The evaluation of patient-specific factors associated with meniscal and chondral injuries accompanying ACL rupture in young adult patients
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2718-2 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-013-2718-2 | ||
| 245 | 0 | 4 | |a The evaluation of patient-specific factors associated with meniscal and chondral injuries accompanying ACL rupture in young adult patients |h [Elektronische Daten] |c [Gang Chen, Xing Tang, Qi Li, Guo Zheng, Tianfu Yang, Jian Li] |
| 520 | 3 | |a Purpose: To evaluate patient-specific factors, including the mechanism of injury, time from the injury, activity level after the initial trauma, re-injury and body mass index (BMI), as risk factors for meniscal and chondral injuries accompanying anterior cruciate ligament (ACL) rupture. Methods: A retrospective review of young adult patients with complete ACL rupture was performed between 2007 and 2011. The presence of meniscal tears and/or chondral injury, and the mechanism of injury, time from the injury, activity level after the initial trauma, re-injury and BMI were recorded. The data were analysed for associations between patient-specific factors and the prevalence of meniscal and chondral injuries. Results: A total of 293 patients were included. Increasing time from the injury, active daily life and re-injury were risk factors associated with meniscal injuries (p<0.05). Independent risk factors associated with meniscal injuries included active daily life (OR=4.66, 95% CI 2.21-9.86, p<0.0001) and re-injury (OR=7.68, 95% CI 3.24-18.22, p<0.0001). Contact injury, increasing time from the injury, active daily life and re-injury were risk factors associated with chondral injuries (p<0.05). Independent risk factors associated with chondral injuries included contact injury (OR=2.54, 95% CI 1.27-5.10, p<0.01), active daily life (OR=2.62, 95% CI 1.35-5.08, p<0.01) and re-injury (OR=4.18, 95% CI 2.09-8.35, p<0.001). The incidence of re-injury was associated with the activity level (p<0.001) and increased with increasing time from the injury (r=−0.698, p<0.001). Conclusions: An increased risk of meniscal tear (especially medial meniscus) was strongly associated with an active daily life and re-injury. The combination of contact injury, active daily life and re-injury substantially increased the risk of cartilage injury. Patients with increasing time from the injury and active daily life exhibited a higher risk of re-injury, implying a higher prevalence of intra-articular damage. Level of evidence: Cross-sectional study, Level III. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2013 | ||
| 690 | 7 | |a Anterior cruciate ligament rupture |2 nationallicence | |
| 690 | 7 | |a Menisci |2 nationallicence | |
| 690 | 7 | |a Cartilage |2 nationallicence | |
| 690 | 7 | |a Knee injuries |2 nationallicence | |
| 700 | 1 | |a Chen |D Gang |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 700 | 1 | |a Tang |D Xing |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 700 | 1 | |a Li |D Qi |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 700 | 1 | |a Zheng |D Guo |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 700 | 1 | |a Yang |D Tianfu |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 700 | 1 | |a Li |D Jian |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/3(2015-03-01), 792-798 |x 0942-2056 |q 23:3<792 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2718-2 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2718-2 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Chen |D Gang |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tang |D Xing |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Li |D Qi |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Zheng |D Guo |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yang |D Tianfu |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Li |D Jian |u Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/3(2015-03-01), 792-798 |x 0942-2056 |q 23:3<792 |1 2015 |2 23 |o 167 | ||