Simultaneous Bicompartmental Bucket Handle Injury Associated With a Chronic Anterior Cruciate Ligament Rupture: Case Report and Literature Review

Abstract Introduction: Simultaneously locked bucket handle injury of both menisci is a rare phenomenon. Clinically the knee is locked in flexion with pain in both joint lines. It has a high association rate with instability generated by an anterior cruciate ligament injury (ACL). There are a few reports regarding this association or without any associated injury treated either in one-stage or two-stage surgery.Objetive: To report a patient with a simultaneous bicompartmental locked bucket handle, highlighting the challenges of the surgical technique and a literature review.Case Report: We present the case of a 42-year-old male with a simultaneous bicompartmental locked bucket handle injury associated with chronic ACL deficiency. Treated in one stage by bilateral partial meniscectomy and ACL reconstruction. We discuss the MRI findings, treatment options and performed an up-to date review. Conclusions: Although partial meniscectomy is a common procedure, when performed in an unusual patient and in the absence of therapeutic guidelines or consensus when dealing with this association, an appropriate preoperative plan should be followed. This case provides a perioperative approach focused on a review of the most recent literature.