Bucket handle tear - medial meniscus

Case contributed by Yazane Abdallah
Diagnosis certain


Trauma a few days ago, presenting now with knee locking and pain.

Patient Data

Age: 20 years
Gender: Male
  • Longitudinal tear involving the anterior horn, body, and posterior horn of the medial meniscus, with a displaced meniscal fragment in the intercondylar notch in keeping with bucket handle tear. The tear is giving the double PCL sign on sagittal images.

  • Fluid at the site of the ACL femoral attachment on coronal PD fat sat images in keeping with a complete tear of the ACL, and giving the empty notch sign.

  • Anterior translation of the tibia relative to the femur on sagittal images (anterior tibial translocation sign).

  • Mild joint effusion.

Annotated image
  • Blue arrow: double PCL sign

  • Red arrow: empty notch sign

  • Yellow lines: anterior tibial translocation sign

Case Discussion

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