Development of a bucket-handle lateral meniscus tear

Case contributed by Dr C. Igler

Presentation

Knee pain after rupture of the anterior cruciate ligament 6 years ago. No preceding anterior ligament reconstruction.

Patient Data

Age: 25 years
Gender: Female

Old tear of the anterior cruciate ligament from an injury 6 years ago.

A vertical hyperintense zone of the posterior horn of the lateral meniscus can be seen in the T1-sequence.

MRI

Follow-up MRI after 7 months

Anteromedial displaced bucket-handle tear of the posterior horn of the lateral meniscus.

Case Discussion

This case shows the development of a bucket-handle tear. The patient had a vertical hyperintense zone in the posterior horn of the lateral meniscus (sagittal T1). Within 7 months a vertical tear developed with longitudinal extension and medial displacement. Bucket-handle tears are most common at the posterior horn of the medial meniscus.

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Case information

rID: 42008
Published: 8th Feb 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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