Bucket-handle meniscal tear

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Bucket-handle meniscal tears are a type of displaced longitudinal 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
~~meniscal fragment in the intercondylar notch~~ - 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
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 href="/articles/absent-bow-tie-sign-knee">absent bow tie sign</a></li>~~
~~-<li>meniscal fragment in the intercondylar notch</li>~~
~~-<a href="/articles/double-pcl-sign">double PCL sign</a> (bucket-handle tears of the medial meniscus)</li>~~
+<a href="/articles/absent-bow-tie-sign-knee">absent bow tie sign</a> - on sagittal view</li>
~~-<a href="/articles/double-acl-sign">double ACL sign</a> (bucket-hand tears of the lateral meniscus)</li>~~
+<a href="/articles/double-pcl-sign">double PCL sign</a> (bucket-handle tears of the medial meniscus) - on sagittal view</li>
~~-<a title="double anterior horn sign" href="/articles/double-anterior-horn-sign">double anterior horn</a> / <a href="/articles/disproportionate-posterior-horn-sign-meniscal-tear">flipped meniscus</a>~~
~~-</li>~~
~~-<li>disproportionately small posterior horn</li>~~
+<a href="/articles/double-acl-sign">double ACL sign</a> (bucket-hand tears of the lateral meniscus) - on sagittal view</li>
+<li>
+<a href="/articles/double-anterior-horn-sign">double anterior horn</a> / <a href="/articles/disproportionate-posterior-horn-sign-meniscal-tear">flipped meniscus</a> - on sagittal view</li>
+<li>disproportionately small posterior horn - on sagittal view</li>
+<li>meniscal fragment in the intercondylar notch - on coronal view</li>
+<li>truncation and small size of body of meniscus on coronal images - on coronal view</li>

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Bucket-handle meniscal tear

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