Meniscus tears in the setting of anterior cruciate ligament injury
Purpose: Meniscus tears in the setting of anterior cruciate ligament (ACL) injury can affect post-operative outcomes and stability when not treated correctly. To reduce post-operative osteoarthritis and to improve outcomes, accurate diagnosis and treatment options must be selected. The purpose of th...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Joint Surgery and Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705124000288 |
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| author | Koji Nukuto Efstathios Konstantinou Anja Maximiliane Wackerle Jaren C. Lagreca Camila Grandberg Yunseo Linda Park Brooke Collins Volker Musahl |
| author_facet | Koji Nukuto Efstathios Konstantinou Anja Maximiliane Wackerle Jaren C. Lagreca Camila Grandberg Yunseo Linda Park Brooke Collins Volker Musahl |
| author_sort | Koji Nukuto |
| collection | DOAJ |
| description | Purpose: Meniscus tears in the setting of anterior cruciate ligament (ACL) injury can affect post-operative outcomes and stability when not treated correctly. To reduce post-operative osteoarthritis and to improve outcomes, accurate diagnosis and treatment options must be selected. The purpose of this review was to review recent evidence regarding biomechanics and diagnosis of meniscus injury as well as treatment options for meniscus tears, which are often complicated by ACL injuries. Methods: Studies and topics on concomitant meniscus tears in the presence of ACL injury were searched. Results: Various risk factors have been identified for meniscus tears associated with ACL injuries. As some meniscus tears are difficult to identify on magnetic resonance imaging (MRI), arthroscopic diagnosis of meniscal pathology plays a crucial role. Indications for meniscectomy should be limited due to subsequent exacerbation of post-operative instability and contribution to osteoarthritic changes. Although meniscal repair is the standard treatment for bucket handle tears, ramp lesions, lateral meniscus posterior root tears, and lateral meniscus oblique radial tears, non-operative treatment may be also effective to a certain extent for stable meniscal tears. However, the indication for non-operative treatment should be carefully considered owing to potential enlargement of the torn area. Conclusions: Inadequate treatment of concomitant meniscus tears can result in residual instability and poor outcomes despite successful ACL reconstruction. High-quality evidence on the long-term outcomes of meniscus tears complicating ACL injuries is scarce and hence future studies are required. |
| format | Article |
| id | doaj-art-e75591feaab1439eaa8ddfd176578a80 |
| institution | OA Journals |
| issn | 2949-7051 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj-art-e75591feaab1439eaa8ddfd176578a802025-08-20T02:23:45ZengElsevierJournal of Joint Surgery and Research2949-70512024-12-012418018810.1016/j.jjoisr.2024.10.003Meniscus tears in the setting of anterior cruciate ligament injuryKoji Nukuto0Efstathios Konstantinou1Anja Maximiliane Wackerle2Jaren C. Lagreca3Camila Grandberg4Yunseo Linda Park5Brooke Collins6Volker Musahl7UPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USA; Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan; Corresponding author. UPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USA.UPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USA; Department of Sports Orthopaedics, Technical University of Munich, Munich, GermanyUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAUPMC Freddie Fu Sports Medicine Center, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3200 S. Water Street, Pittsburgh, PA 15203, USAPurpose: Meniscus tears in the setting of anterior cruciate ligament (ACL) injury can affect post-operative outcomes and stability when not treated correctly. To reduce post-operative osteoarthritis and to improve outcomes, accurate diagnosis and treatment options must be selected. The purpose of this review was to review recent evidence regarding biomechanics and diagnosis of meniscus injury as well as treatment options for meniscus tears, which are often complicated by ACL injuries. Methods: Studies and topics on concomitant meniscus tears in the presence of ACL injury were searched. Results: Various risk factors have been identified for meniscus tears associated with ACL injuries. As some meniscus tears are difficult to identify on magnetic resonance imaging (MRI), arthroscopic diagnosis of meniscal pathology plays a crucial role. Indications for meniscectomy should be limited due to subsequent exacerbation of post-operative instability and contribution to osteoarthritic changes. Although meniscal repair is the standard treatment for bucket handle tears, ramp lesions, lateral meniscus posterior root tears, and lateral meniscus oblique radial tears, non-operative treatment may be also effective to a certain extent for stable meniscal tears. However, the indication for non-operative treatment should be carefully considered owing to potential enlargement of the torn area. Conclusions: Inadequate treatment of concomitant meniscus tears can result in residual instability and poor outcomes despite successful ACL reconstruction. High-quality evidence on the long-term outcomes of meniscus tears complicating ACL injuries is scarce and hence future studies are required.http://www.sciencedirect.com/science/article/pii/S2949705124000288Meniscus tearAnterior cruciate ligament injuryMeniscal repairRamp lesionLateral meniscus posterior root tearLateral meniscus oblique radial tear |
| spellingShingle | Koji Nukuto Efstathios Konstantinou Anja Maximiliane Wackerle Jaren C. Lagreca Camila Grandberg Yunseo Linda Park Brooke Collins Volker Musahl Meniscus tears in the setting of anterior cruciate ligament injury Journal of Joint Surgery and Research Meniscus tear Anterior cruciate ligament injury Meniscal repair Ramp lesion Lateral meniscus posterior root tear Lateral meniscus oblique radial tear |
| title | Meniscus tears in the setting of anterior cruciate ligament injury |
| title_full | Meniscus tears in the setting of anterior cruciate ligament injury |
| title_fullStr | Meniscus tears in the setting of anterior cruciate ligament injury |
| title_full_unstemmed | Meniscus tears in the setting of anterior cruciate ligament injury |
| title_short | Meniscus tears in the setting of anterior cruciate ligament injury |
| title_sort | meniscus tears in the setting of anterior cruciate ligament injury |
| topic | Meniscus tear Anterior cruciate ligament injury Meniscal repair Ramp lesion Lateral meniscus posterior root tear Lateral meniscus oblique radial tear |
| url | http://www.sciencedirect.com/science/article/pii/S2949705124000288 |
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