Journal article
The Prevalence of Meniscal Tears in Young Athletes Undergoing Revision Anterior Cruciate Ligament Reconstruction
Arthroscopy, Vol.31(4), pp.680-683
04/01/2015
DOI: 10.1016/j.arthro.2014.10.006
PMID: 25522680
Abstract
Purpose: The purpose of this study was to determine the incidence of meniscal injury, specifically medial meniscal injury, in US Army soldiers undergoing revision anterior cruciate ligament (ACL) reconstruction. Methods: A retrospective review was performed of all patients who underwent revision ACL reconstruction from 2002 to 2011 at our institution. A complete chart review was performed to identify the prevalence of meniscal pathology identified at the time of revision ACL surgery. Patient demographic data and meniscal injury patterns were analyzed. Results: Sixty-seven patients were identified, with a mean age of 28 years. The mean time to revision reconstruction was 67 months. Most patients (64.1%) reported a distinct reinjury. Reinjury was reported as the cause for revision ACL reconstruction in 43 patients. In this subgroup the mean time from reinjury to revision surgery was 13.9 months. Meniscal pathology was identified in 50 patients (74.6%). Medial meniscal tears were noted in 38 patients (56.7%), a rate significantly greater than that previously described (P = .008). Lateral meniscal tears were noted in 26 patients (38.8%), which was similar to previously published data (P = .52). Conclusions: The prevalence of meniscal injury at the time of revision ACL reconstruction in active-duty US Army soldiers is nearly identical to that of previously published data looking at a civilian population (74.6% v 74%) in the Multicenter ACL Revision Study (MARS) cohort. However, the incidence of medial meniscal injury was greater in the active-duty population than in the civilian population (56.7% v 40%). The observed increase in the prevalence of medial meniscal pathology is likely multifactorial, relating to the unique demands on young military athletes in both combat and training environments, rate of reinjury, and various delays to treatment after reinjury.
Details
- Title: Subtitle
- The Prevalence of Meniscal Tears in Young Athletes Undergoing Revision Anterior Cruciate Ligament Reconstruction
- Creators
- Douglas B. Widener - Madigan Army Medical CenterDavid J. Wilson - Madigan Army Medical CenterJoseph W. Galvin - Madigan Army Medical CenterBryant G. Marchant - Madigan Army Medical CenterEdward D. Arrington - Madigan Army Medical Center
- Resource Type
- Journal article
- Publication Details
- Arthroscopy, Vol.31(4), pp.680-683
- Publisher
- Elsevier
- DOI
- 10.1016/j.arthro.2014.10.006
- PMID
- 25522680
- ISSN
- 0749-8063
- eISSN
- 1526-3231
- Number of pages
- 4
- Grant note
- Henry M. Jackson Foundation for the Advancement of Military Medicine Geneva Foundation
- Language
- English
- Date published
- 04/01/2015
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618651802771
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