Bucket-handle tear of the lateral meniscus - flipped meniscus sign


Findings are consistent with a bucket-handle tear (flipped meniscus).

In this case the bucket handle tear involves the body and posterior horn of the lateral meniscus and in the sagittal plane, the following signs can be seen:

  • flipped meniscus sign, due to displaced meniscal body posterior to the anterior horn
  • empty meniscus sign in the posterior third, due to displaced posterior horn into the intercondylar notch
  • absent bow-tie sign, due to less than two sagittal consecutive slices demonstrating the normal body of the meniscus