caa a22 4500 605458006 CHVBK 20210128100226.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-013-2718-2 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2718-2 The evaluation of patient-specific factors associated with meniscal and chondral injuries accompanying ACL rupture in young adult patients [Elektronische Daten] [Gang Chen, Xing Tang, Qi Li, Guo Zheng, Tianfu Yang, Jian Li] 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. Springer-Verlag Berlin Heidelberg, 2013 Anterior cruciate ligament rupture nationallicence Menisci nationallicence Cartilage nationallicence Knee injuries nationallicence Chen Gang Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Tang Xing Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Li Qi Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Zheng Guo Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Yang Tianfu Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Li Jian Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 792-798 0942-2056 23:3<792 2015 23 167 https://doi.org/10.1007/s00167-013-2718-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2718-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Gang Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Tang Xing Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Li Qi Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Zheng Guo Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Yang Tianfu Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Li Jian Department of Orthopedic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 792-798 0942-2056 23:3<792 2015 23 167