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Anterior Cruciate Ligament Injuries with Concomittant Meniscal Pathologies

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Sports Injuries

Abstract

Meniscal tears are present in conjunction with anterior cruciate ligament (ACL) injuries in approximately half of the cases. The menisci serve many important functions in the knee. Specifically in regard to the ACL-injured knee, the lateral meniscus plays a role in rotational loading. It is frequently damaged by the subluxation of the lateral compartment at the time of the ACL rupture. The medial meniscus is a secondary stabilizer to anterior tibial translation and is often torn over time due to accumulated mechanical stress from abnormal knee kinematics in the ACL-deficient knee. With these important functions, meniscal pathology could worsen the already abnormal laxity of the ACL-deficient knee. Surgical treatment aims to preserve as much meniscal structure as possible while removing unstable flaps through meniscectomy or stabilize the meniscus through repair. Loss of normal meniscus function leads to increased articular cartilage degeneration, osteoarthritis (OA), and worse clinical outcomes. Therefore, to improve knee stability and long-term outcomes, meniscal pathology must be carefully considered in the management of patients with ACL ruptures.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA

    Matthew Salzler & Kevin Jiang

  2. Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan

    Yuichi Hoshino

  3. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Volker Musahl

  4. Division of Sports Medicine, Orthopaedic Surgery, University of Pittsburgh, 3200 South Water Street, Pittsburgh, PA, USA

    Volker Musahl

Authors
  1. Yuichi Hoshino
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  2. Matthew Salzler
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  3. Kevin Jiang
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  4. Volker Musahl
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Corresponding author

Correspondence to Kevin Jiang .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Hoshino, Y., Salzler, M., Jiang, K., Musahl, V. (2015). Anterior Cruciate Ligament Injuries with Concomittant Meniscal Pathologies. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_88

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_88

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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