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Fragment-in-Notch Sign
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Added by Christian Veillette , last edited by Christian Veillette on Sep 06, 2008  (view change)
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Location Knee
Diagnosis Bucket-handle tear of the menisci
Discussion The displaced fragment of a bucket handle tear of the meniscus can move medially to lie within the intercondylar notch. The fragment-in-notch sign is defined as a band like area of low signal intensity within the intercondylar notch, not appearing on the same slice as the PCL. The sign, when identified, can be valuable in picking up a bucket handle tear of the meniscus.
Reference Wright DH, De Smet AA, Norris M: Bucket-handle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments. AJR Am J Roentgenol 1995 Sep;165(3):621-5.
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