Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores
Gespeichert in:
Verfasser / Beitragende:
[Sotirios Michalitsis, Mariana Vlychou, Konstantinos Malizos, Paschal Thriskos, Michael Hantes]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 232-239
Format:
Artikel (online)
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2497-9 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-013-2497-9 | ||
| 245 | 0 | 0 | |a Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores |h [Elektronische Daten] |c [Sotirios Michalitsis, Mariana Vlychou, Konstantinos Malizos, Paschal Thriskos, Michael Hantes] |
| 520 | 3 | |a Purpose: Anterior cruciate ligament (ACL) rupture is associated with meniscal tears and/or articular cartilage damage. The aim of this study was twofold: (a) to report and correlate the incidence of meniscal and cartilage lesions in ACL-deficient knees with time from injury and (b) to correlate lesions of menisci and cartilage with widely used knee scores. Methods: Data were analysed from 109 consecutive patients with ACL rupture. Meniscal and articular cartilage lesions were documented during the arthroscopic reconstruction of the ACL. Patients were distributed into 3 groups according to time from injury; group A: 0-3months (35 patients), group B: 3-12months (39 patients) and group C: more than 12months (35 patients). Lysholm, KOOS and IKDC rating scales were recorded preoperatively. Logistic regression analyses were applied to correlate the concomitant intra-articular pathologies with the time from injury and knee-rating scales. Results: Of 109 patients, 32 (29%) had a medial meniscus tear, 20 (19%) had a lateral meniscus tear, 17 (15%) had both menisci torn and 40 (37%) had no meniscal tear. Analysis revealed that time from injury was not a significant factor for the presence of a meniscal lesion. The odds of development of a high-grade cartilage lesion in an ACL-deficient knee reconstructed more than 12months from time from injury are 5.5 and 12.5 times higher when compared with knees that underwent ACL reconstruction less than 3months and between 3 and 12months after knee injury, respectively. No association was found between intra-articular pathology and the KOOS and Lysholm scores. A positive correlation between the IKDC score and patients without any intra-articular pathology was found. Conclusions: The presence of high-grade cartilage lesions is significantly increased in an ACL-deficient knee when reconstruction is performed more than 12months after injury. However, the incidence of meniscal tears is not increased significantly. Correlation of intra-articular pathology in ACL-deficient knees with knee-rating scales is weak. Level of evidence: Diagnostic study, Level II. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2013 | ||
| 690 | 7 | |a Anterior cruciate ligament |2 nationallicence | |
| 690 | 7 | |a Meniscal tears |2 nationallicence | |
| 690 | 7 | |a Cartilage lesions |2 nationallicence | |
| 690 | 7 | |a Time from injury |2 nationallicence | |
| 690 | 7 | |a Knee scores |2 nationallicence | |
| 700 | 1 | |a Michalitsis |D Sotirios |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | |
| 700 | 1 | |a Vlychou |D Mariana |u Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | |
| 700 | 1 | |a Malizos |D Konstantinos |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | |
| 700 | 1 | |a Thriskos |D Paschal |u Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | |
| 700 | 1 | |a Hantes |D Michael |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 232-239 |x 0942-2056 |q 23:1<232 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2497-9 |q text/html |z Onlinezugriff via DOI |
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2497-9 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Michalitsis |D Sotirios |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Vlychou |D Mariana |u Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Malizos |D Konstantinos |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Thriskos |D Paschal |u Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hantes |D Michael |u The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 232-239 |x 0942-2056 |q 23:1<232 |1 2015 |2 23 |o 167 | ||