The Associated Meniscal Tears and Associated Risk Factors in Concomitant ACL Injuries of the Knee: A Retrospective Analysis

  • Rosan Prasad Shah Kalawar BP Koirala Institute of Health Sciences https://orcid.org/0000-0002-3633-2360
  • Pashupati Chaudhary BP Koirala Institute of Health Sciences
  • Raju Rijal BP Koirala Institute of Health Scienc
  • Bishnu Pokharel BP Koirala Institute of Health Sciences
Keywords: Arthroscopy, anterior cruciate ligament, ACL, contact injury, meniscus

Abstract

Introduction: The pattern of meniscus tear has significant impact onsubsequent rehabilitation and functional outcome as theyare usually associated with ACL injury.Knowledge about associated meniscus tear helps to identifypatients in the early post-traumatic phase. 

Objectives: To study meniscus tear patterns and associationbetween different tear patterns of meniscus in ACLinjured subjects and to identify potential demographic andother associated risk factors.

 Methodology: Routine arthroscopic findings database of 54 patientsoperated for primary ACL reconstruction from January 2017to December 2018 was used to study associated tear of meniscus. Based on arthroscopic evaluation, cases weregrouped into meniscus having no tear, minor tear and majortear. Major tear included complete radial tears, root tearsand unstable longitudinal tears including bucket-handletears.

 Result: Totalarthroscopycasesinthestudydurationwere124.Ofthose,43% (n=54) underwent ACL reconstruction (ACLR) for tornACL. Among the patients who underwent ACLR, 58% had notear, 26%hadminortears, and16%hadmajortears ofthemeniscus. Therewere significant differencesbetweenthree groups for gender, age groupsandmechanism of injury. Risk factors formajortearsweremalegenderandage<30years.Minorandmajortears were associated with a contact injury.

 Conclusion: Male, age <30 years and history of contact injury havehigh risks for having an associated meniscus tear. Earlyreferral to magnetic resonance imaging and/or arthroscopyis recommended to allow meniscus repair in a timelymanner.

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Author Biographies

Rosan Prasad Shah Kalawar, BP Koirala Institute of Health Sciences

Associate Professor, Department of Orthopaedics

Pashupati Chaudhary, BP Koirala Institute of Health Sciences

Professor, Department of Orthopaedics

Raju Rijal, BP Koirala Institute of Health Scienc

Professor, Department of Orthopaedics

Bishnu Pokharel, BP Koirala Institute of Health Sciences

Associate Professor, Department of Orthopaedics

Published
2020-06-26
How to Cite
Kalawar, R., Chaudhary, P., Rijal, R., & Pokharel, B. (2020). The Associated Meniscal Tears and Associated Risk Factors in Concomitant ACL Injuries of the Knee: A Retrospective Analysis. Birat Journal of Health Sciences, 5(1), 981-985. https://doi.org/10.3126/bjhs.v5i1.29639
Section
Original Research Articles