PDF(Pubmed)
Abstract：
(1) Background: Bone bruises in acute anterior cruciate ligament (ACL) injuries are closely linked to the occurrence of simultaneous meniscal and cartilage damage. Despite the frequent occurrence of associated injuries including bone bruises, meniscus, and cartilage damage in patients with ACL injuries, a systematic review of the relationships between the presence of bone bruises and the extent of meniscus and cartilage injuries has yet to be conducted. (2) Methods: Multiple comprehensive databases, including MEDLINE, EMBASE, and the Cochrane Library, were searched for studies that evaluated the relationship between bone bruises and meniscus or cartilage injuries following ACL injuries. Study selection, data extraction, and meta-analysis were performed. The Methodological Index for Non-Randomized Studies (MINORS) was used for quality assessments, and Review Manager 5.3 was used for data analysis. (3) Results: Data were extracted from 22 studies encompassing a total of 2891 patients with ACL injuries. Among the included studies, six studies investigated the relationships between bone bruises and medial meniscus (MM) or lateral meniscus (LM) injuries, while three studies investigated the relationships between bone bruises and cartilage injuries. There were no significant correlations between the presence of bone bruises and MM injuries (relative risk (RR) = 1.32; p = 0.61). A quantitative analysis indicated that individuals with bone bruises had a 2.71-fold higher likelihood of sustaining LM injuries than those without bone bruises (RR = 2.71; p = 0.0003). The analysis confirmed a significant relationship between bone bruises and cartilage injuries (RR = 6.18; p = 0.003). (4) Conclusions: Bone bruises occur most frequently in the lateral compartment. Bone bruises resulting from ACL injuries are related to accompanying LM injuries and cartilage injuries. Knowing these associations and the frequency of injuries may allow orthopedic surgeons to promptly address ACL-related meniscus and cartilage injuries on MRI results and in future clinical practice.
摘要：
（1）背景：急性前交叉韧带（ACL）损伤中骨挫伤与半月板和软骨同时损伤的发生密切相关。尽管经常发生相关损伤，包括骨瘀伤，弯月面,ACL损伤患者的软骨损伤，关于骨瘀伤的存在与半月板和软骨损伤程度之间关系的系统评价尚未进行。(2)方法：多个综合数据库，包括MEDLINE,EMBASE,还有Cochrane图书馆,搜索了评估ACL损伤后骨瘀伤与半月板或软骨损伤之间关系的研究。研究选择，数据提取,并进行荟萃分析。非随机研究方法学指数(MINORS)用于质量评估，使用ReviewManager5.3进行数据分析。（3）结果：数据来自22项研究，包括2891例ACL损伤患者。在纳入的研究中，六项研究调查了骨挫伤与内侧半月板（MM）或外侧半月板（LM）损伤之间的关系，而三项研究调查了骨瘀伤和软骨损伤之间的关系。骨瘀伤的存在与MM损伤之间没有显着相关性（相对风险（RR）=1.32；p=0.61）。定量分析表明，患有骨瘀伤的个体比没有骨瘀伤的个体遭受LM损伤的可能性高2.71倍（RR=2.71；p=0.0003）。分析证实了骨挫伤和软骨损伤之间的显着关系（RR=6.18；p=0.003）。（4）结论：骨挫伤最常见于侧室。ACL损伤导致的骨瘀伤与伴随的LM损伤和软骨损伤有关。了解这些关联和损伤的频率可以使整形外科医生在MRI结果和未来的临床实践中迅速解决ACL相关的半月板和软骨损伤。
