ArticleArchives of orthopaedic and trauma surgery2023
Retrospective analysis and risk of progression of partial anterior cruciate ligament injuries in a young population.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- AI demonstrates comparable diagnostic performance to radiologists in MRI detection of anterior cruciate ligament tears: a systematic review and meta-analysis.European radiology · 2026Pooled it
- Outcomes of Initial Nonoperative Management of Partial Anterior Cruciate Ligament Tears in Pediatric Patient.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Selective bundle reconstruction for partial anterior cruciate ligament tears: High return to sport, excellent long-term stability and function at 6-year follow-up.Journal of experimental orthopaedics · 2025Article
- Comparison between a Novel Knee Arthrometer and Simultaneous Stress Radiography for the Diagnosis of Complete and Partial Acute Anterior Cruciate Ligament Tears.Orthopaedic surgery · 2024Article
- The potential of posterior cruciate ligament buckling phenomenon as a sign for partial anterior cruciate ligament tears.Archives of orthopaedic and trauma surgery · 2024Article
- Prevalence and mechanisms of anterior cruciate ligament tears in military personnel: A cross-sectional study in Iran.PloS one · 2024Article
- Outcome comparison of femoral nerve block and adductor canal block during anterior cruciate ligament reconstruction: adductor canal block may cause an unexpected decrease in knee flexor strength at 6 months postoperatively.Archives of orthopaedic and trauma surgery · 2023Article
- Spontaneous healing of acute ACL ruptures: rate, prognostic factors and short-term outcome.Archives of orthopaedic and trauma surgery · 2023Article
- Prediction of individual graft for anterior cruciate ligament reconstruction using anthropometric data.Archives of orthopaedic and trauma surgery · 2023Article
- Analysis of Visual Risk Factors of Anterior Cruciate Ligament Injury of Knee Joint.Journal of clinical medicine · 2022Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundThe anterior cruciate ligament (ACL) is a common knee ligament injury. Partial ACL tears are common, and at least 10-27% of isolated ACL tears are diagnosed as partial tears. Patients with partial tears have high risk of progression of tears to complete tears, which may require surgical reconstruction. The risk factors associated with the progression to a complete tear are poorly understood.
methodsThe present case-control study assessed the incidence and risk factors for the progression of conservatively treated partial ACL tears to complete tears in 351 patients younger than 45 years. The diagnosis of partial ACL tears was based on clinical evaluation, side-to-side difference on Rolimeter, and magnetic resonance imaging. These patients were managed conservatively and followed up for a mean of 17.5 months or until the progression of the tear into a complete tear, requiring surgery. The patients in whom the tear progressed to complete tear (group P) were compared with those in whom the tear remained stable for a minimum of 18-month follow-up period (group S).
resultsOf the 351 partial ACL tear patients, 166 (47.3%) patients progressed to a complete tear at a mean duration of 17.5 months, whereas the tear in 185 (52.7%) patients remained stable and did not progress to a complete tear. Group P had mean international knee documentation committee (IKDC) scores and Tegner scores of 95.7 ± 3.7 and 7.6 ± 1.6, respectively, before the injury, and scores decreased to 52.4 ± 4.1 and 5.7 ± 2.2, respectively, at the 24-month follow-up.
conclusionPartial ACL tear progressed to a complete tear in 47.3% of evaluated patients. The associated risk factors were age less than 35 years, rigorous physical activities, high ACL-Return to Sport after Injury score during early rehabilitation days, early return to activity, and pivoting contact sports.
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