Simultaneous identification of medial and lateral bucket-handle tears: the Jack and Jill lesion.

Locked Bucket Handle Tears of the Medial and Lateral Menisci with Associated Chronic ACL Deficiency

“…All reported cases are of young adults (16-38 years of age) and have followed a traumatic event occurring at some stage prior to presentation -these included twist injuries sustained during skiing, football, basketball, biking and dance activities, one motorcycle accident, and one fall from a height [3][4][5][6][7][8][9][10][11][12]. Our patient sustained his initial and presenting injuries playing football, in both cases describing a high impact twist mechanism.…”

“…Bi-compartmental bucket handle tears have been described as either an acute injury, where both menisci are injured during a single event [3][4][5][6][7][8][9][10], or as part of a chronic picture with multiple episodes of giving way, clicking and catching episodes [11,12]. In addition, they are described in association with both ACLdeficient [3][4][5][6][7][8]11,12], and ACL-intact knees [9,10].…”

“…The presence of a bucket handle tear in both the medial and lateral meniscus is a phenomenon that is rarely reported in the literature. Those that are [3][4][5][6][7][8][9][10][11][12], have tended to occur in young adults following an acute traumatic event, with subsequent instability or mechanical symptoms in cases that are not immediately treated. In general, treatment has involved a single stage procedure with repair or resection of the torn meniscal fragments and concurrent reconstruction of the ACL.…”

Rotura em "alça de balde" simultânea dos meniscos no mesmo joelho

“…published the first case of "bucket handle" tear on medial and lateral menisci associated to an anterior cruciate ligament rupture, and named that finding as "Jack and Jill lesion". 6 As the magnetic resonance test was carried out 22 months after trauma, we could not determine if the injuries occurred at the same time. Similarly, in the present study, we could not infer if the injuries were acute or not, because resonance was performed 12 months after trauma.…”

“…Although relatively common on one compartment, especially on the medial one, this injury on both menisci of a same knee is a rare phenomenon, with few cases described in literature. [3][4][5][6][7] Here, we present a case of simultaneous "bucket handle" tear on both menisci of a same knee, diagnosed by magnetic resonance and surgically confirmed by videoarthroscopy, with literature review.…”