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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2015

01-03-2015 | Knee

The evaluation of patient-specific factors associated with meniscal and chondral injuries accompanying ACL rupture in young adult patients

Authors: Gang Chen, Xing Tang, Qi Li, Guo Zheng, Tianfu Yang, Jian Li

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2015

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Abstract

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.
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Metadata
Title
The evaluation of patient-specific factors associated with meniscal and chondral injuries accompanying ACL rupture in young adult patients
Authors
Gang Chen
Xing Tang
Qi Li
Guo Zheng
Tianfu Yang
Jian Li
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2718-2

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