Bucket-handle meniscal tear

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Bucket-handle meniscal tears are a type of displaced vertical 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 - on sagittal view
double PCL sign (bucket-handle tears of the medial meniscus) - on sagittal view
double ACL sign (bucket-hand tears of the lateral meniscus) - on sagittal view
double anterior horn / flipped meniscus - on sagittal view
double delta sign- on sagittal view
disproportionately small posterior horn - on sagittal view
meniscal fragment in the intercondylar notch - on coronal view
truncation and small size of body of meniscus on coronal images - on coronal view

+<li>
+<a title="Double delta sign (meniscal tear)" href="/articles/double-delta-sign-meniscal-tear">double delta sign</a>- on sagittal view</li>

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Image 10 MRI (PD fat sat) ( create )

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Bucket-handle meniscal tear

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Radiographic features

MRI

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