Bucket Handle Tear Mri Radiology

Bucket handle meniscal tears are a type of displaced longitudinal meniscal tear where the inner part is displaced centrally.

Bucket handle tear mri radiology. Indicated with an arrow on image 1. A bucket handle tear is a full thickness tear of the meniscus that most often happens in the inner portion of your medial meniscus. Mri study is consistent with bucket handle tear of the medial meniscus. The double pcl sign appears on sagittal mri images of the knee when a bucket handle meniscal tear medial meniscus in 80 of cases flips towards the center of the joint so that it comes to lie anteroinferior to the posterior cruciate ligament pcl mimicking a second smaller pcl.

One is the double pcl sign which results from the displaced fragment moving into the intercondylar notch and appears like a second pcl anteroinferior to the pcl. A bucket handle tear is a longitudinal tear of a meniscus that results in a displaced but attached meniscal fragment. According to the wheeless textbook of orthopaedics bucket. Bucket hand tears can manifest as sensitive but not specific signs 1.

There are several key findings on mri. They more commonly occur in the medial meniscus and are often associated with anterior cruciate ligament acl tears.