Abstract
We report the second known case of bicompartmental bucket-handle tears of the medial and lateral menisci and the first documented case of the bucket-handle tears occurring simultaneously following trauma, which occurred after a motorcycle accident. Both bucket-handle fragments were displaced into the intercondylar notch. An anterior cruciate ligament tear was also present. Coronal images demonstrated four structures in the intercondylar notch: the anterior and posterior cruciate ligaments and the medial and lateral bucket-handle meniscal fragments.
Similar content being viewed by others
References
Weiss KL, Morehouse HT, Levy IM. Sagittal MR images of the knee: a low-signal band parallel to the posterior cruciate ligament caused by a displaced bucket-handle tear. AJR Am J Roentgenol 1991; 156:117–119
Wright DH, De Smet AA, Norris M. Bucket-handle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments. AJR Am J Roentgenol 1995; 165:621–625
Stoller DW, Tirman PFJ, Bredella MA, Beltran S, Branstetter RM, Blease SCP. In: Stoller DW, editor. Diagnostic imaging orthopaedics, 1st ed. Salt Lake City, UT, USA: Amirsys; 2004. p. 530–533
Stoller DW, Cannon WD, Anderson LJ. The knee. In: Stoller DW, editor. Magnetic resonance imaging in orthopaedics and sports medicine, 2nd ed. Philadelphia: Lippincott-Raven; 1997. p. 223–277
Brammer H, Sover E, Erickson S, Stone J. Simultaneous identification of medial and lateral bucket-handle tears: the Jack and Jill lesion. AJR Am J Roentgenol 1999; 173:860–861
Rosenberg TO, Pavlos LE. Arthroscopic surgery of the knee. In: Chapman MW, editor. Operative orthopaedics, 2nd ed. Philadephia: Lippincott; 1993. p. 2404
Dorsay TA, Helms CA. Bucket-handle meniscal tears of the knee: sensitivity and specificity of MRI signs. Skeletal Radiol 2003; 32:266–272
Aydingoz U, Firat AK, Atay OA, Doral MN. MR imaging of meniscal bucket-handle tears: a review of signs and their relation to arthroscopic classification. Eur Radiol 2003; Mar 13:618–25
Magee TH, Hinson GW. MRI of meniscal bucket-handle tears. Skeletal Radiol 1998; 27:495–499
Helms CA, Laorr A, Cannon WD Jr. The absent bow tie sign in bucket-handle tears of the menisci in the knee. AJR Am J Roentgenol 1998; 170:57–61
Watt AJ, Halliday T, Raby N. The value of the absent bow tie sign in MRI of bucket-handle tears. Clin Radiol 2000; 55:622–626
Singson RD, Feldman F, Staron R, Kiernan H. MR imaging of displaced bucket-handle tear of the medial meniscus. AJR Am J Roentgenol 1991; 156:121–124
Haramati N, Staron RB, Rubin S, Shreck EH, Feldman F, Kiernan H. The flipped meniscus sign. Skeletal Radiol 1993; 22:273–277
Chen HC, Hsu CY, Shih TT, Huang KM, Li YW. MR imaging of displaced meniscal tears of the knee. Importance of a “disproportional posterior horn sign”. Acta Radiol 2001; 42:417–421
Binfield PM, Maffulli N, King JB. Patterns of meniscal tears associated with anterior cruciate ligament lesions in athletes. Injury 1993; 24:557–561
Barry KP, Mesgarzadeh M, Triolo J, Moyer R, Tehranzadeh J, Bonakdarpour A. Accuracy of MRI patterns in evaluating anterior cruciate ligament tears. Skeletal Radiol 1996; 25:365–370
Tandogan RN, Taser O, Kayaalp A, Taskiran E, Pinar H, Alparslan B, Alturfan A. Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears: relationship with age, time from injury, and level of sport. Knee Surg Sports Traumatol Arthrosc 2004; 12:262–270
Smith JP 3rd, Barrett GR. Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med 2001; 29:415–419
Nikolic DK. Lateral meniscal tears and their evolution in acute injuries of the anterior cruciate ligament of the knee. Arthroscopic analysis. Knee Surg Sports Traumatol Arthrosc 1998; 6:26–30
Cipolla M, Scala A, Gianni E, Puddu G. Different patterns of meniscal tears in acute anterior cruciate ligament (ACL) ruptures and in chronic ACL-deficient knees. Classification, staging and timing of treatment. Knee Surg Sports Traumatol Arthrosc 1995; 3:130–134
Mitsou A, Vallianatos P. Meniscal injuries associated with rupture of the anterior cruciate ligament: a retrospective study. Injury 1988; 19:429–431
Bomberg BC, McGinty JB. Acute hemarthrosis of the knee: indications for diagnostic arthroscopy. Arthroscopy 1990; 6:221–225
Hardaker WT Jr, Garrett WE Jr, Bassett FH 3rd. Evaluation of acute traumatic hemarthrosis of the knee joint. South Med J 1990; 83:640–644
Sarimo J, Rantanen J, Heikkila J, Helttula I, Hiltunen A, Orava S. Acute traumatic hemarthrosis of the knee. Is routine arthroscopic examination necessary? A study of 320 consecutive patients. Scand J Surg 2002; 91:361–364
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bugnone, A.N., Ramnath, R.R., Davis, S.B. et al. The quadruple cruciate sign of simultaneous bicompartmental medial and lateral bucket-handle meniscal tears. Skeletal Radiol 34, 740–744 (2005). https://doi.org/10.1007/s00256-005-0915-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-005-0915-x