Medial meniscus bucket handle tear with ACL tear

Case contributed by Islam Aly Abouzid
Diagnosis certain

Presentation

Left knee pain- clicking, twisted his knee at work.

Patient Data

Age: 45 years
Gender: Male

Bucket handle tear of the posterior horn of the medial meniscus with double PCL sign is present and a meniscal fragment seen in the intercondylar notch.

Fuzzy ill-defined ACL with complete fibers disruption denoting a complete tear. 

Moderate joint effusion.

Focal partial cartilage defect is seen at the patella, keeping with Grade III chondromalacia patellae.

Case Discussion

There is a common association between bucket handle meniscal injury with ACL tear.

In this case, the absence of bone marrow edema is suggestive of chronicity.

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