前交叉韧带(ACL)撕裂是运动员中普遍和衰弱的损伤,常伴有半月板和软骨损伤。这项研究旨在对ACL撕裂运动员半月板和软骨损伤的模式和患病率进行全面调查。这是一项针对600名患有ACL泪液的运动患者进行的横断面研究,计划在五年内进行重建。结合先进的成像技术,关节镜评估,和临床数据用于全面了解参与运动员的损伤情况。这些发现得到了适当的记录和分析。600名患者中,67%(402)至少有一次半月板或软骨损伤,其余33%(198)仅有单独的ACL损伤。在患者中,18%(108)的人同时存在半月板和软骨损伤。在57%(342)的半月板损伤患者中,内侧半月板受伤,外侧半月板,两种弯月面都存在于51%(175),32%(109),17%(58)的患者,分别。在所有相关的半月板损伤中(n1=404),半月板的身体中约有52%(210)的眼泪,31%(125)在后角,17%(69)在前角。总的来说,据指出,22.77%(92)的半月板撕裂是内侧半月板的桶柄撕裂,16.08%(65)为外侧半月板后角复杂撕裂,9.60%(39)为内侧半月板后角的复杂撕裂。在600名患者中,28%(168)的患者存在至少一个与ACL撕裂相关的软骨损伤。Further,在ACL缺陷型膝关节报告的软骨损伤总数中(n2=297),大约55%(163)的病变位于股骨内侧髁,10%(30)位于髌骨下表面,10%(30)是全球变化,7%(20)位于股骨外侧髁上,5%(15)位于膝关节内侧关节面。共61%(181)的软骨病变为Ⅱ级,21%(62)为Ⅲ级,10%(30)为四级,最少注意到的是8%(24)的I级软骨损伤。研究得出的结论是,内侧半月板损伤是ACL缺陷膝盖中最常见的半月板损伤,内侧半月板的桶柄撕裂是最常见的半月板撕裂类型,其次是内侧半月板后角的复杂撕裂。Further,研究还得出结论,在ACL缺陷型膝关节中,股骨内侧髁是最常见的软骨损伤部位.
Anterior cruciate ligament (ACL) tears are a prevalent and debilitating injury among athletes, often accompanied by concurrent meniscal and chondral injuries. This study aimed to present a comprehensive investigation into the patterns and prevalence of meniscal and chondral injuries in athletes with ACL tears. This is a cross-sectional study conducted on 600 athletic patients with ACL tears planned for reconstruction in a duration of five years. A combination of advanced imaging techniques, arthroscopic evaluations, and clinical data was used to provide a comprehensive understanding of the injury profiles of the participant athletes. Those findings were duly recorded and analyzed accordingly. Out of 600 patients, 67% (402) had at least one meniscal or chondral injury while the rest 33% (198) had isolated ACL injuries only. Of the patients, 18% (108) were those who had both meniscal and chondral injuries present. Amongst the 57% (342) of patients who had meniscal injuries, injuries to the medial meniscus, lateral meniscus, and both the meniscus were present in 51% (175), 32% (109), and 17% (58) of patients, respectively. Amongst all associated meniscal injuries (n1 = 404), around 52% (210) tears were present in the body of the meniscus, 31% (125) in the posterior horn, and 17% (69) in the anterior horn. Overall, it was noted that 22.77% (92) of meniscal tears were bucket handle tears of the medial meniscus, 16.08% (65) were complex tears of the posterior horn of the lateral meniscus, and 9.60% (39) were complex tears of the posterior horn of the medial meniscus. Amongst 600 patients, 28% (168) of patients had at least one chondral injury present in association with ACL tear. Further, amongst the total number of chondral lesions reported (n2 =297) in ACL-deficient knees, around 55% (163) of lesions were located on medial femoral condyle, 10% (30) were located on undersurface of patella, 10% (30) were global changes, 7% (20) were on lateral femoral condyle, and 5% (15) were located on medial articulating surface of knee. A total of 61% (181) of chondral lesions were grade II, 21% (62) were grade III, 10%(30) were grade IV, and the least noted were 8% (24) grade I chondral lesions. The study concludes that medial meniscus injury was the most common meniscal injury in ACL-deficient knees and the bucket handle tear of the medial meniscus was the most common type of meniscal tear followed by the complex tear of the posterior horn of the medial meniscus. Further, the study also concludes that the medial femoral condyle is the most common site of chondral lesions in ACL-deficient knees.