Search Our Scientific Publications & Authors

Arthritis Care Res (Hoboken) 2019 Feb 14. Epub 2019 Feb 14.

La Trobe Sport & Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Bundoora, Australia.

Objective: Persistent symptoms and poor quality of life (QoL) are common following anterior cruciate ligament reconstruction (ACLR). We aimed to determine the influence of a combined ACL injury (i.e. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):32-35

Department of Orthopaedic and Trauma Surgery, AZ Delta Hospital, Campus Torhout, Belgium.

Introduction: Avulsion fractures of the tibial intercondylar eminence are rare and occur mostly in children. The purpose of this paper is to present a case of this rare pathology and to underline the importance of early diagnosis.

Case Report: A male 8-year-old child presented with pain in his left knee and difficulties to walk after a combined injury of falling and contact trauma. Read More

J Clin Orthop Trauma 2019 Jan-Feb;10(1):143-148. Epub 2017 Aug 14.

Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.

Purpose: To compare the significance of the tibio-femoral geometrical indices (notch width index, medial and lateral tibial slopes) and patellar tendon- tibial shaft angle in predicting non-contact ACL injuries and to compare these factors between genders.

Methods: Retrospective case control study evaluating 66 MRI knee of patients of age group of 18-60 years with 33 cases of noncontact ACL injury and 33 age matched controls. Notch width index, medial and lateral tibial slopes and patellar tendon tibial shaft angles were calculated and compared for statistical significance and was also compared between the genders. Read More

Sports Med 2019 Jan 28. Epub 2019 Jan 28.

Division of Physical Therapy, Center for Human Movement Science, School of Medicine, The University of North Carolina at Chapel Hill, CB# 7135 Bondurant Hall, Chapel Hill, NC, 27599-7135, USA.

Background: Anterior cruciate ligament (ACL) injury is one of the most common injuries in sports, and the injury mechanisms are not completely clear. Bone bruises seen on magnetic resonance imaging (MRI) following ACL injuries may provide significant information for determining ACL injury mechanisms.

Objective: The aim was to determine ACL injury mechanisms through an evaluation of locations of bone bruises associated with ACL injury. Read More

Orthop J Sports Med 2019 Jan 10;7(1):2325967118820057. Epub 2019 Jan 10.

Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.

Background: An altered tibial position is still present despite anterior cruciate ligament (ACL) reconstruction. It has been demonstrated that an abnormal tibial position after an ACL injury may play a role in subsequent injuries to the meniscus, which can lead to early cartilage degeneration.

Purpose: To determine changes in both the tibial position and the meniscal matrix present before and after ACL reconstruction as well as to evaluate the association between these 2 variables in ACL-injured knees 3 years after reconstruction. Read More

Harefuah 2019 Jan;158(1):7-11

Orthopedic Surgery Department, Hillel Yaffe Medical Center.

Background: MRI is increasingly used as a diagnostic tool for sports injuries involving the knees before referral to arthroscopy.

Objectives: Since degenerative changes increase with age, we aimed to evaluate whether age affects the accuracy of MRI.

Methods: This is a retrospective study of patients with knee injury whose evaluation included both MRI and arthroscopy. Read More

Am J Sports Med 2019 Jan 14:363546518819176. Epub 2019 Jan 14.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Recent biomechanical studies have identified sagittal plane posterior tibial slope as a potential risk factor for posterior cruciate ligament (PCL) injury because of its effects on the kinematics of the native and surgically treated knee. However, the literature lacks clinical correlation between primary PCL injuries and decreased posterior tibial slope.

Purpose/hypothesis:: The purpose of this study was to retrospectively compare the amount of posterior tibial slope between patients with PCL injuries and age/sex-matched controls with intact PCLs. Read More

Unfallchirurg 2019 Jan;122(1):17-21

Privatklinikum Graz Ragnitz, Berthold-Linder-Weg 15, 8047, Graz, Österreich.

Anterior cruciate ligament (ACL) ruptures in pediatric patients with open growth plate are of concern and the number of injuries is increasing. The possibilities for diagnostics using magnetic resonance imaging (MRI) have improved and are without radiation exposure to the growing skeleton. The MRI should be performed routinely in every case of adequate trauma also to recognize additional injuries to the knee joint. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Jan 11. Epub 2019 Jan 11.

Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102 Heukseok-ro, Dongjak-gu, Seoul, 06973, South Korea.

Purpose: To investigate the prevalence of the anterolateral ligament (ALL) injuries and its role in rotatory laxity in acute anterior cruciate ligament (ACL)-injured knees.

Methods: Two-hundred and ninety-six consecutive patients with acute ACL injuries were evaluated retrospectively, excluding those with other ligament injury and undetectable path of ALL in MRI. Patients were divided into two groups based on the degree of ACL injury in arthroscopy (complete versus partial group). Read More

J Pediatr Orthop 2019 Jan 8. Epub 2019 Jan 8.

Elite Sports Medicine, Connecticut Children's Medical Center.

Background: Prior research has shown decreased accuracy of meniscal injury detection using magnetic resonance imaging (MRI) for anterior cruciate ligament (ACL)-deficient adult patients as well as ACL-deficient pediatric and adolescent patients. The objectives of this study were the following: (1) assess the diagnostic ability of MRI in detecting meniscal injuries for pediatric and adolescent patients undergoing arthroscopic ACL reconstruction and (2) characterize the unrecognized meniscal injuries.

Methods: The sensitivity, specificity, positive predictive value, and negative predictive value of meniscal tears (medial, lateral, or both) on MRI were calculated for the 107 patients in this cohort. Read More

Joints 2018 Sep 2;6(3):153-156. Epub 2018 Nov 2.

Orthopaedic Unit and "Kirk Kilgour" Sports Injury, S. Andrea Hospital, University of Rome "Sapienza," Rome, Italy.

 The purpose of this study was to describe the anatomy of the anterolateral ligament (ALL) of the knee by the use of 1.5 Tesla (T) magnetic resonance imaging (MRI) in a series of young patients without knee injuries.  Subjects aged 18 years or older without an anterior cruciate ligament injury, as confirmed on MRI, were included. Read More

Chin Med J (Engl) 2018 Dec;131(24):2960-2967

Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215004, China.

Background: Nowadays, the anterior cruciate ligament (ACL) injury has been one of the most common diseases of the knee joint. The relationships between the ACL injury and the anatomical structures are still controversial. This study aimed to identify the anatomical risk factors of ACL injury by magnetic resonance imaging (MRI) of the knee. Read More

Rom J Morphol Embryol 2018 ;59(3):741-745

Discipline of Psychiatry, Department of Neurosciences, "Victor Babeş" University of Medicine and Pharmacy, Timişoara, Romania;

We conducted a retrospective study, between 2013 and 2018. The study was conducted by analyzing the comparative imaging of two groups of patients. The two groups comprise 42 patients, 14 women and 28 men aged between 17 and 70 years old, to whom objective variables of statistical relevance were tracked. Read More

Knee 2019 Jan 6;26(1):132-141. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Background: The purpose of this study was to evaluate the influence of anterolateral ligament (ALL) injuries on stability and second-look arthroscopic findings after anterior cruciate ligament (ACL) reconstruction.

Methods: One-hundred and nineteen consecutive patients underwent a second-look arthroscopic surgery after ACL reconstruction and magnetic resonance imaging (MRI) examination of the ALL. The patients were divided into an ALL intact group (n = 39) and ALL injured group (n = 80). Read More

PLoS Med 2018 Nov 27;15(11):e1002699. Epub 2018 Nov 27.

Department of Radiology, Stanford University, Stanford, California, United States of America.

Background: Magnetic resonance imaging (MRI) of the knee is the preferred method for diagnosing knee injuries. However, interpretation of knee MRI is time-intensive and subject to diagnostic error and variability. An automated system for interpreting knee MRI could prioritize high-risk patients and assist clinicians in making diagnoses. Read More

J Ayub Med Coll Abbottabad 2018 Jul-Sep;30(3):468-469

Department of Radiology, Dallah Hospital, Riyadh, Saudi Arabia.

Anterior cruciate ligament injuries are very commonly encountered during routine MRI reporting and various signs have been described for their identification. However, the diagnosis of isolated bundle tears is difficult using MRI, thus can be easily overlooked, especially isolated tear of posterolateral bundle. We present a case of a young male with "Gap" and "Footprint" signs on MRI knee joint, which are considered highly specific of posterolateral ACL bundle tear. Read More

J Clin Orthop Trauma 2018 Oct-Dec;9(4):312-316. Epub 2017 Oct 7.

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, United States.

Maintaining anterolateral rotational stability of the knee requires a complex set of structures, most notably the anterior cruciate ligament. However, lateral knee structures such as the anterolateral ligament (ALL) also play an important role. There has been controversy over the role the ALL plays in an ACL deficient knee to maintain rotational stability. Read More

J Knee Surg 2018 Nov 16. Epub 2018 Nov 16.

Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.

The 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. Read More

J Long Term Eff Med Implants 2018 ;28(2):155-160

Trauma and Orthopaedic Department, East Surrey Hospital, Surrey and Sussex Healthcare NHS Trust.

The frequency of anterior cruciate ligament (ACL) reconstruction performed worldwide has been significantly increasing per year. Despite the common nature of the procedure, controversy remains regarding the natural history of ACL injuries, surgical technique, graft choice, and long-term outcomes. We present a case report of a 33-year-old male who had a history of an ACL reconstruction that was performed 12 years ago using bone patella tendon bone (BPTB) graft, by using a press-fit femoral technique. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Oct 4. Epub 2018 Oct 4.

Department of Orthopaedic Surgery, Henry Ford Health System, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA.

Purpose: The purpose of this study was to identify if abnormal tibial alignment was a risk factor for lateral meniscus posterior root tears (LMPRT) in patients with acute anterior cruciate ligament (ACL) ruptures.

Methods: The medical charts of 200 patients treated for ACL ruptures between 2013 and 2016 were retrospectively reviewed and evaluated. MRI images and reports were assessed for concurrent meniscal tears. Read More

Int Orthop 2019 Jan 1;43(1):223-228. Epub 2018 Oct 1.

"La Sapienza" University of Rome, Sant'Andrea Hospital, Traumatology Sports Center "Kilk Kilgour", Via Di Grottarossa, 1035-1039, Rome, RM, Italy.

Aim Of The Study: To describe the surgical findings of the anterolateral complex in patients with the "unhappy triad" lesion of the knee.

Method: One hundred and twenty-five consecutive patients presenting with acute anterior cruciate ligament (ACL) tears were selected for this study. Only cases, evaluated with a valgus stress test under fluoroscopy, with a medial opening more than 5 mm of the medial collateral ligament (MCL) were included in the study (11 patients). Read More

Orthop J Sports Med 2018 Sep 24;6(9):2325967118796452. Epub 2018 Sep 24.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

Background: The anterolateral ligament (ALL) has been described as an extracapsular stabilizer of knee rotational stability. Investigators have shown a renewed interest in the ALL and further evaluated its anatomy and biomechanical role as a knee stabilizer. The appearance of the ALL on magnetic resonance imaging (MRI) remains inconsistent across the literature. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(1):22-28

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY The aim of this paper was to compare terminal extension in normal and anterior cruciate ligament (ACL) deficient knees, and therefore to determine the role of the ACL during this motion. MATERIAL AND METHODS Ten knees with ACL tears (7 knees with recent ACL tears, 3 knees with long-standing tears) and 10 normal contralateral knees have been examined using MRI in passive hyperextension, 20° flexion and 20° flexion with a 9 kg posteriorly directed load on the femur. Movements of the femoral condyles on the tibia were calculated using previously described methods. Read More

AJR Am J Roentgenol 2018 Dec 21;211(6):1313-1318. Epub 2018 Sep 21.

1 Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, South Korea.

Objective: The objective of our study was to evaluate the association between anterior tibial translation and injuries on the posterior horn medial meniscus (PHMM) and the integrity of the brake stop mechanism of the PHMM in the anterior cruciate ligament (ACL)-deficient knee.

Materials And Methods: This retrospective study included 85 consecutive patients with an arthroscopically confirmed complete ACL tear. Anterior tibial translation was quantitatively measured using sagittal MRI at the midpoint of the lateral femoral condyle. Read More

Indian J Orthop 2018 Sep-Oct;52(5):513-521

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY, USA.

Pediatric intrasubstance anterior cruciate ligament (ACL) tears have a significant epidemiologic impact as their numbers continue to grow globally. This review focuses on true pediatric intrasubstance ACL tears, which occur >400,000 times annually. Modifiable and non-modifiable risk factors include intercondylar notch width, ACL size, gender, landing mechanisms, and hormonal variations. Read More

J Knee Surg 2018 Sep 6. Epub 2018 Sep 6.

Department of Orthopaedic Surgery, Hanyang University Seoul Hospital, Seongdong-gu, Seoul, Republic of Korea.

The purpose of this study was to determine and compare the prevalence of anterolateral ligament abnormality and associated injuries among patients with complete and partial anterior cruciate ligament tears. In addition, the prevalence of associated injuries with anterolateral ligament abnormality was further analyzed. Of the 158 patients diagnosed with acute anterior cruciate ligament tear, 82 patients were diagnosed with acute complete anterior cruciate ligament confirmed by magnetic resonance imaging (MRI) and arthroscopic procedures (Group C), and 74 patients were diagnosed with acute partial anterior cruciate ligament tears confirmed by MRI (Group P). Read More

Am J Orthop (Belle Mead NJ) 2018 Aug;47(8)

Tripler Army Medical Center, Honolulu, HI.

The purpose of this study is to determine the prevalence of potential graft-influencing pathologies of the extensor mechanism of the knee in patients presenting with a primary anterior cruciate ligament (ACL) rupture. We performed a retrospective review of the plain radiographs and magnetic resonance imaging (MRI) of all active-duty patients presenting with a primary ACL rupture at our institution between July 2006 and February 2009. Imaging was reviewed to determine the presence of a multipartite patella, unresolved Osgood-Schlatter's disease, and/or radiographic evidence suggestive of patella tendinopathy. Read More

Semin Musculoskelet Radiol 2018 Sep 22;22(4):413-423. Epub 2018 Aug 22.

University of Toronto, Toronto, Ontario, Canada.

Posterolateral corner (PLC) injuries of the knee are often sustained in combination with anterior or posterior cruciate ligament injuries. A variety of surgical techniques including acute repair, nonanatomical reconstructions, and anatomical reconstructions have been used to treat grade III PLC injuries. Scant literature is available on postoperative imaging of the PLC. Read More

Semin Musculoskelet Radiol 2018 Sep 22;22(4):386-397. Epub 2018 Aug 22.

Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California.

Anterior cruciate ligament (ACL) tears are common injuries that if left untreated can result in chronic instability, cartilage damage, meniscal tears, and ligamentous injuries, eventually leading to early osteoarthritis. ACL reconstruction surgeries are therefore increasingly being performed. Despite the fact that most patients achieve excellent postoperative results, patients can present with recurrent instability and pain. Read More

Am J Sports Med 2018 Oct 20;46(12):2894-2898. Epub 2018 Aug 20.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

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. Read More

Orthop J Sports Med 2018 Jul 27;6(7):2325967118786960. Epub 2018 Jul 27.

Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.

Background: Clinical characteristics of uncomplicated bone bruises (ie, not associated with a ligament rupture, meniscal tear, or fracture of the knee) in young athletes have scarcely been reported.

Purpose: To identify mechanisms of injury, characterize bone bruise patterns, and identify clinical factors relating to recovery in young patients suffering uncomplicated bone bruises about the knee.

Study Design: Case series; Level of evidence, 4. Read More

Knee 2018 Oct 7;25(5):738-745. Epub 2018 Aug 7.

Bioengineering Laboratory, Newton-Wellesley Hospital, Newton, MA, United States of America. Electronic address:

Purpose: To evaluate the effect of ACL deficiency on the in vivo changes in end-to-end distances and to determine appropriate graft fixation angles for commonly used tunnel positions in contemporary ACL reconstruction techniques.

Methods: Twenty-one patients with unilateral ACL-deficient and intact contralateral knees were included. Each knee was studied using a combined magnetic resonance and dual fluoroscopic imaging technique while the patients performed a dynamic step-up motion (~50° of flexion to extension). Read More

Int Orthop 2018 Aug 1. Epub 2018 Aug 1.

Department of Sports Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Xuhui District, Shanghai, 200233, China.

Purpose: The studies of the relationship between anterior cruciate ligament (ACL) injury and notch size were in 2-D parameters in Han Chinese, the largest nation in the world, while few studies referred to the 3-D notch volume. The purpose of this study was to determine the differences in notch volume between individuals with and without ACL injuries and the optimal criterion value for abnormal notch volume and its sensitivity in predicting the risk of ACL injuries.

Methods: Two hundred eighty individuals were included in this study, including 140 patients with non-contact sports ACL injuries only and 140 age- and gender-matched individuals without ACL injuries. Read More

J Knee Surg 2018 Aug 1. Epub 2018 Aug 1.

Department of Orthopaedic Surgery, National University Hospital Sports Centre, National University Health System, Singapore.

Females are well known to have a two to nine times increase in relative risk of anterior cruciate ligament (ACL) rupture as compared with males. However, there is limited literature available regarding the rates of associated intra-articular and extra-articular injuries associated with ACL ruptures. The purpose of this study was to investigate the gender differences in intra-articular and extra-articular injuries associated with ACL ruptures in an acute setting. Read More

BMJ Case Rep 2018 Jul 23;2018. Epub 2018 Jul 23.

Orthopaedic- Traumatology, Thammasat University Hospital, Pathumtani, Thailand.

Anterior cruciate ligament (ACL) avulsion fracture is rare and mostly occur in tibial attachment. Avulsion fracture of femoral attachment of ACL was uncommon and mostly reported in skeletally immature patient. This article aims to report an interesting case of femoral attachment-ACL avulsion fracture in skeletally mature patient with arthroscopic suture loop fixation. Read More

Arthroscopy 2018 Sep 20;34(9):2728-2738. Epub 2018 Jul 20.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: The purpose of this study is to systematically review the literature to evaluate the reliability, or the ability of a repeated measurement to yield consistent results, and validity of ultrasound (US) and magnetic resonance imaging (MRI) at evaluating anatomy and pathology of the anterolateral ligament of the knee (ALL) in the setting of anterior cruciate ligament (ACL) injuries. Furthermore, the incidence and association of ALL injury with the pivot-shift examination, and other structural injuries, will be reviewed for additional clinical relevance.

Methods: Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 2 reviewers independently searched the Medline, Embase, Cochrane, EBSCOhost, OVID, and Web of Science databases for all studies related to imaging of the ALL. Read More

Acta Orthop Traumatol Turc 2018 Sep 13;52(5):372-375. Epub 2018 Jul 13.

Department of Joint Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China. Electronic address:

Objective: The purpose of this study was to evaluate the diagnostic value of the patellar tendon wavy (PTW) sign for an anterior cruciate ligament (ACL) tear on MRI.

Methods: One hundred MRI scans were prospectively analyzed, with 50 patients with an ACL tear underwent an ACL reconstruction (group 1) and 50 patients with knee complaints other than ACL tear (group 2). The PTW sign was confirmed on the sagittal MRI. Read More

J Sci Med Sport 2019 Feb 10;22(2):169-174. Epub 2018 Jul 10.

The SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, USA; Departments of Pediatrics and Orthopaedic Surgery, University of Cincinnati, USA; The Micheli Center for Sports Injury Prevention, USA; Department of Orthopaedics, University of Pennsylvania, USA.

Objectives: We aimed to present a unique prospective neurological dataset for participants who experienced an ACL injury.

Design: Prospective longitudinal case-control.

Methods: High school female soccer athletes were evaluated using functional magnetic resonance imaging to capture resting-state brain connectivity prior to their competitive season. Read More

Radiol Case Rep 2018 Aug 26;13(4):843-847. Epub 2018 Jun 26.

Temple University School of Medicine, Pittsburgh Campus, 320 E North Ave, Pittsburgh, PA 15212, USA.

Tibial eminence avulsion fractures are not infrequent in the pediatric population; however, they are rare in the adult population. These injuries typically occur in skeletally immature patients between the ages of 8 and 14 years. We report the unique clinical history, imaging findings, and operative results of a 48-year-old female who presented with severe knee pain. Read More

Acta Ortop Bras 2018 Jan-Feb;26(1):16-18

. Department of Orthopedics and Traumatology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective: To analyze the level of agreement in diagnosing knee injury among orthopedists with clinical experience in knee treatment.

Method: An online questionnaire was used to analyze the ability of orthopedic knee surgeons to diagnose intra-articular knee injuries using MRI, the importance given to this test in their clinical practice, and the agreement between these diagnoses and the radiology report.

Results: The study participants considered MRI an important tool for clarifying inconclusive diagnoses and surgical planning. Read More

PLoS One 2018 12;13(6):e0198797. Epub 2018 Jun 12.

School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.

Objective: To assess the diagnostic validity of clusters combining history elements and physical examination tests to diagnose partial or complete anterior cruciate ligament (ACL) tears.

Design: Prospective diagnostic study.

Settings: Orthopaedic clinics (n = 2), family medicine clinics (n = 2) and community-dwelling. Read More

Biomed Res Int 2018 17;2018:7985672. Epub 2018 May 17.

Department of Radiology, Affiliated Huashan Hospital of Fudan University, Shanghai, China.

Objectives: To quantitatively assess changes in cartilage matrix after acute anterior cruciate ligament (ACL) rupture using T2- and T2-mapping and analyze the correlation between the results of both methods.

Methods: Twenty-three patients and 23 healthy controls were enrolled and underwent quantitative MRI examination. The knee cartilage was segmented into six compartments, including lateral femur (LF), lateral tibia (LT), medial femur (MF), medial tibia (MT), trochlea (Tr), and patella (Pa). Read More

Knee Surg Sports Traumatol Arthrosc 2018 Jun 5. Epub 2018 Jun 5.

St Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.

Purpose: The frequency of meniscal root tears in association with multi-ligament knee injury has not been established but adds to the complexity of surgical reconstruction and may have long-term consequences. Therefore, identifying root tears, on preoperative imaging, is important. The aim of this study was to identify the frequency of meniscal root tears, on preoperative magnetic resonance imaging, following multi-ligament injury and distinguish associated injury patterns that may aid detection. Read More

Skeletal Radiol 2018 Nov 1;47(11):1523-1532. Epub 2018 Jun 1.

Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.

Objective: To correlate MRI findings of patients with posterior cruciate ligament (PCL) injury and surgical management.

Materials And Methods: A retrospective search yielded 79 acute PCL injuries (36 ± 16 years old, 21 F, 58 M). Two independent readers graded PCL tear location (proximal, middle, or distal third) and severity (low-grade or high-grade partial/complete) and evaluated injury of other knee structures. Read More

Clin Orthop Surg 2018 Jun 18;10(2):157-166. Epub 2018 May 18.

Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Cortical suspensory femoral fixation is commonly performed for graft fixation to the femur in anterior cruciate ligament (ACL) reconstruction using hamstring tendons. The purpose of this study was to compare graft healing in the femoral tunnel, implant-related failure, and clinical results between fixed- and adjustable-length loop devices in outside-in ACL reconstruction.

Methods: A total of 109 patients who underwent ACL reconstruction using the outside-in technique from December 2010 to July 2014 were included. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1190-1194

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036,

Objective: To study the short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament (ACL) rupture.

Methods: Between December 2013 and February 2015, 22 patients with partial ACL rupture were repaired with absorbable anchor under arthroscopy. There were 12 males and 10 females with an average age of 27. Read More

Knee 2018 Aug 24;25(4):577-587. Epub 2018 May 24.

IRCCS Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna, Italy; IRCSS Istituto Ortopedico Rizzoli, Clinica Ortopedica e Traumatologica II, Bologna, Italy; Università di Bologna, Dipartimento Scienze Biomediche e Neuromotorie - DIBINEM, Bologna, Italy.

Background: Until now, there has been a lack of in vivo analysis of the correlation between bony morphological features and laxity values after an anterior cruciate ligament (ACL) injury.

Methods: Forty-two patients who underwent ACL-reconstruction were enrolled. Static laxity was evaluated as: antero-posterior displacement and internal-external rotation at 30° and 90° of flexion (AP30, AP90, IE30, IE90) and varus-valgus rotation at 0° and 30° of flexion (VV0, VV30). Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Apr;31(4):410-416

Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun Jilin, 130033,

Objective: To investigate the clinical outcomes of autologous platelet rich plasma (PRP) for anterior cruciate ligament (ACL) reconstruction.

Methods: Between August 2014 and August 2016, 42 patients with ACL ruptures who underwent arthroscopic ACL reconstruction were randomly divided into 2 groups: 21 patients received graft soaked with PRP (trial group) and 21 patients received routine graft in ACL reconstruction (control group). Because 6 patients failed to be followed up, 17 patients of trial group and 19 of control group were enrolled in the study. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 May;31(5):547-552

Operation Room, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan Shandong, 250011, P.R.China.

Objective: To explore the clinical efficacy of arthroscopic simultaneous both anterior cruciate ligament (ACL) reconstruction and suture of the meniscus bucket-handle tear (BHT).

Methods: Between January 2013 and April 2014, 22 patients (22 knees) with ACL injury and BHT, who accorded with the inclusion criteria, were studied. There were 14 males and 8 females with a mean age of 30. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jul;31(7):799-804

Department of Joint Surgery, People's Hospital of Henan Province, Zhengzhou Henan, 450000,

Objective: To observe the effect and significance of autologous fibrin clot on tendon-bone healing after anterior cruciate ligament (ACL) reconstruction.

Methods: Between October 2014 and January 2016, 34 patients (34 knees) with ACL injury were enrolled in the study. During ACL reconstruction, autologous fibrin clot was used in 17 cases (trial group) and was not used in 17 cases (control group). Read More