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Meniscal tears associated with anterior cruciate ligament injury
Purpose To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury. Subjects and methods We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 year...
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Published in: | Archives of orthopaedic and trauma surgery 2015-12, Vol.135 (12), p.1701-1706 |
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description | Purpose
To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury.
Subjects and methods
We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 years and 3 months). The subjects comprised 289 males and 263 females ranging in age from 13 to 66 (mean 26.1) years. The cause of injury was sports-related in 89.1 %, and the mean interval from injury to initial arthroscopy was 23 months. The patients were divided into two groups: arthroscopy performed within 8 weeks after injury (acute group; 256 knees) and more than 8 weeks after injury (chronic group; 296 knees). Frequency of meniscal tear and location of tear were compared between two groups.
Results
The incidence of meniscal tear diagnosed by arthroscopic examination was 79.2 % (437 of 552 knees) in all subjects; 72.7 % (186 of 256 knees) in acute group and 84.8 % (251 of 296 knees) in chronic group, and was significantly higher in chronic group. Regarding the locations of meniscal tears, in acute group (186 knees), medial meniscal tear only was found in 20 knees (10.8 %), lateral meniscal tear only in 129 knees (69.4 %), and bilateral (including medial and lateral) meniscal tears in 37 knees (19.9 %). In chronic group (251 knees), medial meniscal tear only was found in 62 knees (24.7 %), lateral meniscal tear only in 85 knees (33.9 %), and bilateral meniscal tears in 104 knees (41.4 %). Lateral meniscal tear was commonly associated with acute ACL injury, while medial meniscal tear with chronic ACL injury. Bucket handle tear was observed in 25 knees (medial: 17 knees, lateral: 8 knees) in acute group, and 81 knees (medial: 69 knees, lateral: 12 knees) in chronic group, and was more common in the chronic group.
Conclusion
The incidence of meniscal tear associated with ACL injury is higher in chronic cases; the number of medial meniscal tears is particularly high, many of which require meniscectomy. Early ACL reconstruction is recommended also for the prevention of secondary meniscal tear. |
doi_str_mv | 10.1007/s00402-015-2309-4 |
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fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1733191862</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261901600</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-37f0f1dc2a4ef9212bf6fba7bbc4a1c6ce6034c67a647d6b5fff9fceb71de1413</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJldSZJs81NKX5BxYueQzab1C37UZNdpP_e1K0KgqeBmWfeGR5CThEuESC7CgAcaAo4TSkDmfI9MkbOeMokin0yBslEOoMpjshRCCsApDMJh2REBZ0JwXFMrp9sUwajq6Sz2odEh9CaUne2SD7K7i3RTWd92frE-P6rn1TlUte26ZKyWfV-c0wOnK6CPdnVCXm9u32ZP6SL5_vH-c0iNZzTLmWZA4eFoZpbJynS3AmX6yzPDddohLECGDci04JnhcinzjnpjM0zLCxyZBNyMeSuffve29CpOv5tq0o3tu2DwowxlDgTNKLnf9BV2_smfqcoFSgBBUCkcKCMb0Pw1qm1L2vtNwpBbfWqQa-KetVWr-Jx52yX3Oe1LX42vn1GgA5AiKNmaf3v6f9TPwGaMoV0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261901600</pqid></control><display><type>article</type><title>Meniscal tears associated with anterior cruciate ligament injury</title><source>Springer Nature</source><creator>Hagino, Tetsuo ; Ochiai, Satoshi ; Senga, Shinya ; Yamashita, Takashi ; Wako, Masanori ; Ando, Takashi ; Haro, Hirotaka</creator><creatorcontrib>Hagino, Tetsuo ; Ochiai, Satoshi ; Senga, Shinya ; Yamashita, Takashi ; Wako, Masanori ; Ando, Takashi ; Haro, Hirotaka</creatorcontrib><description>Purpose
To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury.
Subjects and methods
We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 years and 3 months). The subjects comprised 289 males and 263 females ranging in age from 13 to 66 (mean 26.1) years. The cause of injury was sports-related in 89.1 %, and the mean interval from injury to initial arthroscopy was 23 months. The patients were divided into two groups: arthroscopy performed within 8 weeks after injury (acute group; 256 knees) and more than 8 weeks after injury (chronic group; 296 knees). Frequency of meniscal tear and location of tear were compared between two groups.
Results
The incidence of meniscal tear diagnosed by arthroscopic examination was 79.2 % (437 of 552 knees) in all subjects; 72.7 % (186 of 256 knees) in acute group and 84.8 % (251 of 296 knees) in chronic group, and was significantly higher in chronic group. Regarding the locations of meniscal tears, in acute group (186 knees), medial meniscal tear only was found in 20 knees (10.8 %), lateral meniscal tear only in 129 knees (69.4 %), and bilateral (including medial and lateral) meniscal tears in 37 knees (19.9 %). In chronic group (251 knees), medial meniscal tear only was found in 62 knees (24.7 %), lateral meniscal tear only in 85 knees (33.9 %), and bilateral meniscal tears in 104 knees (41.4 %). Lateral meniscal tear was commonly associated with acute ACL injury, while medial meniscal tear with chronic ACL injury. Bucket handle tear was observed in 25 knees (medial: 17 knees, lateral: 8 knees) in acute group, and 81 knees (medial: 69 knees, lateral: 12 knees) in chronic group, and was more common in the chronic group.
Conclusion
The incidence of meniscal tear associated with ACL injury is higher in chronic cases; the number of medial meniscal tears is particularly high, many of which require meniscectomy. Early ACL reconstruction is recommended also for the prevention of secondary meniscal tear.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-015-2309-4</identifier><identifier>PMID: 26286641</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Anterior Cruciate Ligament Reconstruction - methods ; Arthroscopy - methods ; Arthroscopy and Sports Medicine ; Female ; Humans ; Knee ; Knee Injuries - surgery ; Male ; Medicine ; Medicine & Public Health ; Menisci, Tibial - surgery ; Middle Aged ; Orthopedics ; Rupture ; Tibial Meniscus Injuries ; Young Adult</subject><ispartof>Archives of orthopaedic and trauma surgery, 2015-12, Vol.135 (12), p.1701-1706</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2015). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-37f0f1dc2a4ef9212bf6fba7bbc4a1c6ce6034c67a647d6b5fff9fceb71de1413</citedby><cites>FETCH-LOGICAL-c442t-37f0f1dc2a4ef9212bf6fba7bbc4a1c6ce6034c67a647d6b5fff9fceb71de1413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26286641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hagino, Tetsuo</creatorcontrib><creatorcontrib>Ochiai, Satoshi</creatorcontrib><creatorcontrib>Senga, Shinya</creatorcontrib><creatorcontrib>Yamashita, Takashi</creatorcontrib><creatorcontrib>Wako, Masanori</creatorcontrib><creatorcontrib>Ando, Takashi</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><title>Meniscal tears associated with anterior cruciate ligament injury</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Purpose
To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury.
Subjects and methods
We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 years and 3 months). The subjects comprised 289 males and 263 females ranging in age from 13 to 66 (mean 26.1) years. The cause of injury was sports-related in 89.1 %, and the mean interval from injury to initial arthroscopy was 23 months. The patients were divided into two groups: arthroscopy performed within 8 weeks after injury (acute group; 256 knees) and more than 8 weeks after injury (chronic group; 296 knees). Frequency of meniscal tear and location of tear were compared between two groups.
Results
The incidence of meniscal tear diagnosed by arthroscopic examination was 79.2 % (437 of 552 knees) in all subjects; 72.7 % (186 of 256 knees) in acute group and 84.8 % (251 of 296 knees) in chronic group, and was significantly higher in chronic group. Regarding the locations of meniscal tears, in acute group (186 knees), medial meniscal tear only was found in 20 knees (10.8 %), lateral meniscal tear only in 129 knees (69.4 %), and bilateral (including medial and lateral) meniscal tears in 37 knees (19.9 %). In chronic group (251 knees), medial meniscal tear only was found in 62 knees (24.7 %), lateral meniscal tear only in 85 knees (33.9 %), and bilateral meniscal tears in 104 knees (41.4 %). Lateral meniscal tear was commonly associated with acute ACL injury, while medial meniscal tear with chronic ACL injury. Bucket handle tear was observed in 25 knees (medial: 17 knees, lateral: 8 knees) in acute group, and 81 knees (medial: 69 knees, lateral: 12 knees) in chronic group, and was more common in the chronic group.
Conclusion
The incidence of meniscal tear associated with ACL injury is higher in chronic cases; the number of medial meniscal tears is particularly high, many of which require meniscectomy. Early ACL reconstruction is recommended also for the prevention of secondary meniscal tear.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Arthroscopy - methods</subject><subject>Arthroscopy and Sports Medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Injuries - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menisci, Tibial - surgery</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Rupture</subject><subject>Tibial Meniscus Injuries</subject><subject>Young Adult</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJldSZJs81NKX5BxYueQzab1C37UZNdpP_e1K0KgqeBmWfeGR5CThEuESC7CgAcaAo4TSkDmfI9MkbOeMokin0yBslEOoMpjshRCCsApDMJh2REBZ0JwXFMrp9sUwajq6Sz2odEh9CaUne2SD7K7i3RTWd92frE-P6rn1TlUte26ZKyWfV-c0wOnK6CPdnVCXm9u32ZP6SL5_vH-c0iNZzTLmWZA4eFoZpbJynS3AmX6yzPDddohLECGDci04JnhcinzjnpjM0zLCxyZBNyMeSuffve29CpOv5tq0o3tu2DwowxlDgTNKLnf9BV2_smfqcoFSgBBUCkcKCMb0Pw1qm1L2vtNwpBbfWqQa-KetVWr-Jx52yX3Oe1LX42vn1GgA5AiKNmaf3v6f9TPwGaMoV0</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Hagino, Tetsuo</creator><creator>Ochiai, Satoshi</creator><creator>Senga, Shinya</creator><creator>Yamashita, Takashi</creator><creator>Wako, Masanori</creator><creator>Ando, Takashi</creator><creator>Haro, Hirotaka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Meniscal tears associated with anterior cruciate ligament injury</title><author>Hagino, Tetsuo ; Ochiai, Satoshi ; Senga, Shinya ; Yamashita, Takashi ; Wako, Masanori ; Ando, Takashi ; Haro, Hirotaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-37f0f1dc2a4ef9212bf6fba7bbc4a1c6ce6034c67a647d6b5fff9fceb71de1413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Arthroscopy - methods</topic><topic>Arthroscopy and Sports Medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Injuries - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menisci, Tibial - surgery</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Rupture</topic><topic>Tibial Meniscus Injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hagino, Tetsuo</creatorcontrib><creatorcontrib>Ochiai, Satoshi</creatorcontrib><creatorcontrib>Senga, Shinya</creatorcontrib><creatorcontrib>Yamashita, Takashi</creatorcontrib><creatorcontrib>Wako, Masanori</creatorcontrib><creatorcontrib>Ando, Takashi</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hagino, Tetsuo</au><au>Ochiai, Satoshi</au><au>Senga, Shinya</au><au>Yamashita, Takashi</au><au>Wako, Masanori</au><au>Ando, Takashi</au><au>Haro, Hirotaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meniscal tears associated with anterior cruciate ligament injury</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>135</volume><issue>12</issue><spage>1701</spage><epage>1706</epage><pages>1701-1706</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Purpose
To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury.
Subjects and methods
We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 years and 3 months). The subjects comprised 289 males and 263 females ranging in age from 13 to 66 (mean 26.1) years. The cause of injury was sports-related in 89.1 %, and the mean interval from injury to initial arthroscopy was 23 months. The patients were divided into two groups: arthroscopy performed within 8 weeks after injury (acute group; 256 knees) and more than 8 weeks after injury (chronic group; 296 knees). Frequency of meniscal tear and location of tear were compared between two groups.
Results
The incidence of meniscal tear diagnosed by arthroscopic examination was 79.2 % (437 of 552 knees) in all subjects; 72.7 % (186 of 256 knees) in acute group and 84.8 % (251 of 296 knees) in chronic group, and was significantly higher in chronic group. Regarding the locations of meniscal tears, in acute group (186 knees), medial meniscal tear only was found in 20 knees (10.8 %), lateral meniscal tear only in 129 knees (69.4 %), and bilateral (including medial and lateral) meniscal tears in 37 knees (19.9 %). In chronic group (251 knees), medial meniscal tear only was found in 62 knees (24.7 %), lateral meniscal tear only in 85 knees (33.9 %), and bilateral meniscal tears in 104 knees (41.4 %). Lateral meniscal tear was commonly associated with acute ACL injury, while medial meniscal tear with chronic ACL injury. Bucket handle tear was observed in 25 knees (medial: 17 knees, lateral: 8 knees) in acute group, and 81 knees (medial: 69 knees, lateral: 12 knees) in chronic group, and was more common in the chronic group.
Conclusion
The incidence of meniscal tear associated with ACL injury is higher in chronic cases; the number of medial meniscal tears is particularly high, many of which require meniscectomy. Early ACL reconstruction is recommended also for the prevention of secondary meniscal tear.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26286641</pmid><doi>10.1007/s00402-015-2309-4</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Aged Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - methods Arthroscopy - methods Arthroscopy and Sports Medicine Female Humans Knee Knee Injuries - surgery Male Medicine Medicine & Public Health Menisci, Tibial - surgery Middle Aged Orthopedics Rupture Tibial Meniscus Injuries Young Adult |
title | Meniscal tears associated with anterior cruciate ligament injury |
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