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Knee Surgery, Sports Traumatology, Arthroscopy

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01-11-2021 | Meniscal Injury | KNEE

Anatomic characteristics of the knee influence the risk of suffering an isolated meniscal injury and the risk factors differ between women and men

Authors: Wenhua Li, Jie Liang, Fei Zeng, Bomiao Lin, Chenglong Liu, Shijia Huang, Qiaolan Liu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2021

Abstract

Purpose

To analyse the relationship between multiple anatomic characteristics of the knee (tibia and femur) and isolated meniscal injury in women and men.

Methods

Forty-seven patients with isolated medial meniscal injuries, 62 patients with isolated lateral meniscal injuries, and 70 control subjects were included. Medial posterior tibial slope (MTS), lateral posterior tibial slope (LTS), medial tibial plateau depth (MTD), coronal tibial slope (CTS), femoral notch width (NW), femoral condylar width (FCW), intercondylar notch depth (ND), femoral notch width index (NWI), intercondylar notch shape index (NSI), and cruciate ligaments tensity (CLT) were measured from magnetic resonance images. Anatomic characteristics differing between groups were compared, and risk factors for isolated meniscal injury were identified by multivariate forward stepwise logistic regression for men and women separately.

Results

Risk factors for an isolated medial meniscal injury were a steeper MTS and a lowered MTD in men, and a steeper MTS and an increased NWI in women. Risk factors for isolated lateral meniscal injury were a steeper LTS and an increased NW in men, and a steeper LTS and a lowered ND in women. Risk factors for both medial and lateral meniscal injuries were a higher CTS, an increased NWI, and a looser CLT in men, and a higher CTS, an increased NSI, and a looser CLT in women.

Conclusion

The anatomic characteristics of the tibial plateau, femur, and cruciate ligaments influence the risk of suffering isolated meniscal injury, and the risk factors differ between men and women. This study provides a reference for developing identification criteria for those at risk of isolated meniscal injury.

Level of evidence

III.

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Title: Anatomic characteristics of the knee influence the risk of suffering an isolated meniscal injury and the risk factors differ between women and men
Authors: Wenhua Li
Jie Liang
Fei Zeng
Bomiao Lin
Chenglong Liu
Shijia Huang
Qiaolan Liu
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Keywords: Meniscal Injury
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2021
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-020-06396-5

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Anatomic characteristics of the knee influence the risk of suffering an isolated meniscal injury and the risk factors differ between women and men

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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