Bucket-Handle Meniscal Lesions: Magnetic Resonance Imaging Criteria for Reparability

Thoreux, Patricia; Réty, F.; Nourissat, Geoffroy; Rivière, Xavier; Safa, Patrick; Durand, Sébastien; Masquelet, Alain-Charles

doi:10.1016/j.arthro.2006.04.111

Cited by 27 publications

(32 citation statements)

References 27 publications

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“…Finally, we excluded all patients with MRI more than 3 months before arthroscopy, given that a noted weakness of previous studies was the possibility of additional injury to the meniscus during the interval between MRI and surgery. 14 Nourissat et al 10 recently published results suggesting that they were able to use MRI to correctly predict reparability in 90 of 100 cases of meniscal tear. Their report of a sensitivity of 94% in predicting meniscal tear reparability is in stark contrast to our results.…”

Section: Discussionmentioning

confidence: 99%

“…1 Although MRI is sensitive and specific for diagnosing meniscal tears, there has been much debate regarding whether it can be used to predict tear reparability. 8,14 Given that meniscal repair portends a significantly longer rehabilitation period with more postoperative restrictions, the ability to inform a patient whether his or her tear is likely to be repaired would be valuable information to mitigate expectations and help the patient prepare for postoperative recovery. The additional operating room time and surgical equipment required for repair means that accurate foresight of the procedure would be valuable to the surgeon, hospital administration, and operating room staff.…”

Section: Discussionmentioning

confidence: 99%

“…9 In fact, some groups have published studies showing that modern scanners allow the accurate prediction of meniscal tear reparability in at least some subsets of patients. 10,14 In this study, we evaluated the ability of 2 senior musculoskeletal radiologists to use MRI to predict the reparability of 119 meniscal tears in patients between 16 and 40 years of age, using established arthroscopic criteria of reparability. We evaluated the sensitivity, specificity, positive predictive value, and negative predictive value of MRI as a predictor of reparability when used in experienced hands, as well as the intraobserver reliability among seasoned musculoskeletal radiologists.…”

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confidence: 99%

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Can the Reparability of Meniscal Tears Be Predicted With Magnetic Resonance Imaging?

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Can the Reparability of Meniscal Tears Be Predicted With Magnetic Resonance Imaging?

et al. 2010

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“…Thoreux et al [16] demonstrated that MRI plays an important role in predicting the reparability of a tear. Despite the great contribution of MRI, however, arthroscopy remains the gold standard for the diagnosis, offering at the same time suggestions for treatment.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bicompartmental bucket-handle meniscal tears with intact anterior cruciate ligament: a case report

et al. 2010

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IntroductionBucket handle tear of the menisci is a common type of lesion resulting from injury to the knee joint. Bucket handle injury of both menisci in almost all cases is associated with a lesion to either the anterior or the posterior cruciate ligament of the knee joint. We describe a case of acute bucket-handle tear of the medial and lateral menisci with intact anterior and posterior cruciate ligaments in a dancer. To the best of our knowledge, there are no previous reports of this type of injury in the literature.Case presentationA 28-year-old Caucasian Greek woman presented to the emergency department after sustaining an injury to her right knee during dancing. An MRI evaluation demonstrated tears in both menisci of the right knee, while the anterior and posterior cruciate ligaments were found to be intact. A partial medial and lateral meniscectomy was then performed. At a follow-up examination six months after her injury, clinical tests demonstrated that our patient's right knee was stable, had a full range of motion and had no tenderness. She was satisfied with the outcome of the operation and returned to her pre-injury activities.ConclusionWe present the first case in the literature that describes a combined bucket-handle injury of both the medial and lateral menisci with an intact anterior cruciate ligament. The clinical examination of the anterior cruciate ligament was unremarkable, with no signs of deficiency or rupture. The posterior cruciate ligament was also intact. On magnetic resonance imaging, the ligaments were visualised as intact in all their length. These findings were confirmed by arthroscopic evaluation.

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“…Meniscal tears less frequently occur in young patients under the age of 18 years1). Bucket-handle tears take approximately 10% of all meniscal tears, and medial meniscal tears are three times more common than lateral tears2).…”

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confidence: 99%

Spontaneous Healing of a Displaced Bucket-Handle Tear of the Lateral Meniscus in a Child

Han

Song

Kwon

et al. 2015

Knee Surg Relat Res

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Bucket-handle tears less frequently occur in the lateral meniscus than in the medial meniscus. An 11-year-old male patient complained of painful swelling and locking due to a displaced bucket-handle tear of the lateral meniscus. We recommended an arthroscopic surgery; however, the patient left the hospital without surgical treatment. Six weeks afterwards, he returned without any complain of pain and he regained full range of motion. The final follow-up magnetic resonance imaging showed reduction of the torn meniscal fragment without any signal changes suggestive of a meniscal tear. We report a rare case of an isolated displaced bucket-handle tear of the lateral meniscus in an 11-year-old patient that healed spontaneously without surgical intervention.

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Bucket-Handle Meniscal Lesions: Magnetic Resonance Imaging Criteria for Reparability

Cited by 27 publications

References 27 publications

Can the Reparability of Meniscal Tears Be Predicted With Magnetic Resonance Imaging?

Can the Reparability of Meniscal Tears Be Predicted With Magnetic Resonance Imaging?

Simultaneous bicompartmental bucket-handle meniscal tears with intact anterior cruciate ligament: a case report

Spontaneous Healing of a Displaced Bucket-Handle Tear of the Lateral Meniscus in a Child

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