Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores

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)
ID: 605456178
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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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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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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