5,631 results match your criteria Meniscal Injury

Transosseous Meniscus Root Repair in Pediatric Patients and Association With Durable Midterm Outcomes and High Rates of Return to Sports.

Am J Sports Med 2022 May 26:3635465221096474. Epub 2022 May 26.

Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

Background: Injuries to the meniscus root attachments result in extrusion of the meniscus, impaired distribution of hoop stresses, and progressive degenerative articular wear. As a result of these deleterious effects, there has been increasing emphasis on repairing meniscus root injuries to restore structure and function.

Purpose: To describe meniscus root tear patterns, associated injuries, and outcomes of transosseous meniscus root repair in a series of pediatric patients. Read More

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Molar Tooth in the Knee - A Case of Simultaneous Medial and Lateral Bucket Handle Tear with Arthroscopic Correlation and a Review of Literature.

J Orthop Case Rep 2022 Jan;12(1):79-83

Department of Radiology, St. Paul's Hospital, Vancouver, British Columbia, Canada.

Introduction: Simultaneous bucket handle tear of both lateral and medial menisci is a rarely encountered entity. MR imaging helps in pre-operative diagnosis for optimal operative planning. However, as this condition is not seen in routine practice, awareness of various imaging signs is essential to identify this condition. Read More

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January 2022

Outcomes of Anterior Cruciate Ligament Reconstruction in Patients Older Than 50 Years and Younger Than 30 Years.

Orthop J Sports Med 2022 May 12;10(5):23259671221094788. Epub 2022 May 12.

Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taoyuan.

Background: Few studies have compared the outcomes of anterior cruciate ligament (ACL) reconstruction between older patients and younger patients.

Purpose: To evaluate the clinical and functional outcomes of ACL reconstruction with autologous hamstring tendon in patients >50 years and <30 years. It was hypothesized that the outcomes would be comparable between these age groups. Read More

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Meniscal ramp lesions - Skillful neglect or routine repair?

J Orthop 2022 Jul-Aug;32:31-35. Epub 2022 May 9.

Midwest Orthopaedics at Rush University Medical Center, Chicago, IL, USA.

Background: Meniscal ramp lesions are injuries of the posterior horn of the medial meniscus at the meniscocapsular junction or the meniscotibial ligament and are frequently associated with concomitant anterior cruciate ligament (ACL) injury.

Objective: To review the current literature on meniscal ramp lesion management to better define the indications for and outcomes of repair.

Methods: A narrative literature review was performed using PubMed, Embase, and Scopus databases. Read More

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Cost-Effectiveness Analysis of a Medial Meniscus Replacement Prosthesis for the Treatment of Patients with Medial Compartment Pain in the United Kingdom.

Pharmacoecon Open 2022 May 17. Epub 2022 May 17.

University Hospitals Coventry Warwickshire NHS Trust, Coventry, UK.

Background: The most common intra-articular knee injury is a meniscal tear, which commonly occurs secondary to trauma following twisting or hyperflexion. Treatment options for meniscal tears can either be surgical or non-surgical, and range from rest, exercise, bracing and physical therapy to surgical intervention, including meniscal repair and partial meniscectomy. In patients with persistent pain following loss of meniscus tissue, treatment can include partial replacement or meniscal allograft transplantation. Read More

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A longer duration from injury to surgery is associated with preoperative deterioration of an isolated meniscal tear in patients aged 40 years or older.

J Orthop Surg (Hong Kong) 2022 May-Aug;30(2):10225536221101692

Division of Orthopaedic Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, 12951University of Miyazaki, Japan.

Purpose: To evaluate the preoperative deterioration of an isolated meniscal tear in patients aged 40 years or older, and whether time from injury to surgery is associated with worsening of a meniscal tear.

Methods: Patients aged 40 years or older who underwent arthroscopic surgery for isolated meniscal tear between 2014 and 2019 were retrospectively reviewed. The diagnostic magnetic resonance imaging (MRI) findings and arthroscopic findings were compared to evaluate the deterioration of meniscal tears. Read More

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Demineralized Cortical Bone Matrix Augmented With Peripheral Blood-Derived Mesenchymal Stem Cells for Rabbit Medial Meniscal Reconstruction.

Front Bioeng Biotechnol 2022 27;10:855103. Epub 2022 Apr 27.

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.

Tissue engineering is a promising treatment strategy for meniscal regeneration after meniscal injury. However, existing scaffold materials and seed cells still have many disadvantages. The objective of the present study is to explore the feasibility of peripheral blood-derived mesenchymal stem cells (PBMSCs) augmented with demineralized cortical bone matrix (DCBM) pretreated with TGF-β3 as a tissue-engineered meniscus graft and the repair effect. Read More

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Anterior Tibial Subluxation of Lateral Compartment Is Associated With High-Grade Rotatory Instability For Acute But Not Chronic Anterior Cruciate Ligament Injuries: An MRI Case-control Study.

Arthroscopy 2022 May 9. Epub 2022 May 9.

Department of Orthopedics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; Orthopedics Research Institute of Zhejiang University, Hangzhou, China. Electronic address:

Purpose: To investigate whether anterior tibial subluxation obtained from magnetic resonance imaging (MRI) could be a predictor of high-grade rotatory instability for anterior cruciate ligament (ACL) injuries, including acute and chronic cases.

Methods: From September 2016 to August 2018, we retrospectively investigated 163 patients with ACL injuries who subsequently underwent primary ACL reconstruction. Among them, 30 patients with high-grade rotatory instability (grade II/III pivot shift) were included in the high-grade group, and their age and sex were matched 1:2 to low-grade cases (< grade II pivot shift). Read More

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Transtibial pull-out repair of lateral meniscus posterior root is beneficial for graft maturation after anterior cruciate ligament reconstruction: a retrospective study.

BMC Musculoskelet Disord 2022 May 12;23(1):445. Epub 2022 May 12.

Division of Joint Osteopathy and Traumatology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, People's Republic of China.

Purpose: To determine the repair of LMPR lesions would improve the ACL graft maturation.

Method: A total of 49 patients underwent ACL reconstruction were included in this study. Patients were furtherly sub-grouped according to the status of LMPR: intact (17), repair (16) and resected (16). Read More

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Biomaterials for meniscus and cartilage in knee surgery: state of the art.

J ISAKOS 2022 Apr 20;7(2):67-77. Epub 2022 Jan 20.

Department of Orthopaedic Surgery, Mayo Clinic Rochester, Rochester, Minnesota, USA; Department of Orthopedic Surgery, University Medical Centre, Utrecht, Netherlands. Electronic address:

Meniscus and cartilage injuries of the knee joint lead to cartilage degeneration and osteoarthritis (OA). The research on biomaterials and artificial implants as substitutes in reconstruction and regeneration has become a main international focus in order to solve clinical problems such as irreparable meniscus injury, postmeniscectomy syndrome, osteochondral lesions and generalised chronic OA. In this review, we provide a summary of biomaterials currently used in clinical practice as well as state-of-the-art tissue engineering strategies and technologies that are developed for articular cartilage and meniscus repair and regeneration. Read More

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Isolated meniscus injuries in skeletally immature children and adolescents: state of the art.

J ISAKOS 2022 Feb 11;7(1):19-26. Epub 2022 Jan 11.

Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar. Electronic address:

The prevalence of isolated meniscal injuries in children and adolescents is low; however, we see an increase mainly due to intensified sports-related activities at an early age. A meniscal repair should be attempted whenever possible as children present with increased meniscal healing potential. The diagnosis and management of meniscal tears involve both patient factors and tear characteristics: size, anatomical location and associated injuries. Read More

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February 2022

The Risk of Iatrogenic Peroneal Nerve Injury in Lateral Meniscal Repair and Safe Zone to Minimize the Risk Based on Actual Arthroscopic Position: An MRI Study.

Am J Sports Med 2022 May 9:3635465221093075. Epub 2022 May 9.

Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

Background: Lateral meniscal repair using an all-inside meniscal repair device involves a risk of iatrogenic peroneal nerve injury. To our knowledge, there have been no previous studies evaluating the risk of injury with the knee in the standard operational figure-of-4 position with joint dilatation in arthroscopic lateral meniscal repair.

Purpose: To evaluate and compare the risk of peroneal nerve injury and establish the safe and danger zones in repairing the lateral meniscus through the anteromedial, anterolateral, or transpatellar portal in relation to the medial and lateral borders of the popliteal tendon (PT). Read More

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Platelet-Rich Plasma and Adipose-Derived Mesenchymal Stem Cells in Association with Arthroscopic Microfracture of Knee Articular Cartilage Defects: A Pilot Randomized Controlled Trial.

Adv Orthop 2022 28;2022:6048477. Epub 2022 Apr 28.

Department of Life, Health and Environmental Sciences, University of L'Aquila, Via Vetoio Coppito 2, 67100 - L'Aquila, Italy.

Background: This study aims to compare the effects of platelet-rich plasma (PRP) alone or in combination with adipose-derived mesenchymal stem cells (AD-MSCs) in patients affected by cartilage defects, undergoing knee arthroscopic microfracture.

Methods: Thirty-eight patients diagnosed with a knee monocompartmental cartilage defect (Outerbridge grade IV) on the MRI, underwent an arthroscopic procedure. After the confirmation of the lesion, they all received the same bone marrow stimulation technique (microfracture) and were randomized into two groups: the first one had additional PRP injection (group A), while the second received PRP and AD-MSC injection (group B). Read More

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Meniscus Root Tears: A Clinical Review.

Curr Sports Med Rep 2022 May 1;21(5):155-158. Epub 2022 May 1.

Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH.

Abstract: Meniscus root tears are important to recognize early given their potentially devastating consequences on joint health. This injury results in the lost ability of the meniscus to transfer axial loads into hoop stress; therefore, it is functionally equivalent to a complete meniscectomy. This causes rapid progression of osteoarthritis and increased need to total knee arthroplasty in a previously healthy joint. Read More

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MR Imaging of the Postoperative Meniscus.

Magn Reson Imaging Clin N Am 2022 May 13;30(2):351-362. Epub 2022 Apr 13.

Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, 600 University Avenue, Toronto, Ontario M5G 1X5 Canada; Department of Medical Imaging, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Meniscal tears are one of the most common knee injuries. Partial meniscectomy and meniscal repair are the most common treatment options in the setting of an unstable meniscal tear. Standard MR diagnostic criteria of a meniscal tear may be normal findings postoperatively. Read More

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Increased Knee and Meniscal Injury Incidence in Professional Baseball Pitchers With Wider, Positive Stride Width.

Sports Health 2022 May 2:19417381221092024. Epub 2022 May 2.

Sports Medicine Institute Hospital for Special Surgery, New York, New York.

Background: Professional baseball pitchers sustain 75% of knee injuries while at the pitcher's mound, yet no pitching motion has been associated directly with such injuries. Stride width is a potential, modifiable risk factor worth investigating.

Hypothesis: Increased stride width in both the positive and negative directions (deviations from neutral stride width) would correlate with increased incidence of knee injury in pitchers. Read More

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Maximum subjective outcome improvement is reported by 3 Months following arthroscopic partial meniscectomy: A systematic review.

J Orthop 2022 May-Jun;31:78-85. Epub 2022 Apr 14.

The Mayo Clinic, Department of Orthopaedic Surgery, Division of Sports Medicine, Rochester, MN, USA.

Purpose: To review patient outcomes in the literature following arthroscopic partial meniscectomy (APM) in order to identify when patients report reaching subjective maximal improvement postoperatively.

Methods: A systematic review of the literature from January 2004 to August 2019 was conducted using PRISMA guidelines to identify articles evaluating patient-reported outcome measures (PROMs) up to a minimum of 6 months after APM in patients >18 years old. Studies were excluded if additional interventions were performed such as repairs, ligamentous reconstruction or repair, cartilaginous manipulation, or revision surgery. Read More

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Health disparities in the management of ACL injuries: How socioeconomic status, insurance, and race influence care.

PM R 2022 May 16;14(5):669-677. Epub 2022 May 16.

Department of Family Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA.

Health care disparities and racial health inequities significantly influence health care delivery and patient outcomes, including for people with injuries of the anterior cruciate ligament (ACL). This narrative review explores factors that may influence the management of ACL injuries. Studies that have discussed potential social barriers to treatment such as socioeconomic status (SES), insurance status, educational level, and cost of treatment were identified by searching databases such as EBSCO Host, PubMed, and Galileo for the index years from 2008 to 2020. Read More

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Treatment, Return to Play, and Performance Following Meniscus Surgery.

Curr Rev Musculoskelet Med 2022 Jun 25;15(3):157-169. Epub 2022 Apr 25.

Penn State College of Medicine, Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.

Purpose Of Review: The standard of care in meniscal tear management is constantly evolving, especially for athletes and high-demand patients. Meniscus repairs, meniscus transplants, and partial meniscectomies are commonly performed, and rehabilitation methods following these operations are becoming more sophisticated. The ultimate goal of these procedures is returning patients to full activity with minimal risks. Read More

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Recent advances in ligamentous, meniscal and joint-preserving knee surgery: Pushing the limits.

Orthop Traumatol Surg Res 2022 May 19;108(3):103282. Epub 2022 Apr 19.

Centre Hospitalier de Versailles, Orthopedic department, 177, rue de Versailles, 78157 Le Chesnay, France.

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Meniscal repair at the time of primary ACLR does not negatively influence short term knee stability, graft rupture rates, or patient-reported outcome measures: the STABILITY experience.

Knee Surg Sports Traumatol Arthrosc 2022 Apr 22. Epub 2022 Apr 22.

Faculty of Health Sciences, Western University, London, Canada.

Purpose: To assess how meniscal repair and excision impact short term patient-reported outcome measures (PROMs), knee stability, and early graft rupture rates following primary hamstring anterior cruciate ligament reconstruction (ACLR) with or without lateral extra-articular tenodesis (LET) in a group of young active patients where meniscal repair is commonly advocated.

Methods: Six hundred and eighteen patients under 25 years of age at high-risk of graft failure following ACLR were recruited to the Stability 1 study. Multivariable regression models were developed to identify statistically and clinically significant surgical and demographic predictors of Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee Subjective Knee Form (IKDC), ACL Quality of Life Questionnaire (ACL-QOL) and Marx Activity Rating Scale (MARS) scores. Read More

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Evaluation of morphological characteristics for incomplete discoid medial meniscus with an oversized posterior segment.

J Orthop Surg Res 2022 Apr 20;17(1):245. Epub 2022 Apr 20.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Background: A discoid medial meniscus is rare in comparison with a discoid lateral meniscus. We encountered a new type of incomplete discoid with an oversized posterior segment. Therefore, this study aimed to report cases of medial meniscus with an oversized posterior segment and analyze the morphological characteristics by comparing them to cases with a discoid medial meniscus and normal medial meniscus. Read More

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No difference in postoperative efficacy and safety between autograft and allograft in anterior cruciate ligament reconstruction: a retrospective cohort study in 112 patients.

Ann Transl Med 2022 Mar;10(6):359

Department of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Background: Arthroscopic anterior cruciate ligament reconstruction (ACLR) is the best treatment choice for returning to pre-injury activities following ACL rupture. Although allografts are considered an effective alternative to autografts, there is still controversy regarding the safety and effectiveness of this procedure, especially concerning the risk of postoperative infection and disease transmission. The purpose of this study was to compare the efficacy outcomes and safety between allografts and autografts in primary ACLR. Read More

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Age, male sex, higher posterior tibial slope, deep sulcus sign, bone bruises on the lateral femoral condyle, and concomitant medial meniscal tears are risk factors for lateral meniscal posterior root tears: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2022 Apr 16. Epub 2022 Apr 16.

Department of Orthopaedics, Lanzhou University Second Hospital, No. 82 Cuiyingmen, Chengguan District, Lanzhou, 730030, Gansu, China.

Purpose: Lateral meniscus posterior root tears (LMPRTs) are commonly found in patients with anterior cruciate ligament (ACL) injuries. However, risk factors for LMPRTs are not well known. This study was designed to systematically review the available evidence regarding risk factors associated with LMPRTs. Read More

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Biomechanical consequences of anterior root detachment of the lateral meniscus and its reinsertion.

Sci Rep 2022 04 13;12(1):6182. Epub 2022 Apr 13.

Clinical Biomechanics of Andalucia Laboratory, University of Malaga, Malaga, Spain.

Treatment of posterior meniscal roots tears evolved after biomechanical evidence of increased pressures on the tibiofemoral cartilage produced by this lesion and the subsequent accelerated development of arthritis or osteonecrosis observed clinically. However, little is known about the consequences of the detachment of the anterior roots. This in-vitro study analyzes the biomechanical changes in the tibiofemoral joint caused by avulsion of the anterior root of the lateral meniscus. Read More

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Meniscal Displacement and Loss of Load-Transmission Function After Radial Tear of the Lateral Meniscus in a Porcine Model: New Insights Into the Functional Dynamics of the Injured Meniscus.

Am J Sports Med 2022 Apr 13:3635465221090543. Epub 2022 Apr 13.

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: Meniscal extrusion/translation has been used as an index for meniscal treatment. However, the relationship between meniscal displacement and the degree of meniscal tear or load-transmission function of the lateral meniscus (LM) remains unclear.

Purpose: To clarify the relationship between the width of the radial tear of the LM and (1) meniscal displacement or (2) resultant force through the meniscus under axial compressive load in the porcine model. Read More

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Epidemiology of Combined Injuries of the Secondary Stabilizers in ACL-Deficient Knees: Medial Meniscal Ramp Lesion, Lateral Meniscus Root Tear, and ALL Tear: A Prospective Case Series of 602 Patients With ACL Tears From the SANTI Study Group.

Am J Sports Med 2022 Apr 13:3635465221092767. Epub 2022 Apr 13.

Department of Orthopedic Surgery and Trauma, Pierre-Paul Riquet Hospital, Toulouse, France.

Background: Medial meniscal ramp lesion (MMRL), lateral meniscus root tear (LMRT), and anterolateral ligament (ALL) tear are individual injuries that have been described in patients who have an anterior cruciate ligament (ACL) tear. However, the prevalence of these lesions and their combination has not been defined.

Purposes: To define the individual and combined prevalence of MMRL, LMRT, and ALL tears in a case series of patients undergoing ACL reconstruction and to identify the risk factors for combined injuries. Read More

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Quality of life during the wait for ruptured anterior cruciate ligament reconstruction: a randomized controlled trial.

Can J Surg 2022 Mar-Apr;65(2):E269-E274. Epub 2022 Apr 12.

From the Department of Surgery, University of Manitoba, Winnipeg, Man. (Larose, Stranges, MacDonald, Rollins, Leiter, McRae); the Department of Radiology, University of Manitoba, Winnipeg, Man. (Davidson); the Department of Anatomy, University of Manitoba, Winnipeg, Man. (Peeler); the Pan Am Clinic Foundation, Winnipeg, Man. (Leiter, McRae); and the Pan Am Clinic, Winnipeg, Man. (Stranges, Davidson, MacDonald).

Background: There is a lack of prospective evidence to guide surgeons when making recommendations about the appropriate timing of surgical intervention for ruptured anterior cruciate ligament (ACL), activity modifications to reduce the risk of secondary injury before surgery, and the short- and long-term risks associated with delayed ACL reconstruction. This study aimed to determine whether longer wait times are associated with a prolonged decrease in quality of life and an increased incidence of secondary joint injury after ACL rupture.

Methods: We recruited 53 patients who presented between 2013 and 2017 at a single sports medicine minor injury clinic with a suspected acute ACL rupture, based on clinical examination; ACL rupture was confirmed on magnetic resonance imaging. Read More

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Do Synovial Inflammation and Meniscal Degeneration Impact Clinical Outcomes of Patients Undergoing Arthroscopic Partial Meniscectomy? A Histological Study.

Int J Mol Sci 2022 Mar 31;23(7). Epub 2022 Mar 31.

Rheumatology Unit, Department of Medicine (DIMED), University of Padova, 35128 Padova, Italy.

The menisci exert a prominent role in joint stabilization and in the distribution of mechanical loading. Meniscal damage is associated with increased risk of knee OA. The aim of this study was to characterize the synovial membrane and meniscal tissues in patients undergoing arthroscopic partial meniscectomy for meniscal tear and to evaluate association with clinical outcomes. Read More

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Demographic Factors Associated With an Increased Incidence of Intra-articular Injuries After Delayed Anterior Cruciate Ligament Reconstruction.

Orthop J Sports Med 2022 Mar 31;10(3):23259671211073905. Epub 2022 Mar 31.

UConn Health, Farmington, Connecticut, USA.

Background: Delays from the time of an anterior cruciate ligament (ACL) tear to surgical reconstruction are associated with an increased incidence of meniscal and chondral injuries.

Purpose: To evaluate the association between delays in ACL reconstruction (ACLR) and risk factors for intra-articular injuries across 8 patient demographic subsets.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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