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1

Chen, W. T., T. T. F. Shih, H. Y. Tu, R. C. Chen, and W. Y. Shau. "Partial and complete tear of the anterior cruciate ligament: Direct and indirect MR signs." Acta Radiologica 43, no. 5 (2002): 511–16. http://dx.doi.org/10.1258/rsmacta.43.5.511.

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Purpose: To analyze MR direct and indirect signs for knees with anterior cruciate ligament (ACL) partial or complete tear. Material and Methods: According to documented MR direct and indirect signs for ACL tear, we retrospectively reviewed the incidence of those signs in 15 partial ACL tear and 17 complete ACL tear patients. The findings were also compared with duration of injury (less or more than 6 weeks, as acute or chronic stages). Results: A residual straight and tight ACL fiber in at least one pulse sequence was more frequently detected in partial ACL tears. The empty notch sign, a wavy
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Kanhaiya, Lal Gupta. "To Determine the Frequency of Primary and Secondary Meniscal Tears in Full Vs Partial ACL Injuries, as Well as the Location of Meniscal Tears in Complete Vs Partial ACL Injuries." International Journal of Pharmaceutical and Clinical Research 13, no. 6 (2021): 150–54. https://doi.org/10.5281/zenodo.14213699.

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<strong>Aim:</strong>&nbsp;To study the meniscal tears associated with complete vs partial anterior cruciate ligament injury.&nbsp;<strong>Methods:&nbsp;</strong>A prospective study was conducted in the Department of Orthopedics, Jawaharlal Nehru Medical College, Hospital, Bhagalpur, Bihar, India from May 2020 to March 2021. 114 patients diagnosed with combined ACL and meniscal injury with a follow up 3months to 1 years of knee injury at our center. The patients were divided into two groups: Complete ACL injury group; 60 knees, mean age 28.2 years) and partial ACL injury group; 54knees, mean a
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3

Chambat, P. "ACL tear." Orthopaedics & Traumatology: Surgery & Research 99, no. 1 (2013): S43—S52. http://dx.doi.org/10.1016/j.otsr.2012.11.012.

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4

Familiari, Filippo, Luke V. Tollefson, Antonio Izzo, Michele Mercurio, Robert F. LaPrade, and Giovanni Di Vico. "A High-Grade Lachman’s Exam Predicts a Ramp Tear of the Medial Meniscus in Patients with Anterior Cruciate Ligament Tear: A Prospective Clinical and Radiological Evaluation." Journal of Clinical Medicine 13, no. 3 (2024): 683. http://dx.doi.org/10.3390/jcm13030683.

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Background: Medial meniscus ramp tears are present in 22.9–40.8% of anterior cruciate ligament tears. The diagnosis of ramp tears is difficult on MRI, with sensitivity reported around 48%, which has recently emphasized the importance of proper arthroscopic probing for ramp tears. Methods: A prospective evaluation was performed on patients undergoing a single bundle ACL reconstruction to assess patient demographics, posterior tibial slope, posterior cruciate ligament angle, Lachman’s exam, and rotational instability to determine secondary findings associated with medial meniscal ramp tears. Res
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Reddy, Dr Mandipalli Likhitheswar, Dr Jayanti Musib, Dr Akshay B, Dr Achyutha Akhil Royal, and Dr Vasa Ramesh. "Evaluation Of Ligamentous Tears Of The Knee Joint And Correlation Between Meniscal And Anterior Cruciate Ligament Tears Using Magnetic Resonance Imaging." IOSR Journal of Dental and Medical Sciences 23, no. 12 (2024): 38–43. https://doi.org/10.9790/0853-2312023843.

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Background: The knee joint is highly susceptible to injuries, particularly from sports and trauma, making Magnetic Resonance Imaging (MRI) a valuable tool for diagnosing musculoskeletal disorders due to its excellent soft tissue contrast and multiplanar capabilities. The anterior cruciate ligament (ACL) is the most frequently injured and reconstructed ligament in the knee, often sustaining damage alongside other structures such as meniscal and collateral ligaments. MRI effectively identifies these associated injuries, although diagnosing meniscal tears can be particularly difficult when the AC
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McLaughlin, William, Stephen Gillinov, Peter Joo, Jay Moran, Jonathan Grauer, and Elizabeth Gardner. "Paper 20: Prior Isolated Meniscus Surgery Significantly Increases the Risk for Future Ipsilateral Anterior Cruciate Ligament Reconstruction up to 5 Years: An Analysis of over 100,000 Patients." Orthopaedic Journal of Sports Medicine 11, no. 3_suppl2 (2023): 2325967123S0002. http://dx.doi.org/10.1177/2325967123s00020.

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Objectives: Meniscus tears in a young population often occur from a traumatic, rotational mechanism of injury, which is similar to that of an ACL tear. However, there is limited evidence regarding the risk of subsequent ACL injury following a surgically treated isolated meniscus tears. The purpose of this study was to investigate the risk of subsequent ipsilateral ACL reconstruction (ACL-R) in patients who were surgically treated for isolated meniscus tears compared to the incidence of ACL-R in the general population. We hypothesized that a prior meniscus tear, more specifically a bucket-handl
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7

DePhillipo, Nicholas N., Connor G. Zeigler, Travis J. Dekker, et al. "Lateral Posterior Tibial Slope in Male and Female Athletes Sustaining Contact Versus Noncontact Anterior Cruciate Ligament Tears: A Prospective Study." American Journal of Sports Medicine 47, no. 8 (2019): 1825–30. http://dx.doi.org/10.1177/0363546519848424.

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Background: Lateral posterior tibial slope (PTS) has been identified as a risk factor for primary anterior cruciate ligament (ACL) tears. Purpose/Hypothesis: The purpose was to prospectively determine if there was a difference in lateral PTS between male and female athletes sustaining contact ACL tears as compared with a group of sex-, age-, and activity-matched athletes who sustained noncontact ACL tears. It was hypothesized that there would be no difference in degree of lateral PTS between contact and noncontact mechanisms among patients sustaining primary ACL tears in sports. Study Design:
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Pandya, Nirav K., Brian Feeley, Drew Lansdown, William Rubenstein, and Sachin Allahabadi. "ACL GRAFT FAILURE IN PROFESSIONAL ATHLETES COMPARED TO THE PEDIATRIC POPULATION." Orthopaedic Journal of Sports Medicine 7, no. 3_suppl (2019): 2325967119S0010. http://dx.doi.org/10.1177/2325967119s00102.

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BACKGROUND Re-tear rates in pediatric and adolescent patients undergoing ACL reconstruction are higher than the general adult population. This has been postulated to be due to many reasons; one of which is participation in high risk activities. Athletes in professional sports are at increased risk of re-injury as well with high activity levels and often face additional pressure to return to sports quickly. The purpose of the study was to analyze ACL re-tear rates across male professional sports leagues in athletes following ACL reconstruction and return to play at the professional level to det
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9

DeFroda, Steven F., Steven Louis Bokshan, Samantha Worobey, Lauren Ready, Alan H. Daniels, and Brett D. Owens. "Oral Contraceptives Provide Protection against Anterior Cruciate Ligament Tears: A National Database Study of 165,748 Female Patients." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (2019): 2325967119S0035. http://dx.doi.org/10.1177/2325967119s00353.

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Objectives: ACL tears are more prevalent in females than males. One of the factors responsible for this may be the variation in levels of estrogen and progesterone. The purpose of this study was to query a large nationwide database to determine the potentially protective effects of oral contraceptive pills (OCPs) on ACL tears. We hypothesized that females taking OCPs would exhibit ACL tears at lower rates than a matched population of patients not taking OCPs. Methods: The PearlDiver database (www.pearldiverinc.com, Fort Wayne, IN) was queried for all OCP users amongst females aged 15-49. Femal
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Fayard, Jean-Marie, Bertrand Sonnery-Cottet, Goran Vrgoc, et al. "Incidence and Risk Factors for a Partial Anterior Cruciate Ligament Tear Progressing to a Complete Tear After Nonoperative Treatment in Patients Younger Than 30 Years." Orthopaedic Journal of Sports Medicine 7, no. 7 (2019): 232596711985662. http://dx.doi.org/10.1177/2325967119856624.

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Background: Partial anterior cruciate ligament (ACL) tears are observed in 10% to 27% of isolated ACL tears. There is currently no consensus on diagnosis and treatment protocols, and the outcomes of nonoperative treatment remain undefined. Purpose: To assess the incidence and risk factors for the progression of partial ACL tears to complete ruptures after nonoperative treatment in active patients younger than 30 years. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 41 patients, all younger than 30 years and active in sports, were diagnosed with a partial ACL tear,
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Cerciello, Simone, Michele Mercurio, Katia Corona, et al. "Posterior Cruciate Buckling Angle Variations Are Associated with Different Patterns of Medial Meniscus Tears in Anterior-Cruciate-Deficient Knees: Results of a Prospective Comparative Magnetic Imaging Resonance Study." Healthcare 12, no. 16 (2024): 1553. http://dx.doi.org/10.3390/healthcare12161553.

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Background: The diagnosis of anterior cruciate ligament (ACL) tear relies on clinical evaluation and magnetic resonance imaging (MRI). Direct and indirect signs of ACL tear have been described with MRI evaluation. Posterior cruciate ligament (PCL) buckling has been described as an indirect radiographic sign of an ACL tear. Purpose: The aim of the present study was to assess the variations in PCL buckling angles in patients with ACL tears and in patients with isolated lesions in the posterior horn of the medial meniscus. In addition, the influence of different patterns of medial meniscus tears
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Krych, Aaron J., Matthew D. LaPrade, Corey S. Cook, et al. "Lateral Meniscal Oblique Radial Tears Are Common With ACL Injury: A Classification System Based on Arthroscopic Tear Patterns in 600 Consecutive Patients." Orthopaedic Journal of Sports Medicine 8, no. 5 (2020): 232596712092173. http://dx.doi.org/10.1177/2325967120921737.

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Background: Meniscal root tears and ramp lesions have been rigorously characterized in recent literature. However, one of the most common lateral meniscal injuries identified with an acute anterior cruciate ligament (ACL) disruption, a posterior horn lateral meniscal oblique radial tear (LMORT), has not been thoroughly described. Purpose: To determine the incidence of all meniscal tears and, more specifically, the incidence of posterior horn LMORTs in a multicenter cohort of consecutive, acute ACL reconstructions. Additionally, the authors aimed to develop a new classification system to help g
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13

Sanders, Thomas L., Ayoosh Pareek, Vishal S. Desai, et al. "Low Accuracy of Diagnostic Codes to Identify Anterior Cruciate Ligament Tear in Orthopaedic Database Research." American Journal of Sports Medicine 46, no. 12 (2018): 2894–98. http://dx.doi.org/10.1177/0363546518790507.

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Background: Database research is being used in orthopaedic literature with increased regularity. The main limitation of database research is the absence of diagnosis and treatment verification afforded by medical chart review. This absence may limit the accuracy of some conclusions and recommendations produced by database research. Hypothesis/Purpose: The purpose was to describe the accuracy of 1 database (Rochester Epidemiology Project) used in orthopaedic research to detect isolated anterior cruciate ligament (ACL) tears and to discuss the limitations of database research. It was hypothesize
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Vega, José F., Gregory J. Strnad, Isaac Briskin, et al. "Interrater Agreement of an Arthroscopic Anterior Cruciate Ligament Tear Classification System." Orthopaedic Journal of Sports Medicine 8, no. 12 (2020): 232596712096632. http://dx.doi.org/10.1177/2325967120966323.

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Background: Anterior cruciate ligament (ACL) rupture is the most common ligament injury treated surgically by orthopaedic surgeons. The gold standard for the treatment of the majority of primary ACL tears is ACL reconstruction. However, novel methods of repair, such as bridge-enhanced ACL repair (BEAR), are currently being investigated as alternatives to reconstruction. To assess patients for midsubstance repair suitability, clarify the prognostic implications of injury location and damage, and evaluate the results of a repair technique, it is important to have a baseline classification system
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Keeling, Laura, Alexandra Galel, Cooper Ehlers, David Wang, and Edward Chang. "Outcomes of Meniscal Repair versus Meniscectomy in Patients with Concomitant ACL and Bucket Handle Meniscus Tears (200)." Orthopaedic Journal of Sports Medicine 9, no. 10_suppl5 (2021): 2325967121S0030. http://dx.doi.org/10.1177/2325967121s00309.

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Objectives: Bucket handle meniscus tears often present concurrently with tears of the anterior cruciate ligament (ACL). However, little is known regarding the influence of demographic factors on surgical decision-making, or on outcomes following treatment of bucket handle meniscus tears in ACL-deficient patients. Furthermore, no study has compared outcomes in this population between patients undergoing meniscectomy versus repair. The purpose of this study was therefore to determine if there is a difference in outcomes between patients presenting with concomitant ACL and bucket handle meniscus
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Shelbourne, K. Donald, Rodney W. Benner, Jonathan A. Jones, and Tinker Gray. "Posterior Tibial Slope in Patients Undergoing Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: Analysis of Subsequent ACL Graft Tear or Contralateral ACL Tear." American Journal of Sports Medicine 49, no. 3 (2021): 620–25. http://dx.doi.org/10.1177/0363546520982241.

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Background: Reports on greater posterior tibial slope (PTS) and its relationship to subsequent anterior cruciate ligament (ACL) injury show conflicting results; it has not been studied much in patients after ACL reconstruction with patellar tendon autograft (PTG). Hypothesis: Patients who suffered a subsequent ACL injury would have a larger PTS than patients who did not suffer a subsequent injury after primary or revision ACL reconstruction. Study Design: Cohort study; Level of evidence, 3. Methods: Patients received primary (n = 2439) or revision (n = 324) ACL reconstruction with PTG and were
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Bigoni, Marco, Marco Turati, Giovanni Zatti, et al. "Intra-Articular Cytokine Levels in Adolescent Patients after Anterior Cruciate Ligament Tear." Mediators of Inflammation 2018 (August 28, 2018): 1–8. http://dx.doi.org/10.1155/2018/4210593.

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The treatment of anterior cruciate ligament (ACL) injuries in children and adolescents is challenging. Preclinical and clinical studies investigated ACL repairing techniques in skeletally immature subjects. However, intra-articular bioenvironment following ACL tear has not yet been defined in skeletally immature patients. The aim of this study was to measure cytokine concentrations in the synovial fluid in adolescent population. Synovial levels of IL-1β, IL-1ra, IL-6, IL-8, IL-10, and TNF-α were measured in 17 adolescent patients (15 boys) with ACL tears who underwent ACL reconstruction includ
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Benner, Rodney, Jonathan Jones, Tinker Gray, and K. Donald Shelbourne. "Posterior tibial slope in patients undergoing anterior cruciate ligament (ACL) reconstruction with patellar tendon autograft: Analysis of subsequent ACL graft tear or contralateral ACL tear." Orthopaedic Journal of Sports Medicine 8, no. 7_suppl6 (2020): 2325967120S0035. http://dx.doi.org/10.1177/2325967120s00353.

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Objectives: To examine the relationship of posterior tibial slope and rate of graft tear or contralateral anterior cruciate ligament (ACL) tear among patients undergoing primary or revision ACL reconstruction with patellar tendon autograft. Methods: From June 2001 to 2015, 2,796 patients received primary or revision ACL reconstruction with patellar tendon autograft (PTG) and were followed prospectively to determine rate of graft tear and contralateral ACL tear. Minimum follow-up for study inclusion was 4 years. Posterior tibial slope (PTS) was measured preoperatively on digital lateral view ra
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Bram, Joshua T., Nakul S. Talathi, Christopher J. DeFrancesco, Neeraj M. Patel, and Theodore J. Ganley. "“RELATIVE” RISK OF ACL RE-INJURY." Orthopaedic Journal of Sports Medicine 7, no. 3_suppl (2019): 2325967119S0009. http://dx.doi.org/10.1177/2325967119s00099.

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Background Several studies have examined ACL injury history among relatives of patients undergoing ACL reconstruction, but they have primarily analyzed adult populations with variable results. Additionally, few studies have examined concomitant injuries or post-operative outcomes among pediatric patients with a family history of ACL tear. Therefore, the purpose of this study was to identify the proportion of pediatric ACL patients with a first degree relative who had suffered an ACL tear while also examining concomitant meniscal or ligamentous injuries and subsequent complication rates. Method
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Connors, Katherine M., Henry Shu, Jennifer Thomas, Stephen Lockey, and Evan Argintar. "Evaluating the Reliability Of MRI In Predicting The Degree Of ACL Tears In Pre-operative Planning For The Surgical Treatment Of ACL Tears: A Retrospective Study." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (2019): 2325967119S0039. http://dx.doi.org/10.1177/2325967119s00398.

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Objectives: Anterior cruciate ligament (ACL) repair has regained interest in recent years as it has been demonstrated to provide favorable outcomes in patients with proximal ACL tears or avulsions. Magnetic resonance imaging (MRI) is the primary method uses to pre-operatively evaluate the ACL injury and help decide whether to perform an ACL repair or reconstruction. However, intraoperative findings often do not correspond with the MRI findings. This discrepancy may cause the surgeon to deviate from their initial surgical plan. Furthermore, some surgeons may disregard the possibility of perform
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Chen, Kun-Hui, En-Rung Chiang, Hsin-Yi Wang, and Hsiao-Li Ma. "Correlation of Meniscal Tear with Timing of Anterior Cruciate Ligament Reconstruction in Patients without Initially Concurrent Meniscal Tear." Journal of Knee Surgery 32, no. 11 (2018): 1128–32. http://dx.doi.org/10.1055/s-0038-1675783.

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AbstractThe incidence of meniscal tear was reported to increase with the delay of anterior cruciate ligament reconstruction (ACLR). The tear may occur concurrently with the ACL injury or after the ACL injury. Few studies had focused on the patients whose meniscus is intact during ACL injury. We determined the correlation between timing of surgery and incidence of meniscal tears in ACL-deficient knees with initially intact meniscus. We retrospectively reviewed 387 patients who had undergone primary ACLR. Time of initial ACL injury, magnetic resonance imaging (MRI) examination, and surgery was r
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Sandhir, Gagan, and Shakilur Rahman. "Indirect signs of anterior cruciate ligament tear on MRI knee: a retrospective study." International Journal of Research in Medical Sciences 11, no. 3 (2023): 936–40. http://dx.doi.org/10.18203/2320-6012.ijrms20230576.

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Background: Anterior cruciate ligament is the most common ligament tear in knee and its primary role is to provide stability to the knee joint. Aim of study is to describe various secondary signs that are helpful in diagnosing partial/complete ACL tear. MRI offers distinct advantages over arthroscopy as a means of evaluating the ACL. MRI evaluation is effective in preventing unnecessary arthroscopy by assessing the severity of ACL tear and coexisting injuries. Methods: In this retrospective study 30 cases of partial/complete ACL tear were studied over a period of six months using Siemens Magne
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Draghi, Ferdinando, Mario Torresi, Luigi Urciuoli, and Salvatore Gitto. "Magnetic Resonance Signal Abnormalities within the Pericruciate Fat Pad: A Possible Secondary Sign for Acute Anterior Cruciate Ligament Tears." Canadian Association of Radiologists Journal 68, no. 4 (2017): 438–44. http://dx.doi.org/10.1016/j.carj.2017.04.003.

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Purpose The study sought to investigate the presence of magnetic resonance (MR) signal alterations within the pericruciate fat pad in patients with an acute anterior cruciate ligament (ACL) tear as well as evaluate its diagnostic value in comparison with the main secondary signs of ACL tears. Methods Two musculoskeletal radiologists retrospectively reviewed knee MR examinations performed from May to October 2015. The ACL was considered as torn or intact based on either previous arthroscopic findings or unequivocal MR imaging interpretation if arthroscopic correlation was unavailable. Abnormali
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Alcaraz, Christopher A. "Acl Tear Football Injury." Medicine & Science in Sports & Exercise 39, Supplement (2007): S128—S129. http://dx.doi.org/10.1249/01.mss.0000273442.68695.df.

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Tatari, Mehmet Hasan, and Vugar Guliyev. "Incidence of Meniscal Tears Accompanying ACL Ruptures." Orthopaedic Journal of Sports Medicine 2, no. 11_suppl3 (2014): 2325967114S0012. http://dx.doi.org/10.1177/2325967114s00121.

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Objectives: Anterior cruciate ligament (ACL) injury is a common disorder in athletes and in most cases, meniscal tears accompany. These meniscal tears can be the result of the initial trauma or the consecutive injuries in the unoperated patients. The aim of the study was to compare the incidence of meniscal tears in the patients operated because of ACL defficiency in the early or late period after the initial trauma. The age of the patient and meniscal tear pattern were the other subjects compared. Methods: The groups included 42, 72 and 129 patients respectively. Among all groups, it was show
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Saeed, Ayoub Abdalla, Dr Gamal Mahgoub, and Dr Hussien Ahmed Hassan. "Prevalence of Anterior Cruciate Ligament (ACL) Tear Localization Site Role of MRI." Scholars Journal of Applied Medical Sciences 10, no. 4 (2022): 479–84. http://dx.doi.org/10.36347/sjams.2022.v10i04.006.

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Background: The knee is one of the complex joints in the human body and consists of several internal structures that may lead to the emergence of symptoms of knee injuries [1]. The anterior cruciate ligament, or ACL, is one of the major ligaments of the knee that is located in the middle of the knee and runs from the femur (thigh bone) to the tibia (shin bone). It prevents the tibia from sliding out in front of the femur. Together with posterior cruciate ligament (PCL) it provides rotational stability to the knee [2]. In the case of ACL injuries of the knee, magnetic resonance imaging (MRI) is
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Bram, Joshua T., Nicolas Pascual-Leone, Neeraj M. Patel, Christopher J. DeFrancesco, Nakul S. Talathi, and Theodore J. Ganley. "Do Pediatric Patients With Anterior Cruciate Ligament Tears Have a Higher Rate of Familial Anterior Cruciate Ligament Injury?" Orthopaedic Journal of Sports Medicine 8, no. 10 (2020): 232596712095966. http://dx.doi.org/10.1177/2325967120959665.

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Background: Several studies have examined the anterior cruciate ligament (ACL) injury history among relatives of patients undergoing ACL reconstruction (ACLR), but they have primarily analyzed adults with variable results. Hypothesis: We hypothesized that he rate of familial ACL injuries among pediatric patients with ACL tears would be greater than that among pediatric patients with uninjured knees. Study Design: Cohort study; Level of evidence, 3. Methods: Pediatric patients (≤18 years of age) who underwent ACLR between January 2009 and May 2016 were contacted to complete a questionnaire on s
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Kalawar, Rosan Prasad Shah, Pashupati Chaudhary, Raju Rijal, and Bishnu Pokharel. "The Associated Meniscal Tears and Associated Risk Factors in Concomitant ACL Injuries of the Knee: A Retrospective Analysis." Birat Journal of Health Sciences 5, no. 1 (2020): 981–85. http://dx.doi.org/10.3126/bjhs.v5i1.29639.

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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. &#x0D; 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.&#x0D; Methodology: Routine arthroscopic findings database of 54 patientsoperated for primary ACL reconstruction from January 2017t
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Tukade, Mohanbabu. "A Comprehensive Assessment of Meniscal Injury Incidence in Anterior Cruciate Ligament Deficient Knee Joints." Journal of Contemporary Clinical Practice 9, no. 1 (2023): 18–23. http://dx.doi.org/10.61336/jccp.2023.1084.

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Introduction The meniscus is frequently damaged in anterior cruciate ligament (ACL) injuries or in the degenerative process over a period of several years. The predominance of lateral meniscal tears has been demonstrated with acute ACL rupture, whereas the incidence of medial meniscal tears significantly increases with chronic ACL insufficiency. Methods This is a Prospective study. 50 patients in the age group of 18-50 years with internal derangement of knee, which underwent arthroscopic ACL reconstruction. All patients in the age group of 18 – 50 years with internal derangement of knee who un
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Novaretti, Joao, Elmar Herbst, Calvin Chan, Richard Debski, and Volker Musahl. "Small Lateral Meniscus Tears Propagate and are Detrimental to Knee Kinematics and Contact Forces." Orthopaedic Journal of Sports Medicine 7, no. 6_suppl4 (2019): 2325967119S0023. http://dx.doi.org/10.1177/2325967119s00238.

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Aims and Objectives: To quantify propagation of small vertical lateral meniscus tears located in the posterior horn during simulated cyclic cutting maneuvers on a robotic testing system and the resulting changes in knee kinematics and forces. Materials and Methods: 14 fresh-frozen human cadaveric knees (mean age: 74.8 ± 14.4) were mounted onto a 6-DOF robotic testing system. Knees with osteoarthritis greater than grade II were excluded. A small vertical tear in the posterior horn of the lateral meniscus medial to the popliteus tendon was created via a posterior arthrotomy. Tear length was meas
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Joshi, Amit, Nagmani Singh, Ishor Pradhan, Bibek Basukala, and Ashok Kumar Banskota. "A Definition of Significant Instability and a Scoring System for Predicting Meniscal Tears in ACL-Deficient Knees." Orthopaedic Journal of Sports Medicine 7, no. 8 (2019): 232596711986673. http://dx.doi.org/10.1177/2325967119866732.

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Background: Patients with anterior cruciate ligament (ACL)–deficient knees risk recurrent instability of the affected knee, which may predispose to meniscal injuries. Various studies have correlated the incidence of meniscal tear with elapsed time from ACL tear and number of instability events. However, it is not clear how significant an instability event needs to be to contribute to a meniscal tear. Purpose/Hypothesis: The purpose of this study was to (1) define a significant instability episode and (2) develop a checklist and scoring system for predicting meniscal tears based on significant
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Christino, Melissa, S. Clifton Willimon, Crystal Perkins, Belinda Schaafsma, and Michael Busch. "THE RATE OF MENISCUS TEARS IN ASSOCIATION WITH ANTERIOR CRUCIATE LIGAMENT INJURIES INCREASES WITH AGE." Orthopaedic Journal of Sports Medicine 7, no. 3_suppl (2019): 2325967119S0017. http://dx.doi.org/10.1177/2325967119s00171.

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Background: Anterior cruciate ligament (ACL) tears are frequently associated with meniscal injury. Numerous authors have described associations between the presence of a meniscal tear at the time of ACL reconstruction and time to surgery and number of instability episodes1-3. The purpose of this study was to evaluate the relationship between age and the presence of a meniscal tear at the time of ACL reconstruction in children and adolescents. Methods: A single-institution retrospective review was performed of consecutive pediatric and adolescent patients who underwent ACL reconstruction over a
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Sharabi, Mirit, Raz Agron, Amir Dolev, Rami Haj-Ali, and Mustafa Yassin. "Predictive Refined Computational Modeling of ACL Tear Injury Patterns." Bioengineering 11, no. 5 (2024): 413. http://dx.doi.org/10.3390/bioengineering11050413.

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Anterior cruciate ligament (ACL) ruptures are prevalent knee injuries, with approximately 200,000 ruptures annually, and treatment costs exceed USD two billion in the United States alone. Typically, the initial detection of ACL tears and anterior tibial laxity (ATL) involves manual assessments like the Lachman test, which examines anterior knee laxity. Partial ACL tears can go unnoticed if they minimally affect knee laxity; however, they will progress to a complete ACL tear requiring surgical treatment. In this study, a computational finite element model (FEM) of the knee joint was generated t
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Brophy, Robert H., Jon C. Baker, Jana M. Crain, et al. "MRI Findings Associated With Anterior Cruciate Ligament Tears in National Football League Athletes." Orthopaedic Journal of Sports Medicine 11, no. 6 (2023): 232596712311691. http://dx.doi.org/10.1177/23259671231169190.

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Background: Anterior cruciate ligament (ACL) tears are a high-frequency injury requiring a lengthy recovery in professional American football players. Concomitant pathology associated with ACL tears as identified on magnetic resonance imaging (MRI) is not well understood in these athletes. Purpose: To describe the MRI findings of concomitant injuries associated with ACL tears among athletes in the National Football League (NFL). Study Design: Cross-sectional study; Level of evidence, 3. Methods: Of 314 ACL injuries in NFL athletes from 2015 through 2019, 191 complete MRI scans from the time of
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Hawesa, Halima, Sahar Mansour, Raghad Alhazmi, Majedah Alharbi, and Fahadah Altamimi. "The Precision of MRI in the Diagnosis of Anterior Cruciate Ligament Injury Among Athletes in Riyadh, Kingdom of Saudi Arabia." Saudi Journal of Radiology 3, no. 1 (2024): 1–15. http://dx.doi.org/10.55038/txdbnr56.

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Introduction: An anterior cruciate ligament (ACL) is frequently injured among athletes. ACL injuries occur due to strong contact or indirect knee trauma, causing the enlarging or destroying of non-contractile, and elastic soft-tissue articular structures. Aims: An anterior cruciate ligament injury is the most injured among young athletes. It could be a complete or partial tear. This study aimed to evaluate the role of MRI and physical examination in diagnosis of anterior cruciate ligament tears among athletes. Method: The data on anterior cruciate ligament tears were collected retrospectively
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Sruthi Subramanian, Vignesh Kandasamy, and Venkatesh Manchikanti. "Association of meniscal tears with cruciate ligament injuries." Radiography Open 8, no. 1 (2022): 15–24. http://dx.doi.org/10.7577/radopen.4773.

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Aim: To find the association of meniscal tears with isolated and combined cruciate ligament injuries, grades of injury, time of injury and type of injury. Method: Magnetic resonance (MR) imaging of 240 patients with knee pain who diagnosed with anterior cruciate ligament (ACL) and Posterior Cruciate Ligament (PCL) injury by arthroscopy were studied. Results: Road and traffic accidents (RTA) caused in 80.4% of cases. A total of 192 patients (80%) with isolated ACL involvement, seven patients (2.9%) with isolated PCL involvement, and 41 patients (17%) with combined ACL and PCL involvement. In ca
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Joshi, Amit, Nagmani Singh, Bibek Basukala, Rohit Bista, Navin Tripathi, and Ishor Pradhan. "Accuracy of magnetic resonance imaging for meniscal body tear in anterior cruciate ligament-deficient knees compared to anterior cruciate ligament-intact knee." Journal of Arthroscopic Surgery and Sports Medicine 2 (January 10, 2021): 18–25. http://dx.doi.org/10.25259/jassm_54_2020.

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Objectives: This prospective case–control study was conducted with primary aim to compare the value of magnetic resonance imaging (MRI) in terms of accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for the detection of meniscal tear in anterior cruciate ligament (ACL)-deficient and ACL-intact groups. The secondary aim was to identify if the sensitivity and accuracy differ if the MRI is older than 3 months from the time of surgery. Materials and Methods: There were 255 patients enrolled into this study out of which 207 fulfilled the inclusion criteria.
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Duc, S. R., M. Zanetti, J. Kramer, K. P. Käch, C. L. Zollikofer, and K. U. Wentz. "Magnetic resonance imaging of anterior cruciate ligament tears: evaluation of standard orthogonal and tailored paracoronal images." Acta Radiologica 46, no. 7 (2005): 729–33. http://dx.doi.org/10.1080/02841850500215907.

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Purpose: To evaluate the three standard orthogonal imaging planes and a paracoronal imaging plane for anterior cruciate ligament (ACL) tears. Material and Methods: Ninety patients (91 knees; 29 F and 61 M) aged between 15 and 84 years (mean 36.9±16.4 years) underwent magnetic resonance imaging (MRI) of the knee prior to arthroscopy. At surgery, 32 knees had an intact ACL, 4 a partial tear, and 55 a complete ACL tear. In all patients, axial, sagittal, coronal, and paracoronal T2-weighted turbo-SE images were acquired. The ACL was classified as intact, partially, or completely torn. Partial and
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Hosseininejad, Seyyed-Mohsen, Mohammad Kazem Emami Meybodi, Mehdi Raei, and Alireza Rahimnia. "Prevalence and mechanisms of anterior cruciate ligament tears in military personnel: A cross-sectional study in Iran." PLOS ONE 19, no. 6 (2024): e0303326. http://dx.doi.org/10.1371/journal.pone.0303326.

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Background Anterior cruciate ligament (ACL) tear is common in military setting; such an injury increase institutional costs and workforce strain, however, few studies have investigated the mechanism and associated factors of ACL tear specifically in a military setting. The aim of this study was to investigate the prevalence and mechanisms of ACL tears in military personnel at a military referral hospital in Iran. Material and methods This cross-sectional study examined 402 military personnel who presented with knee complaints at a single referral Iranian military hospital. The ACL injury preva
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Kushare, I., M. Beran, K. Klingele, et al. "CLASSIFICATION OF ACL TEARS IN THE PEDIATRIC AND ADOLESCENT POPULATION." Orthopaedic Journal of Sports Medicine 8, no. 4_suppl3 (2020): 2325967120S0025. http://dx.doi.org/10.1177/2325967120s00255.

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Background: There have been previous imaging classification schemes in the literature that described ACL tears in adults and pediatric patients. More recent publications have described the epidemiology, injury mechanisms, and repair versus reconstruction techniques. None have proposed an arthroscopic classification for pediatric patients. Purpose: To describe our experience with a novel arthroscopic classification using 4 patterns of ACL tears depending on the type of tear and the tissue quality. Methods: An IRB approved prospective with 2 parts to this study: Part 1: Single center prospective
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Smith, Patrick A., Will A. Bezold, Cristi R. Cook, et al. "Kinematic Analysis of Lateral Meniscal Oblique Radial Tears in Anterior Cruciate Ligament–Reconstructed Knees: Untreated Versus Repair Versus Partial Meniscectomy." American Journal of Sports Medicine 50, no. 9 (2022): 2381–89. http://dx.doi.org/10.1177/03635465221102135.

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Background: Lateral meniscal oblique radial tears (LMORTs) affect joint and meniscal stability in anterior cruciate ligament (ACL)–deficient knees. Purpose: To determine the clinically relevant kinematics associated with the most common posterior horn LMORT lesion types, types 3 (LMORT3) and 4 (LMORT4), untreated versus arthroscopic repair versus partial meniscectomy in combination with ACL reconstruction (ACLR). Study: Controlled laboratory study. Methods: Sixteen cadaveric knees underwent robotic testing for anterior drawer and pivot-shift simulations at multiple knee flexion angles in ACL-i
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Chaudhari, Nilesh H., Rounak R. Bagga, and Zoya M. Patni. "MR imaging of anterio cruciate ligament injuries." International Journal of Research in Medical Sciences 5, no. 11 (2017): 4980. http://dx.doi.org/10.18203/2320-6012.ijrms20174956.

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Background: Of all the ligaments of the knee joint the Anterior cruciate ligament (ACL) is the most commonly injured. It is an important pillar of the ligament stabilization of knee joint preventing anterior translation of Tibia over Fibula. Magnetic resonance imaging (MRI) is an excellent modality providing fine-resolution and multiplanar imaging without any radiation, for detection and evaluation of ACL injury with the associated injuries to other ligaments of the knee join. The purpose of the work was to study the role of MRI in classifying the ACL injuries.Methods: MRI Knee of 162 patients
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Lee, Chee Hwee, Chih Feng Tan, Okwha Kim, et al. "Osseous Injury Associated with Ligamentous Tear of the Knee." Canadian Association of Radiologists Journal 67, no. 4 (2016): 379–86. http://dx.doi.org/10.1016/j.carj.2016.02.002.

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One of the most common knee injuries is ligament tear, which may initially manifest as an osseous injury in radiographs. Radiologists should therefore be able to recognize ligament tears of the knee as osseous abnormalities in images. This review focuses on the imaging features of knee ligament injuries and their related osseous injuries: anterior cruciate ligament (ACL) tear with Segond fracture; associated marrow contusion; ACL avulsion fracture; posterior cruciate ligament (PCL) tear with osseous avulsion of the ligament including arcuate sign; reverse Segond fracture; PCL avulsion fracture
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Schilaty, Nathan D., Nathaniel A. Bates, Thomas L. Sanders, Aaron J. Krych, Michael J. Stuart, and Timothy E. Hewett. "Incidence of Second Anterior Cruciate Ligament Tears (1990-2000) and Associated Factors in a Specific Geographic Locale." American Journal of Sports Medicine 45, no. 7 (2017): 1567–73. http://dx.doi.org/10.1177/0363546517694026.

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Background: Second anterior cruciate ligament (ACL) tears after reconstruction occur at a reported rate of 20% to 30%. This high frequency indicates that there may be factors that predispose an athlete to graft failure and ACL tears of the contralateral knee. Purpose: To determine the incidence of second ACL injuries in a geographic population-based cohort over a 10-year observation period. Study Design: Descriptive epidemiological study. Methods: International Classification of Diseases, 9th Revision (ICD-9) codes relevant to the diagnosis of an ACL tear and the procedure code for ACL reconst
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Rizzi, Laura, Marco Turati, Elena Bresciani, et al. "Characterization of microRNA Levels in Synovial Fluid from Knee Osteoarthritis and Anterior Cruciate Ligament Tears." Biomedicines 10, no. 11 (2022): 2909. http://dx.doi.org/10.3390/biomedicines10112909.

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This study investigated modifications of microRNA expression profiles in knee synovial fluid of patients with osteoarthritis (OA) and rupture of the anterior cruciate ligament (ACL). Twelve microRNAs (26a-5p, 27a-3p, let7a-5p, 140-5p, 146-5p, 155-5p, 16-5p,186-5p, 199a-3p, 210-3p, 205-5p, and 30b-5p) were measured by real-time quantitative polymerase chain reaction (RT-qPCR) in synovial fluids obtained from 30 patients with ACL tear and 18 patients with knee OA. These 12 miRNAs were chosen on the basis of their involvement in pathological processes of bone and cartilage. Our results show that
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Sohail, Muhammad Amir, Amna Bashir, and Umair Ul Hassan. "Combined medial and lateral bucket handle meniscus tears with associated complete anterior cruciate ligament tear-a case report." Journal of the Pakistan Medical Association 73, no. 11 (2023): 2257–59. http://dx.doi.org/10.47391/jpma.8153.

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The majority of meniscal tears in bucket handles are associated with anterior cruciate ligament (ACL) impairment. Its a rare condition which is rarely encountered when the meniscus has a bucket handle on both sides of the compartment. Here we present the case of a 28-year-old male cricket player with a total ACL rupture, a double Posterior Cruciate ligament (PCL) sign on MRI (Magnetic Resonance Imaging), an uncommon occurrence of a complex bucket handle rupture of the medial meniscus with a double PCL sign. It was a complete ACL tear and displaced bucket handle medial meniscus that was also vi
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Rahim, Reshyl, Salahuddin Balooch, Muhammad Usman Khan, Syed Awon Raza Shah Bokhari, Khawaja Muhammad Baqir Hassan, and Najam Us Saqib Niazi. "Magnetic Resonance Imaging (MRI) Based Diagnosis of Anterior Cruciate Ligament (ACL) TEARS in Patients with Internal Derangements of Knee." Pakistan Armed Forces Medical Journal 72, no. 3 (2022): 775–78. http://dx.doi.org/10.51253/pafmj.v72i3.6763.

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Objective: To assess the role of magnetic resonance imaging (MRI) in diagnosing anterior cruciate ligament (ACL) tears in patients with knee internal derangements.&#x0D; Study Design: Prospective longitudinal study.&#x0D; Place and Duration of Study: Department of Radiology, Combined Military Hospital, Kharian Pakistan, from Sep 2019 Aug 2020.&#x0D; Methodology: 40 patients of any age and gender were part of the study with painful or unstable knee joints. A clinical examination was performed after recording demographic data. In addition, MRI was performed, and primary and secondary signs were
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B R, Lakshith, Adarsh U. Tuppad, Shashiraj K. Shetty, Edward L. Nazareth, and Kumar Mihir. "Soft Tissue Injuries Associated with Proximal Tibia Fractures." Journal of Karnataka Orthopaedic Association 11, no. 1 (2023): 13–16. http://dx.doi.org/10.13107/jkoa.2023.v11i01.058.

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The purpose of this study was to document the pattern of ligament and meniscal injuries that occur with proximal tibia fractures due to high energy trauma. Seventy patients with fractures of proximal tibia due to high-energy mechanisms were evaluated with magnetic resonance imaging (MRI) of the knee. All studies were reported by a single musculoskeletal radiologist who was blinded to surgical and physical findings. Of the 70 patients, there were 42 patients with AO/OTA type 41B2 (60%) fractures. On average, 70 % sustained a complete tear or avulsion of one or both cruciates.70% sustained colla
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Aoyama, Julien T., Scott M. LaValva, Joshua T. Bram, Thomas Reese, and Theodore J. Ganley. "COMPARING RATES OF TIBIAL SPINE FRACTURES TO ACL TEARS: A 7-YEAR TREND." Orthopaedic Journal of Sports Medicine 8, no. 4_suppl3 (2020): 2325967120S0017. http://dx.doi.org/10.1177/2325967120s00173.

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Background: Sometimes referred to as the “pediatric” ACL injury, tibial spine fractures, although less commonly seen, are believed to share the same injury mechanism as anterior cruciate ligament (ACL) tears. And while incidence rates of pediatric ACL tears have been known to be increasing in recent years, to our knowledge, trends in incidence rates of tibial spine fractures (TSFs) in the pediatric population have not yet been reported in the literature. With sport specialization in children becoming a more commonly discussed topic, our goal was to report on the incidence rates of TSFs over a
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Juniarti, Dwi Windi, Hermina Sukmaningtyas, and Robin Novriansyah. "The Risk Factor Analysis of Femorotibial Joint Morphometrics Associated with Severity of Anterior Cruciate Ligament Tear Using MRI Examination: Study in Indonesia." Open Access Macedonian Journal of Medical Sciences 11, B (2023): 361–66. http://dx.doi.org/10.3889/oamjms.2023.11473.

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BACKGROUND: Anterior cruciate ligament (ACL) tear is a condition that has been linked to both short-term and long-term clinical outcomes and has an anatomical risk factor known as femorotibial joint morphometrics. There are three grades of this condition, which are sometimes difficult to detect through imaging. AIM: This study aimed to analyze the prevalent ratio (PR) of femorotibial joint morphometrics to ACL tear grades using magnetic resonance imaging (MRI). METHODS: An observational approach along with a cross-sectional design was employed. The ACL tear grade and measurement of bi-intercon
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