High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation
Abstract Purpose The purpose of this study was to evaluate potential predictive diagnostic variables on magnetic resonance imaging (MRI) for medial meniscus ramp tears in the presence of an anterior cruciate ligament (ACL) tear. Methods Patients aged ≥16 years undergoing arthroscopic anatomic hamstr...
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| Format: | Article |
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Wiley
2025-04-01
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| Series: | Journal of Experimental Orthopaedics |
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| Online Access: | https://doi.org/10.1002/jeo2.70238 |
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| author | Filippo Familiari Luke V. Tollefson Antonio Izzo Raffaella Russo Michele Mercurio Giorgio Gasparini Robert F. LaPrade Giovanni Di Vico |
| author_facet | Filippo Familiari Luke V. Tollefson Antonio Izzo Raffaella Russo Michele Mercurio Giorgio Gasparini Robert F. LaPrade Giovanni Di Vico |
| author_sort | Filippo Familiari |
| collection | DOAJ |
| description | Abstract Purpose The purpose of this study was to evaluate potential predictive diagnostic variables on magnetic resonance imaging (MRI) for medial meniscus ramp tears in the presence of an anterior cruciate ligament (ACL) tear. Methods Patients aged ≥16 years undergoing arthroscopic anatomic hamstring single‐bundle ACL reconstruction between July 2016 and September 2020 from a single centre were prospectively enroled with a diagnosis based on clinical and MRI evaluations. Demographic data such as age, gender, dominant limb and time from injury to surgery were recorded. Clinical assessments included Lachman and pivot shift tests. Imaging assessments involved grading bone bruises on MRI using the International Cartilage Repair Society (ICRS) scale. Statistical analysis was conducted using parametric tests and regression analysis with a p value of less than 0.05, which is considered significant. Results The final sample consisted of 108 patients, with a concomitant ACL tear and medial meniscus ramp tear present in 53 (49.1%) patients. In the univariate regression analysis, a higher grade of the medial femoral condyle and medial tibial plateau bone bruises was highly associated with the diagnosis of an ACL tear with a concomitant ramp tear (p = 0.006, β = 0.151 and p < 0.001, β = 0.172, respectively). In the univariate regression analysis, a higher grade of the medial femoral condyle and medial tibial plateau bone bruise was associated with the diagnosis of ACL tear with a concomitant ramp tear (p = 0.006, β = 0.151 and p < 0.001, β = 0.172, respectively). Conclusion In this prospective series of patients with ACL tears, 49% were found to have concomitant medial meniscal ramp tears. The finding of medial tibial plateau or medial femoral condyle bone bruising was predictive of ramp tear. The presence of this bone bruising pattern along with a high‐grade Lachman and/or pivot shift examination, a medial meniscus ramp tear should be suspected. Level of Evidence Level II, prospective cohort study. |
| format | Article |
| id | doaj-art-21f659c86cb84f7c8c7811cc3c46f8cf |
| institution | Matheson Library |
| issn | 2197-1153 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
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| series | Journal of Experimental Orthopaedics |
| spelling | doaj-art-21f659c86cb84f7c8c7811cc3c46f8cf2025-06-30T13:46:48ZengWileyJournal of Experimental Orthopaedics2197-11532025-04-01122n/an/a10.1002/jeo2.70238High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluationFilippo Familiari0Luke V. Tollefson1Antonio Izzo2Raffaella Russo3Michele Mercurio4Giorgio Gasparini5Robert F. LaPrade6Giovanni Di Vico7Department of Orthopaedic and Trauma Surgery Magna Graecia University Catanzaro ItalyTwin Cities Orthopedics Edina Minnesota USADepartment of Public Health, Trauma and Orthopaedics University Federico II Napoli ItalyDivision of Nutrition Clinic, Department of Medical and Surgical Sciences Magna Graecia University Catanzaro ItalyDepartment of Orthopaedic and Trauma Surgery Magna Graecia University Catanzaro ItalyDepartment of Orthopaedic and Trauma Surgery Magna Graecia University Catanzaro ItalyTwin Cities Orthopedics Edina Minnesota USADepartment of Public Health, Trauma and Orthopaedics University Federico II Napoli ItalyAbstract Purpose The purpose of this study was to evaluate potential predictive diagnostic variables on magnetic resonance imaging (MRI) for medial meniscus ramp tears in the presence of an anterior cruciate ligament (ACL) tear. Methods Patients aged ≥16 years undergoing arthroscopic anatomic hamstring single‐bundle ACL reconstruction between July 2016 and September 2020 from a single centre were prospectively enroled with a diagnosis based on clinical and MRI evaluations. Demographic data such as age, gender, dominant limb and time from injury to surgery were recorded. Clinical assessments included Lachman and pivot shift tests. Imaging assessments involved grading bone bruises on MRI using the International Cartilage Repair Society (ICRS) scale. Statistical analysis was conducted using parametric tests and regression analysis with a p value of less than 0.05, which is considered significant. Results The final sample consisted of 108 patients, with a concomitant ACL tear and medial meniscus ramp tear present in 53 (49.1%) patients. In the univariate regression analysis, a higher grade of the medial femoral condyle and medial tibial plateau bone bruises was highly associated with the diagnosis of an ACL tear with a concomitant ramp tear (p = 0.006, β = 0.151 and p < 0.001, β = 0.172, respectively). In the univariate regression analysis, a higher grade of the medial femoral condyle and medial tibial plateau bone bruise was associated with the diagnosis of ACL tear with a concomitant ramp tear (p = 0.006, β = 0.151 and p < 0.001, β = 0.172, respectively). Conclusion In this prospective series of patients with ACL tears, 49% were found to have concomitant medial meniscal ramp tears. The finding of medial tibial plateau or medial femoral condyle bone bruising was predictive of ramp tear. The presence of this bone bruising pattern along with a high‐grade Lachman and/or pivot shift examination, a medial meniscus ramp tear should be suspected. Level of Evidence Level II, prospective cohort study.https://doi.org/10.1002/jeo2.70238anterior cruciate ligamentbone bruisemedial meniscus ramp tear |
| spellingShingle | Filippo Familiari Luke V. Tollefson Antonio Izzo Raffaella Russo Michele Mercurio Giorgio Gasparini Robert F. LaPrade Giovanni Di Vico High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation Journal of Experimental Orthopaedics anterior cruciate ligament bone bruise medial meniscus ramp tear |
| title | High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation |
| title_full | High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation |
| title_fullStr | High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation |
| title_full_unstemmed | High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation |
| title_short | High‐grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation |
| title_sort | high grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears a prospective clinical and mri evaluation |
| topic | anterior cruciate ligament bone bruise medial meniscus ramp tear |
| url | https://doi.org/10.1002/jeo2.70238 |
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