Anatomic Risk Factor for Meniscal Lesion in Association with ACL Rupture

Overview

Journal J Orthop Surg Res

Publisher Biomed Central

Specialty Orthopedics

Date 2019 Aug 1

PMID 31362758

Citations 4

Authors

Romain Gaillard

Robert Magnussen

Cecile Batailler

Philippe Neyret

Sebastien Lustig

Elvire Servien

Affiliations

Soon will be listed here.

Abstract

Background: To assess anatomic risk factors for meniscal lesions in association with acute ACL rupture. The primary hypothesis was that tibiofemoral anatomic measures will be different in those with and without concomitant meniscus tears.

Methods: A retrospective review of patients who underwent acute ACL reconstruction in the department was performed. All patients underwent a postoperative CT scan. The concavity and/or convexity on the femur and the tibia were measured by two blinded observers on the sagittal plane with different ratios, and these measures were compared in patients with and without meniscus tears in each compartment. Intra- and inter-rater reliabilities were assessed.

Results: Four hundred twelve patients (268 males and 144 females) were included from October 2012 to February 2015. One hundred sixty-seven patients had a medial meniscal tear (119 males/48 females), and 100 had a lateral meniscal tear (80 males/20 females). The mean time from injury to surgery was 3 months. The average ICC for all measurements was 0.87 (range 0.82-0.98) indicating good reliability. The medial femoral condyle was noted to be significantly longer than the medial tibial plateau in the sagittal plane in patients with a medial meniscal tear (p = 0.04), and the lateral femoral condyle was noted to be significantly longer than the lateral tibial plateau in the sagittal plane in patients with a lateral meniscal tear (p < 0.001). In addition, a less convex lateral tibial plateau was statistically correlated with a higher risk of lateral meniscal tear (p = 0.001).

Conclusions: A greater anteroposterior length of the medial/lateral femoral condyle relative to the medial/lateral tibial plateau is associated with an increased risk of meniscal lesions in association with acute ACL rupture. The lateral compartment in the male population appears to be the most at risk.

Trial Registration: Retrospectively registered on May 12, 2016 (CPP sud-est II CAL n°2016-037).

Citing Articles

Slope of the Medial Tibial Plateau and the Incidence of a Medial Meniscal Tear.

Askari A, Mirkamali S, Ghaderi M, Arasteh P, Mohammadpour M Arch Bone Jt Surg. 2025; 12(11):754-759.

PMID: 39850920 PMC: 11756546. DOI: 10.22038/ABJS.2024.74315.3439.

Risk Factors for Concomitant Meniscal Injury With Sport-Related Anterior Cruciate Ligament Injury.

Reist H, Vacek P, Endres N, Tourville T, Failla M, Geeslin A Orthop J Sports Med. 2023; 11(9):23259671231196492.

PMID: 37693810 PMC: 10492489. DOI: 10.1177/23259671231196492.

Femoral condyle configuration and its impact on anterior cruciate ligament reconstruction.

Riemer L, Dargel J, Schaferhoff P, Eysel P, Steimel T, Reineck S Technol Health Care. 2023; 31(5):1607-1617.

PMID: 36970923 PMC: 10578253. DOI: 10.3233/THC-220640.

Morphometric characteristics of the knee are associated with the injury of the meniscus.

Wang P, Gao F, Sun W, Li Z, Wu X, Shi L J Orthop Surg Res. 2022; 17(1):498.

PMID: 36403063 PMC: 9675146. DOI: 10.1186/s13018-022-03380-2.

Medial meniscus tears are most prevalent in type I ACL tears, while type I ACL tears only account for 8% of all ACL tears.

Tan L, Liang J, Feng J, Cao Y, Luo J, Liao Y Knee Surg Sports Traumatol Arthrosc. 2022; 31(6):2349-2357.

PMID: 35842857 DOI: 10.1007/s00167-022-07068-2.

References

Paletta Jr G, Levine D, OBrien S, Wickiewicz T, Warren R . Patterns of meniscal injury associated with acute anterior cruciate ligament injury in skiers. Am J Sports Med. 1992; 20(5):542-7. DOI: 10.1177/036354659202000510. View

Tandogan R, Taser O, Kayaalp A, Taskiran E, Pinar H, Alparslan B . Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears: relationship with age, time from injury, and level of sport. Knee Surg Sports Traumatol Arthrosc. 2003; 12(4):262-70. DOI: 10.1007/s00167-003-0398-z. View

Kujala U, Nelimarkka O, Koskinen S . Relationship between the pivot shift and the configuration of the lateral tibial plateau. Arch Orthop Trauma Surg. 1992; 111(4):228-9. DOI: 10.1007/BF00571483. View

Church S, Keating J . Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change. J Bone Joint Surg Br. 2005; 87(12):1639-42. DOI: 10.1302/0301-620X.87B12.16916. View

Brandon M, Haynes P, Bonamo J, Flynn M, Barrett G, Sherman M . The association between posterior-inferior tibial slope and anterior cruciate ligament insufficiency. Arthroscopy. 2006; 22(8):894-9. DOI: 10.1016/j.arthro.2006.04.098. View

Crawford K, Briggs K, Rodkey W, Steadman J . Reliability, validity, and responsiveness of the IKDC score for meniscus injuries of the knee. Arthroscopy. 2007; 23(8):839-44. DOI: 10.1016/j.arthro.2007.02.005. View

Davies-Tuck M, Wluka A, Teichtahl A, Martel-Pelletier J, Pelletier J, Jones G . Association between meniscal tears and the peak external knee adduction moment and foot rotation during level walking in postmenopausal women without knee osteoarthritis: a cross-sectional study. Arthritis Res Ther. 2008; 10(3):R58. PMC: 2483448. DOI: 10.1186/ar2428. View

Hashemi J, Chandrashekar N, Gill B, Beynnon B, Slauterbeck J, Schutt Jr R . The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint. J Bone Joint Surg Am. 2008; 90(12):2724-34. PMC: 2663332. DOI: 10.2106/JBJS.G.01358. View

Todd M, Lalliss S, Garcia E, DeBerardino T, Cameron K . The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sports Med. 2009; 38(1):63-7. DOI: 10.1177/0363546509343198. View

10.

Suganuma J, Mochizuki R, Yamaguchi K, Inoue Y, Yamabe E, Ueda Y . Cam impingement of the posterior femoral condyle in medial meniscal tears. Arthroscopy. 2010; 26(2):173-83. DOI: 10.1016/j.arthro.2009.11.002. View

11.

Musahl V, Ayeni O, Citak M, Irrgang J, Pearle A, Wickiewicz T . The influence of bony morphology on the magnitude of the pivot shift. Knee Surg Sports Traumatol Arthrosc. 2010; 18(9):1232-8. DOI: 10.1007/s00167-010-1129-x. View

12.

Anderson A, Irrgang J, Dunn W, Beaufils P, Cohen M, Cole B . Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med. 2011; 39(5):926-32. DOI: 10.1177/0363546511400533. View

13.

Yoon K, Yoo J, Kim K . Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. J Bone Joint Surg Am. 2011; 93(16):1510-8. DOI: 10.2106/JBJS.J.01320. View

14.

Wahl C, Westermann R, Blaisdell G, Cizik A . An association of lateral knee sagittal anatomic factors with non-contact ACL injury: sex or geometry?. J Bone Joint Surg Am. 2012; 94(3):217-26. DOI: 10.2106/JBJS.K.00099. View

15.

Kilcoyne K, Dickens J, Haniuk E, Cameron K, Owens B . Epidemiology of meniscal injury associated with ACL tears in young athletes. Orthopedics. 2012; 35(3):208-12. DOI: 10.3928/01477447-20120222-07. View

16.

Hede A, Jensen D, Blyme P, Sonne-Holm S . Epidemiology of meniscal lesions in the knee. 1,215 open operations in Copenhagen 1982-84. Acta Orthop Scand. 1990; 61(5):435-7. DOI: 10.3109/17453679008993557. View

17.

Jones J, Burks R, Owens B, Sturdivant R, Svoboda S, Cameron K . Incidence and risk factors associated with meniscal injuries among active-duty US military service members. J Athl Train. 2012; 47(1):67-73. PMC: 3418117. DOI: 10.4085/1062-6050-47.1.67. View

18.

Fok A, Yau W . Delay in ACL reconstruction is associated with more severe and painful meniscal and chondral injuries. Knee Surg Sports Traumatol Arthrosc. 2012; 21(4):928-33. DOI: 10.1007/s00167-012-2027-1. View

19.

Snoeker B, Bakker E, Kegel C, Lucas C . Risk factors for meniscal tears: a systematic review including meta-analysis. J Orthop Sports Phys Ther. 2013; 43(6):352-67. DOI: 10.2519/jospt.2013.4295. View

20.

Bozkurt M, Unlu S, Cay N, Apaydin N, Dogan M . The potential effect of anatomic relationship between the femur and the tibia on medial meniscus tears. Surg Radiol Anat. 2014; 36(8):741-6. DOI: 10.1007/s00276-014-1266-x. View