Step 1 The Diagnosis of the Bucket Handle Tear

Figure 6.8 shows a longitudinal tear of the meniscus that has displaced into the intercondylar notch. There may be a lot of synovium and fat pad that needs to be removed with a shaver in order to visualize the meniscus.

Figure 6.8 is the diagrammatic representation of a large displaced bucket-handle tear of the meniscus. Figure 6.9 is the arthroscopic view.

Often the first view will be a "white out." There is so much synovium and the large displaced tear, that the physician cannot see anything on the medial side except white. In a young patient, this tear should be repaired if possible. The physician should look over the displaced fragment to assess the size of the remaining rim to determine if it is suitable for repair.

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