Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • معلومة اضافية
    • Author-Supplied Keywords:
      ACL
      Anterior cruciate ligament
      Contact injury
      Meniscus
      Root tear
    • Abstract:
      Background: The pattern of lateral meniscus tears observed in anterior cruciate ligament (ACL)-injured subjects varies greatly and determines subsequent management. Certain tear patterns with major biomechanical consequences should be repaired in a timely manner. Knowledge about risk factors for such tears may help to identify patients in the early posttraumatic phase and subsequently may improve clinical results. Methods: A database of 268 patients undergoing primary ACL reconstruction was used to identify all patients with isolated ACL tears and patients with an associated tear of the lateral meniscus. Patients who underwent surgery >6 months after the injury were excluded. Based on the arthroscopic appearance of the lateral meniscus, patients were assorted to one of three groups: 'no tear,' 'minor tear,' and 'major tear.' Tear patterns defined as major included root tears, complete radial tears, and unstable longitudinal tears including bucket-handle tears. Univariate analysis was performed by comparing the three groups with regard to gender, age, height, weight, BMI, type of injury (high-impact sport, low-impact sport, and not sports related), and mechanism of injury (non-contact vs. contact). Multivariate logistic regression was carried out to identify independent risk factors for minor and major meniscal tears and to calculate odds ratios (OR). Results: Two hundred fifteen patients met the inclusion and exclusion criteria. Of those, 56% had isolated ACL tears, 27% had associated minor tears, and 17% had associated major tears of the lateral meniscus. Univariate analysis revealed significant differences between the three groups for gender (p = 0.002), age groups (p = 0.026), and mechanism of injury (p < 0.001). A contact injury mechanism was a risk factor for minor tears (OR: 4.28) and major tears (OR: 18.49). Additional risk factors for major tears were male gender (OR: 7.38) and age <30 years (OR: 5.85). Conclusion: Male patients, patients <30 years, and particularly patients who sustained a contact injury have a high risk for an associated major lateral meniscus tear. Special attention is therefore necessary in those patients and early referral to magnetic resonance imaging and/or arthroscopy is recommended to allow meniscus repair in a timely manner. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Orthopaedic Surgery & Research is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Albert Ludwigs University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, Germany
    • ISSN:
      1749-799X
    • Accession Number:
      10.1186/s13018-015-0184-x
    • Accession Number:
      102711057
  • Citations
    • ABNT:
      FEUCHT, M. J. et al. Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. Journal of Orthopaedic Surgery & Research, [s. l.], v. 10, n. 1, p. 1–8, 2015. DOI 10.1186/s13018-015-0184-x. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=102711057&custid=s8280428. Acesso em: 30 mar. 2020.
    • AMA:
      Feucht MJ, Bigdon S, Bode G, et al. Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. Journal of Orthopaedic Surgery & Research. 2015;10(1):1-8. doi:10.1186/s13018-015-0184-x.
    • APA:
      Feucht, M. J., Bigdon, S., Bode, G., Salzmann, G. M., Dovi-Akue, D., Südkamp, N. P., & Niemeyer, P. (2015). Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. Journal of Orthopaedic Surgery & Research, 10(1), 1–8. https://doi.org/10.1186/s13018-015-0184-x
    • Chicago/Turabian: Author-Date:
      Feucht, Matthias J., Sebastian Bigdon, Gerrit Bode, Gian M. Salzmann, David Dovi-Akue, Norbert P. Südkamp, and Philipp Niemeyer. 2015. “Associated Tears of the Lateral Meniscus in Anterior Cruciate Ligament Injuries: Risk Factors for Different Tear Patterns.” Journal of Orthopaedic Surgery & Research 10 (1): 1–8. doi:10.1186/s13018-015-0184-x.
    • Harvard:
      Feucht, M. J. et al. (2015) ‘Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns’, Journal of Orthopaedic Surgery & Research, 10(1), pp. 1–8. doi: 10.1186/s13018-015-0184-x.
    • Harvard: Australian:
      Feucht, MJ, Bigdon, S, Bode, G, Salzmann, GM, Dovi-Akue, D, Südkamp, NP & Niemeyer, P 2015, ‘Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns’, Journal of Orthopaedic Surgery & Research, vol. 10, no. 1, pp. 1–8, viewed 30 March 2020, .
    • MLA:
      Feucht, Matthias J., et al. “Associated Tears of the Lateral Meniscus in Anterior Cruciate Ligament Injuries: Risk Factors for Different Tear Patterns.” Journal of Orthopaedic Surgery & Research, vol. 10, no. 1, Apr. 2015, pp. 1–8. EBSCOhost, doi:10.1186/s13018-015-0184-x.
    • Chicago/Turabian: Humanities:
      Feucht, Matthias J., Sebastian Bigdon, Gerrit Bode, Gian M. Salzmann, David Dovi-Akue, Norbert P. Südkamp, and Philipp Niemeyer. “Associated Tears of the Lateral Meniscus in Anterior Cruciate Ligament Injuries: Risk Factors for Different Tear Patterns.” Journal of Orthopaedic Surgery & Research 10, no. 1 (April 2015): 1–8. doi:10.1186/s13018-015-0184-x.
    • Vancouver/ICMJE:
      Feucht MJ, Bigdon S, Bode G, Salzmann GM, Dovi-Akue D, Südkamp NP, et al. Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. Journal of Orthopaedic Surgery & Research [Internet]. 2015 Apr [cited 2020 Mar 30];10(1):1–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=102711057&custid=s8280428