Double PCL sign

Case contributed by Varun Babu
Diagnosis certain

Presentation

Twisting injury followed by locking of knee.

Patient Data

Age: 25 years
Gender: Male
mri

Reduction in volume of posterior horn of medial meniscus with third fragment seen in intercondylar notch parallel to the posterior cruciate ligament limited by a smaller caliber ACL. 

Case Discussion

Double PCL sign is pathognomonic for bucket handle tear of meniscus. 

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