Bucket-handle meniscal tear

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Bucket-handle meniscal tears are a type of displaced longitudinal meniscal tear where the inner part is displaced centrally. They more commonly occur in the medial meniscus and are often associated with anterior cruciate ligament (ACL) tears.

Radiographic features

MRI

Bucket-hand tears can manifest as sensitive but not specific signs ¹:

absent bow tie sign
meniscal fragment in the intercondylar notch
double PCL sign (bucket-handle tears of the medial meniscus)
double ACL sign (bucket-hand tears of the lateral meniscus)
double anterior horn / flipped meniscus
disproportionately small posterior horn

~~-<li>double anterior horn / <a href="/articles/disproportionate-posterior-horn-sign-meniscal-tear">flipped meniscus</a>~~
+<li>
+<a title="double anterior horn sign" href="/articles/double-anterior-horn-sign">double anterior horn</a> / <a href="/articles/disproportionate-posterior-horn-sign-meniscal-tear">flipped meniscus</a>

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Image 9 MRI (PD fat sat) ( create )

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Bucket-handle meniscal tear

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Radiographic features

MRI

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