Anterior cruciate ligament tear and Bucket handle tear of medial meniscus
Diagnosis almost certain
Presentation
Twisting injury of the knee.
Patient Data
Age: 50 years
Gender: Male
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Complete tear of anterior cruciate ligament.
Bucket handle tear of medial meniscus, with medial transposition of torn fragment giving double posterior cruciate ligament appearance (double PCL sign) and fragment in notch sign. Displaced meniscal fragment anteriorly giving double delta sign.
Moderate knee joint effusion.
Moderate osteoarthritic changes are seen as areas of chondral loss, and subchondral cystic changes.
Intrasubstance high T2 signal along the medial collateral ligament reflecting grade 1 injury.
Diffuse subcutaneous edema.
Case Discussion
MRI features of anterior cruciate ligament complete tear and bucket handle tear of medial meniscus.
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