Volume 13, Supplement 6, L181-L184, DOI: 10.1007/s00330-003-1874-z

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the European Society of Radiology

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

Mamoru Niitsu, Kotaro Ikeda and Yuji Itai

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Abstract

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.

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