Bicompartmental locked bucket-handle tears of menisci concealing the concomitant anterior cruciate ligament injury for 2 years - a case report.

Jan Zabrzynski; Dawid Szwedowski; Agnieszka Zabrzyńska; Łukasz Łapaj

doi:10.20883/jms.303

Authors

Jan Zabrzynski Department of Orthopedic Surgery, Multidisciplinary Hospital, Inowrocław, PolandDepartment of Orthopedic and Trauma, District Hospital, Toruń, Poland https://orcid.org/0000-0003-2714-2466
Dawid Szwedowski Department of Orthopedic and Trauma, District Hospital, Toruń, Poland; dszwedow@yahoo.com
Agnieszka Zabrzyńska Department of Radiology, Multidisciplinary Hospital, Inowrocław, Poland; azabrzynska@icloud.com
Łukasz Łapaj Department of General, Oncologic Orthopaedics and Traumatology, Karol Marcinkowski Medical University, Poznań, Poland https://orcid.org/0000-0002-5766-2924

DOI:

https://doi.org/10.20883/jms.303

Keywords:

Meniscal tear, ACL tear, Locked knee

Abstract

Locked bucket-handle tears of both medial and lateral menisci, called in literature "Jack and Jill lesion", with simultaneous anterior cruciate ligament (ACL) injury is an extremely unusual phenomenon. It was reported only in a few cases in literature, which were unfortunately highly differentiated in the field of trauma mechanism, treatment options and postoperative care. Authors presented a clinical case of patient with a locked knee joint, by the torn both menisci, what masked the simultaneous ACL rupture and supremely imitated a stable joint. The locked knee is a clinical case demanding the urgent intervention to prevent further damages to the joint structures. Surprisingly, the patient after locking of the menisci and migration of their inner fragments to the intercondylar notch, started to feel the affected joint stabile and dismissed from the further treatment for next 2 years. Complex trauma needs a complex treatment, and a single-stage or multi-stage surgical approach is performed. Authors chose a two-steps surgical procedure with primary meniscal repair and secondary, early ACL reconstruction.

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References

Fox AJS, Bedi A, Rodeo SA. The Basic Science of Human Knee Menisci: Structure, Composition, and Function. Sports Health. 2012;4(4):340–351.

Makris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure‑function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials. 2011;32(30):7411–7431.

Yang L, Yang L. Traumatic Bucket‑Handle Tears of Both Menisci with Anterior Cruciate Ligament Injury on the Same Knee — A Case Report. J Trauma Treat. 2015;S2:016.

Brammer H, Sover E, Erickson S, Stone J. Simultaneous identification of medial and lateral bucket handle tears: the Jack and Jill lesion. Am J Roentgenol. 1999;173:860–1.

Koukoulias NE, Kyparlis D, Koumis P, et al. Locked bucket‑handle tears of both medial and lateral menisci with simultaneous anterior cruciate and medial collateral ligaments injury. BMJ Case Reports. 2011;2011: bcr0320114046.

Cetik O, Cirpar M, Eksioglu F, Uslu M. Simultaneous bucket handle tear of both medial and lateral menisci of a knee with chronic anterior cruciate ligament deficiency. Knee Surg Sports Traumatol Arthrosc. 2006;14(4):356–9.

Shepherd J, Abdul‑Jabar HB, Kumar A. Locked Bucket Handle Tears of the Medial and Lateral Menisci with Associated Chronic ACL Deficiency. J R Army Med Corps. 2013;158(4):335–337.

Wright J, Tamura C, Findlay I, Daneshfar A. Simultaneous bicompartmental bucket handle meniscal tears with a clinically competent Anterior Cruciate Ligament. J Orthop Surg Res. 2010;5:68.

Tecklenburg K, Schoepf D, Hoser C, Fink C. Anterior cruciate ligament injury with simultaneous locked bucket‑handle tears of both medial and lateral meniscus in a 19-year‑old female professional ski racer: a case report. Knee Surg Sports Traumatol Arthrosc. 2007;15(9):1125–9.

Shelbourne KD, Johnson GE. Locked bucket‑handle meniscal tears in knees with chronic anterior cruciate ligament deficiency. Am J Sports Med 1993;21:779–82.

Paczesny Ł, Kruczyński J. Ultrasound of the knee. Semin Ultrasound CT MR. 2011;32:114–124.