Double PCL sign and ACL rupture

Case contributed by Dr Ian Bickle

Presentation

Keen sportsperson, including racket sports, despite her age. Recent twisting injury.

Patient Data

Age: 50 years old
Gender: Female
Modality: MRI

Double PCL sign.

Tear of anterior horn of the medial meniscus.

ACL tear - likely chronic.

Patellofemoral chondromalacia.

Small joint effusion.

Case Discussion

The double PCL sign is visulised in the context of a severe meniscal injury.  The flipped meniscal fragment lying anterior to the native PCL giving the impression of two parallel PCLs.

It can occur in conjunction with other injuries, such as an ACL tear as in this case.

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Case Information

rID: 30245
Case created: 28th Jul 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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