Gender Differences in Intra-articular and Extra-articular Injuries Associated with Acute Anterior Cruciate Ligament Ruptures

2018 ◽  
Vol 32 (07) ◽  
pp. 616-619 ◽  
Author(s):  
Si Heng Sharon Tan ◽  
Aishwarya Kripesh ◽  
Chloe Xiaoyun Chan ◽  
Lingaraj Krishna
Keyword(s):  
Gender Differences ◽  
Cruciate Ligament ◽  
Acl Rupture ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Acute Setting ◽  
Males And Females ◽  
Anterior Cruciate ◽  
Bone Contusions ◽  
Meniscus Injuries

AbstractFemales are well known to have a two to nine times increase in relative risk of anterior cruciate ligament (ACL) rupture as compared with males. However, there is limited literature available regarding the rates of associated intra-articular and extra-articular injuries associated with ACL ruptures. The purpose of this study was to investigate the gender differences in intra-articular and extra-articular injuries associated with ACL ruptures in an acute setting. Therefore, in the cross-sectional study of consecutive patients, all patients who underwent ACL reconstruction in a single institution were identified if they had a magnetic resonance imaging (MRI) done within 6 weeks of sustaining the injury and if their injury was sustained during sports activities. Patients were excluded if they had prior surgery in the affected knee, including revision ACL reconstructions. A musculoskeletal MRI radiologist blinded to the study's purpose then reported the incidence of ligamentous injuries, meniscal tears, chondral injuries, and bone contusions. Correlations were then performed between the patient's gender and the prevalence of these associated injuries. A total of 304 patients were included in the study. Comparison between males and females revealed no gender differences for the associated intra-articular and extra-articular injuries of acute ACL rupture. These include the prevalence of medial collateral ligament injuries (p = 0.118), lateral collateral ligament injuries (p = 0.445), medial meniscus injuries (p = 0.874), lateral meniscus injuries (p = 0.612), chondral injuries (p = 0.331), medial (p = 0.143) and lateral femoral condyle bone contusions (p = 0.246), and medial (p = 0.787) and lateral tibial plateau bone contusions (p = 0.765). In conclusion, males and females have similar rates of associated intra-articular and extra-articular injuries after ACL rupture in the acute setting. These include associated collateral ligament injuries, meniscal injuries, chondral injuries, and bone contusions. The level of evidence is Level II.

Combined Anterior Cruciate Ligament and Medial Collateral Ligament Injuries in Adolescents

2006 ◽  
Vol 26 (6) ◽  
pp. 733-736 ◽  
Author(s):  
Wudbhav N. Sankar ◽  
Lawrence Wells ◽  
Brian J. Sennett ◽  
Brent B. Wiesel ◽  
Theodore J. Ganley
Keyword(s):  
Anterior Cruciate Ligament ◽  
Medial Collateral Ligament ◽  
Cruciate Ligament ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Anterior Cruciate

Evaluating Different Criteria to Diagnose ACL Rupture Using a Knee Arthrometer

2009 ◽  
Author(s):  
Damoon Soudbakhsh ◽  
Mohammad-Naghi Tahmasebi ◽  
Mohamad Parnianpour
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Acl Rupture ◽  
Ligament Injuries ◽  
Acl Injuries ◽  
Anterior Laxity ◽  
Anterior Cruciate

Every year many people suffer from knee injuries. Previous studies on patients with knee injuries has shown that about 40% percent of knee injuries are ligament injuries, and about 50% of the ligament injuries are the Anterior Cruciate Ligament (ACL) injuries [1–2]. Knee arthrometers are widely used to diagnose ACL injuries, along with other methods [3–4]. In the current research, a knee arthrometer which was developed to provide an accurate measurement of AP displacement of the knee [5] was used to measure anterior laxity of the knees of 20 subjects, and the results were analyzed to find better criteria to diagnose ACL rupture using knee arthrometers.

scholarly journals Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)

2021 ◽  
Vol 9 (11) ◽  
pp. 232596712110509
Author(s):  
Daniel Guenther ◽  
Thomas Pfeiffer ◽  
Wolf Petersen ◽  
Andreas Imhoff ◽  
Mirco Herbort ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Medial Collateral Ligament ◽  
Consensus Statement ◽  
Cruciate Ligament ◽  
Delphi Process ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Modified Delphi ◽  
Anterior Cruciate ◽  
Combined Injuries

Background: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined. Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL. Study Design: Consensus statement. Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests. Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements. Conclusion: The results of this modified Delphi process offer a guideline for standardized patient care in cases of combined injuries to the ACL and MCL.

Results of a New Treatment Concept for Concomitant Lesion of Medial Collateral Ligament in Patients with Rupture of Anterior Cruciate Ligament

2016 ◽  
Vol 30 (07) ◽  
pp. 652-658 ◽  
Author(s):  
Jochen Paul ◽  
Maximilian Haenle ◽  
Jannes Sailer ◽  
Geert Pagenstert ◽  
Lutz Wehren ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Medial Collateral Ligament ◽  
Cruciate Ligament ◽  
Acl Rupture ◽  
Treatment Concept ◽  
Collateral Ligament ◽  
Term Outcome ◽  
Anterior Cruciate ◽  
New Treatment

AbstractAnteromedial knee injury with rupture of anterior cruciate ligament (ACL) and concomitant lesion of medial collateral ligament (MCL) is common in athletes. No standardized treatment concept can be found within the literature. This study presents results of a new treatment concept for concomitant MCL lesions in patients with ACL rupture. In this study, 67 recreational athletes with ACL injury and concomitant MCL lesion were treated according to a distinct treatment concept. Patients were classified in six different types of concomitant MCL lesion depending on grade of MCL lesion and presence of anteromedial rotatory instability (AMRI). Final classification and surgical indication were determined 6 weeks posttraumatic. All patients received ACL reconstruction. MCL was treated by surgical or conservative regime due to type of concomitant MCL lesion. International Knee Documentation Committee (IKDC), AMRI, and Lysholm scores were evaluated both preoperatively and after 6 weeks, 16 weeks, 12 months, and 18 months postoperatively. All patients could be uniquely classified and treated according to the introduced treatment concept. AMRI was verifiable in patients with grade II and III MCL lesions. All patients showed good to excellent clinical results at the follow-up examinations. In all 67 patients (100%), the findings were graded as normal or nearly normal according to the IKDC knee examination form. Lysholm score averaged 93.9 at final follow-up. The introduced treatment concept showed good results on short-term outcome and provides a sufficient treatment strategy for concomitant MCL lesions in athletes with ACL rupture.

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