Bucket-Handle Tear of the Medial Meniscus in a 2-Year-Old Child

Abstract

Bucket-handle meniscal tears are extremely rare injuries in the pediatric population. Given the known sequelae of meniscal tears and the development of osteoarthritis, early diagnosis and treatment of pediatric meniscal tears are essential. The communication barrier between physicians and pediatric patients, however, creates difficulties in making the correct diagnosis of meniscal pathology. Providers should have a low threshold for obtaining further confirmatory advanced imaging if patients present with prolonged knee pain and swelling, with associated locking mechanical symptoms. Good clinical outcomes following meniscal repair have been observed, likely a result of the increased residual vascularity found within pediatric menisci. The youngest reported case of an isolated traumatic bucket-handle medial meniscal tear is examined in this article. A 2-year-old girl presented with right knee pain after a heavy object fell onto the knee several weeks earlier. On examination, the patient walked with a limp but lacked full range of active knee motion. The McMurray test elicited pain without a mechanical or palpable click. After the patient continued to exhibit limitations following conservative management, magnetic resonance imaging of the right knee was obtained, which showed a bucket-handle tear of the right medial meniscus. The patient subsequently underwent meniscal repair and, on recovery, was able to regain normal functioning of the right knee without limitations. [Orthopedics. 2018; 41(4):e580-e582.].

Short cracks in knee meniscus tissue cause strain concentrations, but do not reduce ultimate stress, in single-cycle uniaxial tension

“…Furthermore, repair of a torn meniscus, especially when the tear is in the inner avascular region, is not always feasible [1,10]. Some in vivo meniscus tears occur suddenly, suggestive of immediate rupture from a single overload event [11][12][13][14][15][16][17], whereas others grow over time [18,19]. Although short (less than 5-10 mm) tears often do not merit immediate clinical concern [15,[20][21][22], they have the potential to grow and become more serious with time.…”

Sports Rehabilitation in Athletes With Meniscal Lesions Based on Electroacupuncture Associated With Sports Therapy

“…13,14 The aim is to study the rehabilitation effect of electroacupuncture combined with exercise therapy on the meniscus injury of the knee joint of athletes, and compare with the difference analysis of the use of simple exercise therapy. 15,16…”

Management of a Lateral Meniscus Tear with Bucket-Handle Displacement in a Seven-Year-Old with Lateral Discoid Meniscus Morphology: A Case Report

“…The youngest reported bucket handle tears in the literature involved two and four-year-old patients. These both involved the medial meniscus (Nooh et al 2016;Fink et al 2018;Bloome et al 2000;Saddawi and Hoffman 1970). Another case report detailed a bucket handle tear of a lateral meniscus in a six-year-old girl treated with a subtotal meniscectomy.…”