The diagnosis of bucket handle tear usually is made when a torn displaced meniscus fragment is identified around the anterior horn or adjacent to the PCL. Pseudohypertrophy of the anterior horn of the lateral meniscus or double delta sign is commonly described in bucket handle tear of the lateral meniscus. It postulated that the ACL will act as a barrier preventing the displaced lateral meniscus fragment to enter the intercondylar region due to the close location between the ACL and the lateral meniscus.  Double PCL sign, on the other hand, is usually seen in case of displaced tear of the medial meniscus.