Presentation
Recent sports injury. Suspected medial meniscal tear.
Patient Data
Age: 25 years
Gender: Male
From the case:
Bucket-handle medial meniscal tear
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- Bucket-handle tear of the medial meniscus with consequent absent bow-tie sign, and double PCL sign due to the medially displaced fragment coursing next to the PCL (see annotated images).
- Moderate knee joint effusion.
From the case:
Bucket-handle medial meniscal tear
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Annotated images: long arrow: PCL, short arrow: bucket-handle flap
Case Discussion
The absent bow tie sign is specific to the sagittal plane images, whilst the double PCL sign is usually well demonstrated in all three imaging planes.