{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:19Z","timestamp":1789290319407,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nBucket-handle tears of the lateral meniscus are commonly diagnosed using established magnetic resonance imaging (MRI) signs such as the double posterior cruciate ligament sign and absent bow tie sign. However, atypical presentations may pose diagnostic challenges.\n\nCase Report:\nWe report a case of an 18-year-old male presenting with knee pain, instability, and locking following a twisting injury. T2-weighted MRI revealed two low-signal meniscus-like structures within the same sagittal slice, representing a displaced bucket-handle fragment adjacent to the native meniscus. This configuration, termed the Meniscal Duplication Sign, demonstrated a characteristic \u201cTrowel appearance.\u201d\n\nConclusion:\nThe meniscal duplication sign is a novel MRI finding that may aid in identifying bucket-handle tears, especially when classical signs are absent.\n\nKeywords:\nMeniscus , bucket-handle tear , magnetic resonance imaging knee , meniscal duplication sign , radiological sign<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8012","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:28:36Z","timestamp":1788614916000},"page":"139-143","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Meniscal Duplication Sign (\u201cTrowel sign\u201d): A Novel Magnetic Resonance Imaging Indicator of Lateral Meniscus Bucket-Handle Tear"],"prefix":"10.13107","volume":"16","author":[{"given":"Joseph","family":"Sajeev","sequence":"first","affiliation":[{"name":"Department of Arthroscopy, St Johns Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand Raj","family":"Rajendrababu","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy, St Johns Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy, St Johns Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronnie","family":"George","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy, St Johns Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manikya","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Karnataka Medical College and Research Institute, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajkumar S","family":"Amaravati","sequence":"additional","affiliation":[{"name":"Division of Arthroscopy, Sports Injury, Joint Preservation and Regenerative Medicine, St John\u2019s Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:24Z","timestamp":1789289124000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/meniscal-duplication-sign-trowel-sign-a-novel-magnetic-resonance-imaging-indicator-of-lateral-meniscus-bucket-handle-tear\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8012","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8012","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}