Lykissas Marios G, Mataliotakis George I, Paschos Nikolaos, Panovrakos Christos, Beris Alexandros E, Papageorgiou Christos D
Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Ioannina, 45110, Greece.
J Med Case Rep. 2010 Feb 1;4:34. doi: 10.1186/1752-1947-4-34.
Bucket 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.
A 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.
We 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.
半月板桶柄状撕裂是膝关节损伤导致的一种常见病变类型。几乎所有双侧半月板桶柄状损伤都与膝关节前交叉韧带或后交叉韧带损伤相关。我们报告一例舞蹈演员双侧半月板急性桶柄状撕裂且前后交叉韧带完整的病例。据我们所知，此前文献中尚无此类损伤的报道。
一名28岁的白种希腊女性在跳舞时右膝受伤后就诊于急诊科。磁共振成像（MRI）评估显示右膝双侧半月板撕裂，而前后交叉韧带完整。随后进行了部分内侧和外侧半月板切除术。在受伤后6个月的随访检查中，临床检查表明我们的患者右膝稳定，活动范围正常且无压痛。她对手术结果满意并恢复了伤前的活动。
我们报告了文献中首例双侧半月板合并桶柄状损伤且前交叉韧带完整的病例。前交叉韧带的临床检查无异常，没有松弛或断裂的迹象。后交叉韧带也完整。在磁共振成像上，韧带全程均显示完整。这些发现经关节镜评估得以证实。
