Bucket handle tear of medial menscus

Case contributed by Dr Ahmed Elowaidy


Knee pain after knee twisting.

Patient Data

Age: 30
Gender: Male

The sagittal images show a linear high signal within the posterior horn of the medial meniscus reaching to the inferior articular surface and meniscocapsular attachment suggestive of meniscal tear.


1. There is absent bow tie on 2 consecutive images, with a low signal structure that is seen in the intercondylar notch coursing inferior to the PCL (Double PCL sign) and can be traced to the medial meniscus, this suggest bucket handle tear of the MM.

2. The coronal images clearly confirm the diagnosis, and axial images beautifully demonstrate the bucket handle tear.

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Case information

rID: 24900
Published: 18th Sep 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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