Diagram of meniscal tear patterns: (A) Vertical or longitudinal (Bucket-handle), (B) Flap or Oblique, (C) Radial or Transverse, (D) Horizontal, (E) Complex degenerative. (Reprinted with permission.) ...

These tears present as a broken-off piece where the inner portion is displaced into the middle of the joint while still attached at the horns of the meniscus, forming a “bucket handle” shape.

Excision of a bucket-handle tear of the medial meniscus is much easier via a 3-portal technique. A central portal can be used but this will damage the patella tendon. If the patient also has an ...