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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 3, Issue 3, pp 130–134 | Cite as

Different patterns of meniscal tears in acute anterior cruciate ligament (ACL) ruptures and in chronic ACL-deficient knees

Classification, staging and timing of treatment
  • M. Cipolla
  • A. Scala
  • E. Gianni
  • G. Puddu
Anterior Cruciate Ligament

Abstract

Through the retrospective study of 1103 reconstructions of the anterior cruciate ligament (ACL) performed between 1984 and 1993, we try to outline the natural history of meniscal tears in acute lesions and in chronic insufficiency of the ACL. According to a more accurate evaluation of the clinical evolution, ACL-deficient knees can be classified into four different stages: acute, subacute, subchronic and properly chronic laxities. While acute injuries show a higher rate of lateral meniscus tears, chronic laxities are very frequently associated with severe medial meniscus lesions. Subacute and subchronic stages seem therefore to be the most favourable phases for ACL reconstruction, because of the lower percentage of severe associated meniscus tears and the minor risk of arthrofibrosis.

Key words

Anterior cruciate ligament Meniscal tear 

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References

  1. 1.
    Barber FA (1994) Snow skiing combined anterior cruciate ligament/medial collateral ligament disruption. Arthroscopy 10: 85–89PubMedGoogle Scholar
  2. 2.
    Cerabona F, Sherman MF, Bonamo JR (1988) Pattern of meniscal injury with acute anterior cruciate ligament tears. Am J Sports Med 16: 603–609PubMedGoogle Scholar
  3. 3.
    Cimino PM (1994) The incidence of meniscal tears associated with acute anterior cruciate ligament disruption secondary to snow-skiing accidents. Arthroscopy 10: 198–200PubMedGoogle Scholar
  4. 4.
    Dejour H, Walch G (1987) Arthrose du genou sur laxité chronique anterieur. Rev Chir Orthop 73: 157–171Google Scholar
  5. 5.
    Hanley ST, Warren RF (1987) Arthroscopic meniscectomy in the anterior cruciate ligament-deficient knee. Arthroscopy 3: 59–65PubMedGoogle Scholar
  6. 6.
    Irvine GB, Glasgow MMS (1992) The natural history of the meniscus in anterior cruciate insufficiency. J Bone Joint Surg [Br] 74: 403–405Google Scholar
  7. 7.
    Keene G, Bickerstaff D, Paterson R (1993) The natural history of meniscal tears in anterior cruciate ligament insufficiency. Am J Sports Med 21: 672–679PubMedGoogle Scholar
  8. 8.
    Mink JH, Reicher MA, Crues JW III (1988) MRI of the knee. Raven, New YorkGoogle Scholar
  9. 9.
    Paletta G, Levine D, O'Brien S et al (1992) Patterns of meniscal injury associated with acute anterior cruciate ligament injury in skiers. Am J Sports Med 20: 542–547PubMedGoogle Scholar
  10. 10.
    Rees A, Mowbray M (1992) Meniscal lesions in chronic anterior cruciate ligament deficiency. J Bone Joint Surg [Br] 74 (Suppl 1): 113Google Scholar
  11. 11.
    Rosenberg LS, Sherman MF (1992) Meniscal injury in the anterior cruciate-deficient knee. Sports Med 13: 423–432PubMedGoogle Scholar
  12. 12.
    Shelbourne DK, Fitzgibbons RE (1995) Aggressive non-treatment of lateral meniscal tears seen during anterior cruciate ligament reconstruction. Am J Sports Med 23: 156–160PubMedGoogle Scholar
  13. 13.
    Shelbourne DK, Wilckens JH, Mollabashy A et al (1991) Arthrofibrosis in acute anterior cruciate ligament reconstruction. Am J Sports Med 19: 332–336PubMedGoogle Scholar
  14. 14.
    Wasilewski SA, Covall DJ, Cohen S (1993) Effect of surgical timing on recovery and associated injuries after anterior cruciate ligament reconstruction. Am J Sports Med 21: 338–342PubMedGoogle Scholar
  15. 15.
    Woods GW, Chapman DR (1984) Reparable posterior menisco-capsular disruption in anterior cruciate ligament injuries. Am J Sports Med 12: 381–385PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • M. Cipolla
    • 1
  • A. Scala
    • 1
  • E. Gianni
    • 1
  • G. Puddu
    • 1
  1. 1.Clinica Valle GiuliaRomaItaly

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