ArticleJournal of orthopaedic surgery and research2019
Anatomic risk factor for meniscal lesion in association with ACL rupture.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 14 citations in OpenAlex.
- Slope of the Medial Tibial Plateau and the Incidence of a Medial Meniscal Tear.The archives of bone and joint surgery · 2024Article
- Risk Factors for Concomitant Meniscal Injury With Sport-Related Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2023Article
- Medial meniscus tears are most prevalent in type I ACL tears, while type I ACL tears only account for 8% of all ACL tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Femoral condyle configuration and its impact on anterior cruciate ligament reconstruction.Technology and health care : official journal of the European Society for Engineering and Medicine · 2023Article
- Morphometric characteristics of the knee are associated with the injury of the meniscus.Journal of orthopaedic surgery and research · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo assess anatomic risk factors for meniscal lesions in association with acute ACL rupture. The primary hypothesis was that tibiofemoral anatomic measures will be different in those with and without concomitant meniscus tears.
methodsA retrospective review of patients who underwent acute ACL reconstruction in the department was performed. All patients underwent a postoperative CT scan. The concavity and/or convexity on the femur and the tibia were measured by two blinded observers on the sagittal plane with different ratios, and these measures were compared in patients with and without meniscus tears in each compartment. Intra- and inter-rater reliabilities were assessed.
resultsFour hundred twelve patients (268 males and 144 females) were included from October 2012 to February 2015. One hundred sixty-seven patients had a medial meniscal tear (119 males/48 females), and 100 had a lateral meniscal tear (80 males/20 females). The mean time from injury to surgery was 3 months. The average ICC for all measurements was 0.87 (range 0.82-0.98) indicating good reliability. The medial femoral condyle was noted to be significantly longer than the medial tibial plateau in the sagittal plane in patients with a medial meniscal tear (p = 0.04), and the lateral femoral condyle was noted to be significantly longer than the lateral tibial plateau in the sagittal plane in patients with a lateral meniscal tear (p < 0.001). In addition, a less convex lateral tibial plateau was statistically correlated with a higher risk of lateral meniscal tear (p = 0.001).
conclusionsA greater anteroposterior length of the medial/lateral femoral condyle relative to the medial/lateral tibial plateau is associated with an increased risk of meniscal lesions in association with acute ACL rupture. The lateral compartment in the male population appears to be the most at risk.
trial registrationRetrospectively registered on May 12, 2016 (CPP sud-est II CAL n°2016-037).
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