Knee – Bucket Handle Tear & ACL Tear

Case History

32 Year old female

Felt a pop in the knee when doing box jumps. Developed knee pain with slow swelling. Improved a couple of weeks later.

5 Months later while doing weighted lunges, knee popped again. Improved again but residual pain persisted. Continued to do cross fit.

Referred to MSK Physio by GP.

Examination

Mild end range flexion loss
Tender medial joint line (slight)
Mild laxity on Lachmans
Painful McMurrays

MRI

MRI revealed bucket handle tear and ACL tear.

Double delta sign and double PCL sign

Strange Point

The knee is painfree and the patient continues to do crossfit.

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