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

Abstract

Locked bucket-handle tears of both medial and lateral menisci, called in the literature “Jack and Jill lesion”, with simultaneous anterior cruciate ligament (ACL) injury are an extremely rare phenomenon. It is highly differentiated in the field of trauma mechanism, treatment options and postoperative care. This is the first described case when a bicompartmental locked bucket-handle tears of menisci masked a torn ACL and imitated the stabile knee joint for 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.