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The Journal of Knee Surgery Reports 2015; 1(01): 021-024
DOI: 10.1055/s-0034-1399758
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Anterior Cruciate Ligament Injury with Medial and Lateral Bucket-Handle Meniscus Tears

Joseph J. Fazalare
1   OSU Sports Medicine, The Ohio State University, Columbus, Ohio
2   The Sports Health and Performance Institute, The Ohio State University, Columbus, Ohio
3   Department of Orthopaedics, The Ohio State University Medical Center, Columbus, Ohio
,
Jason Payne
4   Department of Radiology, The Ohio State University Medical Center, Columbus, Ohio
,
Stephanie L. Stradley
3   Department of Orthopaedics, The Ohio State University Medical Center, Columbus, Ohio
,
Thomas M. Best
1   OSU Sports Medicine, The Ohio State University, Columbus, Ohio
5   Department of Family Medicine, The Ohio State University Medical Center, Columbus, Ohio
,
Joseph Yu
4   Department of Radiology, The Ohio State University Medical Center, Columbus, Ohio
,
David C. Flanigan
1   OSU Sports Medicine, The Ohio State University, Columbus, Ohio
2   The Sports Health and Performance Institute, The Ohio State University, Columbus, Ohio
3   Department of Orthopaedics, The Ohio State University Medical Center, Columbus, Ohio
› Author Affiliations
Further Information

Publication History

09 May 2013

12 July 2014

Publication Date:
29 January 2015 (online)

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Abstract

We report the case of a healthy 31-year-old female professional billiard player presented with a 5-day history of severe left knee pain after a fall. A magnetic resonance imaging of the left knee showed that she had suffered an anterior cruciate ligament (ACL) rupture along with buckle-handle tears of both the medial and lateral meniscus. Both of these menisci had flipped anterior and centrally to the femoral condyles and were lodged in the notch. The patient had also suffered a mild injury to the medial collateral ligament. Repair of both menisci was performed using an inside-out technique. Following this, an ACL reconstruction was done using a quadrupled hamstring autograft. Endobutton fixation (Smith & Nephew, Andover, MA) was used on the femur with a screw and sheath used for tibial fixation. The patient tolerated the procedure well and was sent home the same day. This case demonstrates the typical signs and symptoms of a displaced bucket-handle meniscus tear as well as imaging and arthroscopic pictures.

Keywords

meniscus - ACL rupture - bucket-handle meniscal tear - MRI
 

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