Both medial and lateral bucket-handle meniscus tears associated with chronic ACL injury: A rare presentation of triple-PCL sign

Asep Santoso; Cakradenta Yudha Poetera; Hasmeinda Marindratama; Jiva Yori Anugrah; Iwan Budiwan Anwar; Tangkas S M H S Sibarani

doi:10.1016/j.ijscr.2021.106413

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 Oct:87:106413. doi: 10.1016/j.ijscr.2021.106413. Epub 2021 Sep 15.

Authors

Asep Santoso¹, Cakradenta Yudha Poetera², Hasmeinda Marindratama², Jiva Yori Anugrah², Iwan Budiwan Anwar³, Tangkas S M H S Sibarani³

Affiliations

¹ Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; Division of Adult Reconstructive Surgery and Sport Injury, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia. Electronic address: asepsantoso@gmail.com.
² Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
³ Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; Division of Adult Reconstructive Surgery and Sport Injury, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia.

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.

Keywords: Bucket-handle tear; Meniscus; Triple-PCL sign.