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Related Experiment Video

Updated: Apr 25, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts

Published on: October 20, 2023

Double Posterior Cruciate Ligament Sign.

Christos Koutserimpas¹, Charalampos Matzaroglou¹, Konstantinos Kaliarntas¹

¹School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece.

|April 24, 2026

Summary

This summary is machine-generated.

The double posterior cruciate ligament (PCL) sign on MRI is a key indicator for diagnosing displaced bucket-handle meniscus tears. Prompt recognition aids in timely treatment and successful patient recovery.

Keywords:

MRI knee bucket handle knee arthroscopy knee imaging meniscus

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Published on: September 2, 2025

Area of Science:

Orthopedic Surgery
Radiology
Sports Medicine

Background:

Persistent medial knee pain and mechanical symptoms can indicate meniscal injuries.
Displaced bucket-handle tears of the meniscus present diagnostic challenges.

Purpose of the Study:

To highlight the diagnostic utility of the double posterior cruciate ligament (PCL) sign in Magnetic Resonance Imaging (MRI).
To correlate radiologic findings with arthroscopic verification for displaced bucket-handle meniscal tears.
To illustrate the clinical implications of delayed diagnosis and treatment.

Main Methods:

Case presentation of a 34-year-old male with persistent knee symptoms post-injury.
MRI analysis revealing the double PCL sign indicative of a displaced medial meniscus tear.
Arthroscopic confirmation and subsequent partial meniscectomy.

Main Results:

The double PCL sign accurately identified a displaced bucket-handle tear of the medial meniscus.
Arthroscopy confirmed the MRI findings.
The patient achieved full recovery and return to athletic activity after partial meniscectomy and rehabilitation.

Conclusions:

The double PCL sign is a specific MRI finding for displaced bucket-handle meniscal tears, facilitating prompt diagnosis.
Early diagnosis and appropriate management are crucial for optimal patient outcomes.
This case serves as an educational example of a classic imaging sign and its clinical significance.