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Three Morphological Risk Factors for Predicting Isolated Meniscal Bucket-handle Tear

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Abstract

Purpose

The study aimed to investigate whether morphometric variables of the knee can predict isolated meniscal bucket-handle tears and identify the risk factors.

Methods

The study included 146 participants with a mean age of 36.547 ± 12.279 years. They included two groups of 73 patients each: one group with isolated meniscal bucket-handle tears and another with no knee injury (control group). Magnetic resonance imaging findings of the participants were retrospectively assessed. A few morphometric variables associated with distal femur, proximal tibia, and cruciate ligaments were measured.

Results

Cruciate ligament tensity (CLT), medial femoral condylar height (MFCH), and lateral meniscal bone angle (LMBA) were found to be 12.7 ± 0.3, 30.1 ± 2.5 mm, and 21.2° ± 3.4°, respectively, in patients with meniscal bucket-handle tear, compared with 11.9 ± 0.2, 28.3 ± 2.7 mm, and 26.5° ± 3.7° in the control group, respectively. Based on multivariate Firth’s logistic regression analysis, CLT (Odds ratio [OR]: 456.533; 95% confidence interval [CI]: 27.582 to > 999.999), MFCH (OR: 1.603; 95% CI: 1.023–2.513), and LMBA (OR: 0.780; 95% CI: 0.624–0.975) could distinguish between meniscal bucket-handle tears and knees without meniscus tears (p < 0.05). Based on the multicategorical multinominal regression model, CLT (OR: > 999.999; 95% CI: 49.937 to > 999.999) and MFCH (OR: 1.903; 95% CI: 1.005–3.606) were the determinant variables in differentiating medial meniscal bucket-handle tears from knees without meniscus tears (p < 0.05).

Conclusion

Large CLT, high medial condyle, and small LMBA were revealed as the morphometric risk factors for meniscal bucket-handle tear.

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Data availability

The data that support the findings of this study are available from the corresponding author, upon reasonable request.

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Acknowledgements

We thank Enago – https://www.enago.com.tr/ceviri/ for their assistance in manuscript translation and editing. Some data of the study was presented as an oral presentation in The 24th European Federation of National Associations of Orthopaedics and Traumatology (EFFORT) Annual Congress held in Vienna, Austria, from 24 to 26 May 2023.

Funding

We affirm that we have no financial affiliation (including research funding) or involvement with any commercial organization that has a direct financial interest in any matter.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Konya City Hospital, Konya, Turkey

    Muhammet Zeki Gültekin

  2. Department of Radiology, Konya City Hospital, Konya, Turkey

    Zeynep Keskin

  3. Department of Physiotherapy and Rehabilitation, Faculty of Nezehat Keleşoğlu Health Science, Necmettin Erbakan University, Konya, Turkey

    Serdar Arslan

  4. Department of Sports Medicine, Konya City Hospital, Konya, Turkey

    Engin Dinç

  5. Department of Orthopedics and Traumatology, Faculty of Medicine, Tekirdag Namık Kemal University, Tekirdag, Turkey

    Yaşar Mahsut Dinçel

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Correspondence to Serdar Arslan.

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Ethical standard statement

The research was conducted in accordance with the Declaration of Helsinki and received ethical compliance according to the decision numbered 2022/249 of the meeting numbered 24 and dated 06.07.2022 by the Non-Pharmaceutical and Non-Medical Device Research Ethics Committee of Faculty of Medicine Necmettin Erbakan University.

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Informed consent was not obtained from the participants due to the study was designed retrospectively and data were analyzed anonymously.

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Gültekin, M.Z., Keskin, Z., Arslan, S. et al. Three Morphological Risk Factors for Predicting Isolated Meniscal Bucket-handle Tear. JOIO 58, 517–526 (2024). https://doi.org/10.1007/s43465-024-01124-4

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