Both medial and lateral bucket-handle meniscus tears associated with chronic ACL injury: A rare presentation of triple-PCL sign.
Int J Surg Case Rep 2021;
87:106413. [PMID:
34537525 PMCID:
PMC8449230 DOI:
10.1016/j.ijscr.2021.106413]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 09/12/2021] [Accepted: 09/12/2021] [Indexed: 11/04/2022] Open
Abstract
Background
Several types of meniscal tear could be presented in both acute and chronic anterior cruciate ligament injury. The incidence of bucket-handle meniscus tears can be up to 30% of the overall meniscus tears cases. The case of both compartment (medial and lateral) bucket-handle meniscus is rarely occurred.
Case
A case of both medial and lateral bucket-handle meniscus tears was reported in a male of 21 years old. The patient also had a chronic anterior cruciate ligament injury. The magnetic resonance imaging also showed a rare presentation of the triple-PCL sign with the sagittal view. Arthroscopic surgery with a meniscus repair and anterior cruciate ligament reconstruction was performed on the patient.
Conclusions
Several specific imaging signs including triple-PCL sign could be presented in a rare case of both medial and lateral bucket-handle meniscus tears. Recognition of this sign is important to have accurate preoperative diagnosis and proper treatment plan.
Both medial and lateral meniscus bucket-handle tears is a rare case.
Several specific magnetic resonance imaging (MRI) findings can be showed in this special case.
This case presented a rare “triple-PCL sign” on sagittal MRI.
Arthroscopic surgical treatment performed to this patient.
Collapse