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Case Reports in Orthopedics
Volume 2014, Article ID 647491, 3 pages
http://dx.doi.org/10.1155/2014/647491
Case Report

Free Medial Meniscal Fragment Which Mimics the Dislocated Bucket-Handle Tear on MRI

1Department of Orthopedics, NEU Meram School of Medicine, Akyokus, Meram, Konya, Turkey
2Department of Orthopedics, Mevlana University School of Medicine, Konya, Turkey

Received 18 April 2014; Accepted 26 May 2014; Published 9 June 2014

Academic Editor: John Nyland

Copyright © 2014 Faik Türkmen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The bucket-handle meniscal tear is a specific type of meniscal injuries which has specific signs on MRI. An attached fragment displaced away from the meniscus with any type of tear causes bucket-handle tear of the meniscus. Magnetic resonance imaging (MRI) is the most commonly used diagnostic tool for meniscal injuries. We present a case of free medial meniscal fragment which mimics the dislocated bucket-handle tear on MRI. The presence of “fragment within the intercondylar notch sign” and “the absence of the bow tie sign” may be an indication of a free meniscal fragment. This should be considered during diagnosis.