity with a double delta sign and pseudo hypertrophy of the anterior horn. Also, loss of normal bow tie appearance of the meniscal body in the lateral sagittal planes. Changes are keeping with the lateral meniscus displaced bucket handle tear.

Case Discussion

A bucket handle tear is a displaced tear from the part of the meniscus being flipped into the non-anatomical region.

The medial meniscus is more commonly involved, unlike this case where the lateral meniscus is involved with a double delta sign.

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