Bucket Handle Meniscal Tear-MRI

"The double PCL sign is associated with bucket-handle tears of the medial meniscus that occur in the presence of an intact anterior cruciate ligament (ACL). A bucket-handle tear is a longitudinal tear of a meniscus that results in a displaced but attached meniscal fragment. . The fragment may become displaced into the notch between the PCL and the medial tibial eminence in the midline, with the fragment orientated parallel to the PCL." Reference- November 2004 Radiology, 233, 503-504.

In our case of running injury this sign is well seen on the sagittal images and confirmed on coronal images.

Parameniscal cyst

Parameniscal cysts occur relatively infrequently. They are usually associated with horizontal cleavage tears. However, isolated cysts without meniscal pathology have also been reported.

Dr.Sumer K Sethi, MD

Sr Consultant Radiologist ,VIMHANS and CEO-Teleradiology Providers

Editor-in-chief, The Internet Journal of Radiology

Director, DAMS (Delhi Academy of Medical Sciences)