Journal article
Cartilage morphology at 2–3 years following anterior cruciate ligament reconstruction with or without concomitant meniscal pathology
Knee Surgery, Sports Traumatology, Arthroscopy, Vol.25(2), pp.426-436
2017
Abstract
Purpose: To examine differences in cartilage morphology between young adults 2–3 years post-anterior cruciate ligament reconstruction (ACLR), with or without meniscal pathology, and control participants. Methods: Knee MRI was performed on 130 participants aged 18–40 years (62 with isolated ACLR, 38 with combined ACLR and meniscal pathology, and 30 healthy controls). Cartilage defects, cartilage volume and bone marrow lesions (BMLs) were assessed from MRI using validated methods. Results: Cartilage defects were more prevalent in the isolated ACLR (69 %) and combined group (84 %) than in controls (10 %, P < 0.001). Furthermore, the combined group showed higher prevalence of cartilage defects on medial femoral condyle (OR 4.7, 95 % CI 1.3–16.6) and patella (OR 7.8, 95 % CI 1.5–40.7) than the isolated ACLR group. Cartilage volume was lower in both ACLR groups compared with controls (medial tibia, lateral tibia and patella, P < 0.05), whilst prevalence of BMLs was higher on lateral tibia (P < 0.001), with no significant differences between the two ACLR groups for either measure. Conclusions: Cartilage morphology was worse in ACLR patients compared with healthy controls. ACLR patients with associated meniscal pathology have a higher prevalence of cartilage defects than ACLR patients without meniscal pathology. The findings suggest that concomitant meniscal pathology may lead to a greater risk of future OA than isolated ACLR. Level of evidence: III.
Details
- Title
- Cartilage morphology at 2–3 years following anterior cruciate ligament reconstruction with or without concomitant meniscal pathology
- Authors/Creators
- X. Wang (Author/Creator) - The University of MelbourneY. Wang (Author/Creator) - Monash UniversityK.L. Bennell (Author/Creator) - The University of MelbourneT.V. Wrigley (Author/Creator) - The University of MelbourneF.M. Cicuttini (Author/Creator) - Monash UniversityK. Fortin (Author/Creator) - The University of MelbourneD.J. Saxby (Author/Creator) - Griffith UniversityA. Van Ginckel (Author/Creator) - The University of MelbourneA.R. Dempsey (Author/Creator) - Griffith UniversityN. Grigg (Author/Creator) - Griffith UniversityC. Vertullo (Author/Creator) - North Sydney Orthopaedic and Sports Medicine CentreJ.A. Feller (Author/Creator) - La Trobe UniversityT. Whitehead (Author/Creator) - Epworth HospitalD. G. Lloyd (Author/Creator) - Griffith UniversityA.L. Bryant (Author/Creator) - The University of Melbourne
- Publication Details
- Knee Surgery, Sports Traumatology, Arthroscopy, Vol.25(2), pp.426-436
- Publisher
- Springer Verlag
- Identifiers
- 991005542121207891
- Copyright
- © 2015 European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA)
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.34 Orthopedics
- 1.34.440 Anterior Cruciate Ligament
- Web Of Science research areas
- Orthopedics
- Sport Sciences
- Surgery
- ESI research areas
- Clinical Medicine