Locked bucket handle tears of the medial and lateral menisci with associated chronic ACL deficiency.

Bucket handle meniscal tears involving both the medial and lateral menisci are very rarely reported in the literature. Those that are, have generally been managed using a one-stage procedure, with concurrent reconstruction of the anterior cruciate ligament (ACL) in ACL-deficient cases. We report a case of an 18-year old male who presented with bi-compartmental bucket handle meniscal tears with an associated ACL deficiency, whereby the medial and lateral tears appear to have clearly occurred on separate occasions. A staged approach to management was adopted. We discuss the presentation and management of our case in comparison to previously reported cases.