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, Lingjie; Liang, Jiehui; Feng, Jing; Cao, Yangbo; Luo, Jiewen; Liao, Yunjie; Cao, Xu; Wang, Zili; He, Jinshen; Wu, Song

doi:10.1007/s00167-022-07068-2

Cited by 5 publications

(2 citation statements)

References 54 publications

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“…This finding may imply that there is a relationship between the intensity of the initial trauma, the degree of ACL damage, delay to surgery, as it has been found to be a risk factor for smaller remnant volume, and the ramp lesion. Recently, Tan et al [36] found an association between the type of ACL injury and the prevalence of medial meniscus tear.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and prevalence of ramp lesions in ACL ruptures: An analysis from the registry of the Francophone Arthroscopic Society

Lambrey,

Fayard,

Graveleau

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe study aimed to estimate the prevalence of ramp lesions among patients undergoing anterior cruciate ligament (ACL) reconstruction and identify risk factors associated with these lesions.MethodsA retrospective, multicentre cohort study was conducted using data from the Francophone Arthroscopic Society's registry, including 5359 patients who underwent ACL reconstruction (ACLR) from June 2020 to June 2023. Potential risk factors for ramp lesion such as patient demographics, revision surgery, pivot shift, side‐to‐side anteroposterior laxity, medial collateral ligament (MCL) injury, lateral meniscal tear and the volume of ligament remnant were evaluated using multivariate regression analyses. BMI and delay to surgery were also assessed.ResultsRamp lesions were identified in 822 patients (15.3%). Univariate analysis identified male sex, younger age, revision surgery, lateral meniscal injury, percentage of ACL remnant (all p < 0.0001) and pivot shift (p = 0.0103) as significant risk factors. MCL injury was associated with a lower risk (p < 0.0001). In multivariate analysis, male sex, younger age, revision surgery, lateral meniscal injury and percentage of ACL remnants remained significant risk factors, while MCL injury remained a protective factor. The anteroposterior laxity wasn't a significant predictor in either analysis. In subgroup analysis, there were differences concerning body mass index (n.s) and the delay to surgery (n.s).ConclusionThe study identified male sex, younger age, revision surgery, lateral meniscal injury and pourcentage of ACL remnant as significant risk factors for ramp lesions, with MCL injury acting as a protective factor. This will help regarding the suspicion and identification of ramp lesions.Level of EvidenceLevel III.

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Section: Discussionmentioning

confidence: 99%

Risk factors and prevalence of ramp lesions in ACL ruptures: An analysis from the registry of the Francophone Arthroscopic Society

Lambrey,

Fayard,

Graveleau

et al. 2024

Knee surg. sports traumatol. arthrosc.

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“…Heat therapy is a safe and effective treatment option for the majority of aches and pains. 13 When treating a new wound, keep all sources of heat away from it. This method may result in greater subcutaneous bleeding, making treatment of the underlying disease more challenging.…”

Section: Introductionmentioning

confidence: 99%

Association of Knee Pain in Long Standing and Sitting among University Teachers

Tahir¹,

Maqsood²,

Azhar³

et al. 2023

THJ

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Background: Prolonged sitting and standing raise the load on the knee, thus increasing the risk of knee pain and severity among teachers. Objective: To determine the association of knee pain in long-standing and sitting among school and university teachers. Methods: It was a cross-sectional survey conducted on 185 patients with a history of chronic knee pain. The data was collected from school and university teachers in the private and public sectors. Data were collected from both male and female teachers having knee pain and aged between 27 to 60 years and the patients who have a history of knee osteoarthritis, carcinoma, traumatic injury and wound/infection were excluded from the survey. The categorical variables were evaluated by frequency and percentages, while mean and standard deviation were calculated for continuous variables. The correlation was calculated between knee pain reported by university professors due to long periods of standing or sitting. Results: Out of 185 participants, 111 (60%) were females and 74 (40%) were males, with a mean age of 41.37±11.33. There was a weak positive correlation between knee pain and standing hours, which was statistically significant (r=0.273, n =185, p<0.001). There was a negative correlation between knee pain and sitting hours, (r=-0.160, n=185, p<0.05). Conclusion: This study found that prolonged standing hours may increase knee pain among teachers as compared to prolonged sitting. More standing hours during academic activities tend to increase knee pain while prolonged sitting did not increase that pain. There was a negative correlation between knee pain and sitting hours, and weak positive correlation between knee pain and standing hours, which was statistically significant.

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