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Authors
Mamoru Niitsu1, Kotaro Ikeda2, Yuji Itai1

1University of Tsukuba Department of Radiology, Institute of Clinical Medicine 305-8575 Tennodai, Tsukuba, Ibaraki Japan 305-8575 Tennodai, Tsukuba, Ibaraki Japan
2University of Tsukuba Department of Orthopedic Surgery, Institute of Clinical Medicine 305-8575 Tennodai, Tsukuba, Ibaraki Japan 305-8575 Tennodai, Tsukuba, Ibaraki Japan

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.

Keywords
Knee, Anatomy, Meniscus, MRI


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Referenced by
13 newer articles

  1. Namasivayam, Saravanan (2006) Adverse reactions to intravenous iodinated contrast media: a primer for radiologists. Emergency Radiology 12(5)
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  4. Yoo, Jae Ho (2007) Posterior double PCL sign: a case report of unusual MRI finding of bucket-handle tear of medial meniscus. Knee Surgery Sports Traumatology Arthroscopy
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