ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Delayed reconstruction and high BMI z score increase the risk of meniscal tear in paediatric and adolescent anterior cruciate ligament injury.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Pooled it
- Graft Choice for Anterior Cruciate Ligament Reconstruction in Women Aged 25 Years and Younger: A Systematic Review.Sports healthPooled it
- Association Between Increased Posterior Tibial Slope and Isolated Meniscal Tears in Patients Aged 18-30 Years.Journal of clinical medicine · 2026Article
- Age and Time to Surgery Are Associated with Concomitant Meniscal Injuries in Adolescent ACL Tears: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Increased Posterior Tibial Slope Is Associated with Isolated Meniscal Injuries: A Case-Control Study.Medicina (Kaunas, Lithuania) · 2025Article
- Association between anatomical risk factors and medial meniscus posterior root tears: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Influence of a posteromedial meniscocapsular injury on the knee anterior laxity. A cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Elective musculoskeletal surgery is associated with postoperative weight changes in pediatric and adolescent patients.Journal of children's orthopaedics · 2023Article
- Early ACLR and Risk and Timing of Secondary Meniscal Injury Compared With Delayed ACLR or Nonoperative Treatment: A Time-to-Event Analysis Using Machine Learning.The American journal of sports medicine · 2022Article
- A larger side-to-side difference in anterior knee laxity increases the prevalence of medial and lateral meniscal injuries in patients with ACL injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- An older age, a longer duration between injury and surgery, and positive pivot shift test results increase the prevalence of articular cartilage injury during ACL reconstruction in all three compartments of the knee in patients with ACL injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The influence of the steep medial posterior tibial slope on medial meniscus tears in adolescent patients: a retrospective case-control study.BMC musculoskeletal disorders · 2021Article
- Adolescents Have Twice the Revision Rate of Young Adults After ACL Reconstruction With Hamstring Tendon Autograft: A Study From the Swedish National Knee Ligament Registry.Orthopaedic journal of sports medicine · 2021Article
- Rates of Concomitant Meniscal Tears in Pediatric Patients With Anterior Cruciate Ligament Injuries Increase With Age and Body Mass Index.Orthopaedic journal of sports medicine · 2021Article
- Paediatric anterior cruciate ligament tears: management and growth disturbances. A survey of EPOS and POSNA membership.Journal of children's orthopaedics · 2019Article
- Outcome Measures After ACL Injury in Pediatric Patients: A Scoping Review.Orthopaedic journal of sports medicine · 2019Article
- Similar Return-to-Sports After Anterior Cruciate Ligament Reconstruction With or Without Meniscal Repair in Skeletally Immature Patients: A Prospective, Comparative Cohort Study.Journal of pediatric orthopedicsArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to identify epidemiologic risk factors for secondary meniscal tears in paediatric and adolescent patients who sustain an anterior cruciate ligament (ACL) tear. The hypothesis was that delayed reconstruction and elevated BMI z score, increase the risk for secondary meniscal tears.
methodsA prospective, descriptive and analytical study of consecutively accrued children and adolescents with an ACL tear was performed. One hundred and sixty subjects (114 males and 46 females) were identified between 2006 and 2015 at one institution. The age range was between 7 and 19 years. Fifteen parameters were recorded and analysed: age at initial trauma, initial trauma circumstance, sex, BMI z score, affected side, type of sport, Tegner score, athletic level, time to MRI, time to first referral, time to surgery, age at surgery, attempted non-operative treatment, operative report and associated meniscal tear. These meniscal lesions could be diagnosed by an MRI and / or during surgery.
resultsOut of the 160 cases, 143 were treated surgically and 17 cases non-operatively. Median corrected BMI z score was 0.5 (range - 1.8 to 4.7). 41.9% had one or more meniscal lesions. 55 patients were initially treated non-operatively, of which 39 patients were secondarily operated. There was a positive relationship between meniscal lesion and: BMI z score (p = 0.0364), attempted non-operative treatment (p = 0.001) and time to surgery (p = 0.002). The median time to ACL reconstruction was 229 days for patients with secondary meniscal lesions.
conclusionsPatients with ACL tears treated non-operatively developed secondary meniscal lesions requiring delayed surgical management. There was a positive correlation between BMI z score and secondary meniscal lesions. Thus, early ACL reconstruction is advocated in young athletes. LEVEL OF EVIDENCE: Retrospective comparative study, Level III.
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