European Radiology

, Volume 13, Supplement 6, pp L181–L184

Reversed double PCL sign: unusual location of a meniscal fragment of the knee observed by MR imaging



A 36-year-old woman with tears of the anterior cruciate ligament and medial meniscus received a meniscectomy. The MR images obtained prior to the partial meniscectomy showed a bucket-handle meniscal tear with centrally displaced fragment lying anterior to the posterior cruciate ligament (PCL), representing a "double PCL sign"; however, after the meniscectomy, MR images demonstrated a fragment in the space posterior to the PCL where no structure is generally recognized except for the ligament of Wrisberg. This article reports a "reversed" double PCL sign, caused by inadequate surgical clearance of a bucket-handle tear of the medial meniscus.


Knee Anatomy Meniscus MRI 


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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Department of Radiology, Institute of Clinical MedicineUniversity of TsukubaTennodai, Tsukuba, IbarakiJapan
  2. 2.Department of Orthopedic Surgery, Institute of Clinical MedicineUniversity of TsukubaTennodai, Tsukuba, IbarakiJapan

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