Pivot shift injury

Case contributed by Islam Aly Abouzid
Diagnosis certain

Presentation

Sport Injury ?ACL injury.

Patient Data

Age: 20 years
Gender: Male
mri

Pivot-shift marrow edema of the lateral knee compartment is noted. Osseous edema of the medial tibial plateau is also noted.

Complete ACL tear with mild anterior tibial translation is detected.

A bucket-handle tear of the medial meniscus is detected.

The lateral meniscus, PCL, collateral ligaments and extensor tendons are intact.

The chondral surfaces are preserved.

Mild joint effusion is noted.

Case Discussion

In summary, MRI findings are consistent with a pivot-shift injury mechanism with complete ACL tear and bucket-handle tear of the medial meniscus.

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