Lateral meniscus bucket handle tear with ACL tear and double PCL

Case contributed by Dr Amr Farouk

Presentation

Recent history of trauma.

Patient Data

Age: 17 years
Gender: Male

Lateral meniscus bucket handle tear with a non-visualized posterior horn in place, absent bow
tie sign of the meniscus, flipped meniscus sign and double PCL sign. The ACL is not seen near its femoral attachment while the rest of its fibers are seen sagging inferiorly with intra-substance areas of high signal intensity in all pulse sequences.

Associated patchy areas of marrow edema pattern are seen involving the lateral femoral
condyle and the tibial condyles.(bone marrow contusions).

Mild left knee joint effusion.

Case Discussion

A lateral meniscus bucket handle tear with flipped meniscus sign and absent bow tie sign.

The presence of double PCL sign with lateral meniscus bucket handle tear occurs in the presence of torn ACL as demonstrated in this case.

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Case information

rID: 57921
Published: 22nd Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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