Evidence map›Paper›PMID 40951520›Full record

ArticleThe archives of bone and joint surgery2025

MRI-Based Assessment of the Common Peroneal Nerve in ACL-Injured Versus Normal Knees: Implications for Inside-Out Lateral Meniscus Repair.

Mounika N S Chodavarapu, D Lakshmi Manjula, Srinivas B S Kambhampati, Chintakunta Gurivi Reddy, Shyam Kumar Chinta

Abstract read
In one paragraph

Article in The archives of bone and joint surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mounika N S ChodavarapuDepartment of Orthopaedics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India.
D Lakshmi ManjulaDepartment of Radiology, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India.
Srinivas B S KambhampatiSri Dhaatri Orthopaedic, Maternity & Gynaecology Center, Vijayawada, Andhra Pradesh, India.
Chintakunta Gurivi ReddyDepartment of Radiology, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India.
Shyam Kumar ChintaDepartment of Orthopaedics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study investigates the risk of CPN injury by measuring the nerve's proximity to the trajectory of a straight needle inserted from the anteromedial portal at the knee joint level during inside-out lateral meniscus repairs in both ACL-injured and normal knees. Methods: In this retrospective study, we examined MRI scans of 30 ACL-injured knees and 30 normal knees. A reference line was drawn 1 cm medial to the patellar tendon at the joint level, extending to the lateral margin of the popliteus and continuing posteriorly. Perpendicular distances from this line to the CPN were measured to compare anatomical variations between the groups. These measurements were analyzed using paired t-tests, with a p-value of less than 0.05, which is considered statistically significant. Results: Analysis of 60 MRI scans revealed that the CPN is located significantly closer to the reference line in ACL-injured knees (mean distance: 1.59 cm) compared to normal knees (mean distance: 2.01 cm), with a p-value of less than 0.005. This finding suggests a higher potential risk of nerve injury in ACL-injured knees during inside-out meniscal repair procedures. Conclusion: The CPN is located significantly closer to potential surgical paths in ACL-injured knees compared to normal knees. These findings highlight the importance of meticulous surgical planning and technique adjustments to minimize the risk of CPN injury during inside-out meniscus repairs especially when using straight needles.

Indexed as

ACL injured kneesCommon peroneal nerve injuryInside-out techniqueLateral meniscus injuryMRINormal kneesStraight needle

Identifiers

PMID40951520
PMCPMC12432831

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.