Bow-tie sign: absent
• Multiple sagittal T1 weighted images reveal loss of the normal bow-tie appearance of the meniscus (black arrow). The "absent bow tie sign" is another good sign of a bucket handle tear of the meniscus. The absence of the normal bow-tie is secondary to the displaced fragment which makes up the "handle" of the bucket. Requirement for the absent bow tie sign mandates that the normal requirement of at least two adjacent sagittal images with a normal meniscal body segment appearance is not present.