What question did this study set out to answer?

To characterize patterns of meniscal injury associated with acute ACL rupture in skeletally immature patients and assess the diagnostic accuracy of preoperative MRI.

March 30, 2011Journal of Pediatric Orthopaedics

Meniscal Pathology Associated With Acute Anterior Cruciate Ligament Tears in Patients With Open Physes

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Authors

WSWalter SamoraNationwide Children's Hospital RPRyan PalmerUniversity of Southern California KKKevin E. KlingeleNationwide Children's Hospital

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Implication

Retrospective review reveals frequent meniscal tears with acute ACL ruptures in skeletally immature youth, highlighting limited MRI sensitivity for detecting pediatric meniscal injuries.

Key Points

To characterize patterns of meniscal injury associated with acute ACL rupture in skeletally immature patients and assess the diagnostic accuracy of preoperative MRI.
Retrospective chart review of N=124 skeletally immature patients undergoing arthroscopically assisted ACL reconstruction within 3 months of injury.
Operative records and arthroscopic images were analyzed to classify meniscal tear pathology and compare against preoperative MRI evaluations.
Meniscus tears occurred in 69.3% of patients, affecting the lateral meniscus in 51, the medial meniscus in 17, and both menisci in 19.
Tears most frequently involved the posterior horn (65.0%) or combined middle and posterior horns (29.2%).
Preoperative MRI demonstrated 95.6% sensitivity for complete ACL rupture, but achieved only 58.6% sensitivity and 91.3% specificity for characterizing meniscus tears.

Cite This Study

Samora et al. (2011) studied this question.

synapsesocial.com/papers/6a962bec9a6f228945bad216 https://doi.org/10.1097/bpo.0b013e31820fc6b8

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Implication

Retrospective review reveals frequent meniscal tears with acute ACL ruptures in skeletally immature youth, highlighting limited MRI sensitivity for detecting pediatric meniscal injuries.

Meniscal Pathology Associated With Acute Anterior Cruciate Ligament Tears in Patients With Open Physes

Discussion

Member takes

Implication

Key Points

Cite This Study

Meniscal Pathology Associated With Acute Anterior Cruciate Ligament Tears in Patients With Open Physes

Discussion

Member takes

Implication

Key Points

Cite This Study

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