Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees
Background/Objective: The purpose of this study was to find factors indicating the occurrence of the Segond fracture, a specific type of anterolateral ligament injury. Methods: From January 2015 to December 2017, we retrospectively reviewed the medical records of patients diagnosed with acute anteri...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214687323000262 |
| _version_ | 1797347119812575232 |
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| author | Nobutada Suzuki Atsuya Watanabe Taishi Ninomiya Hirofumi Nakajima Manato Horii Shotaro Watanabe Yuki Shiko Takahisa Sasho |
| author_facet | Nobutada Suzuki Atsuya Watanabe Taishi Ninomiya Hirofumi Nakajima Manato Horii Shotaro Watanabe Yuki Shiko Takahisa Sasho |
| author_sort | Nobutada Suzuki |
| collection | DOAJ |
| description | Background/Objective: The purpose of this study was to find factors indicating the occurrence of the Segond fracture, a specific type of anterolateral ligament injury. Methods: From January 2015 to December 2017, we retrospectively reviewed the medical records of patients diagnosed with acute anterior cruciate ligament (ACL) injury who underwent reconstruction within 90 days of injury. Diagnosis of the Segond fracture was determined either by magnetic resonance imaging or plain radiographs. Factors examined were: age at surgery, sex, body mass index (kg/m2), status of menisci, and activities led to ACL injury. After univariate screening, multivariate logistic regression analyses were performed. Patients were divided into four groups based on the presence of lateral meniscal (LM) and/or medial meniscal (MM) injuries and compared with respect to the occurrence of Segond fractures. Results: A total of 375 patients were included (163 males, 212 females), with mean age 25.8 years old. Among them, 22 of 375 (5.9 %) had a Segond fracture. We identified injured lateral menisci (adjusted odds ratio (aOR), 3.029; 95 % Confidence Interval (CI), 1.206–7.609; P = 0.018), intact medial menisci (aOR, 0.229; 95 % CI, 0.065–0.810; P = 0.022), and higher body mass index (aOR, 1.102; 95 % CI, 1.008–1.205; P = 0.034) as factors indicative of the occurrence of Segond fracture. LM injury without MM injury suggested the existence of a Segond fracture. Conclusion: LM injury without a MM injury indicated the occurrence of a Segond fracture. Higher body mass index also increased the risk for Segond fracture occurrence. |
| first_indexed | 2024-03-08T11:43:04Z |
| format | Article |
| id | doaj.art-fa8c597b3e4f4abcbcf78f34c047e76f |
| institution | Directory Open Access Journal |
| issn | 2214-6873 |
| language | English |
| last_indexed | 2024-03-08T11:43:04Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| spelling | doaj.art-fa8c597b3e4f4abcbcf78f34c047e76f2024-01-25T05:23:00ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732024-01-01355964Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient kneesNobutada Suzuki0Atsuya Watanabe1Taishi Ninomiya2Hirofumi Nakajima3Manato Horii4Shotaro Watanabe5Yuki Shiko6Takahisa Sasho7Department of Radiology, Eastern Chiba Medical Center, 3-6-1 Okayamadai, Togane, Chiba, 283-8686, Japan; Center for Preventive Medicine, Musculoskeletal Disease and Pain, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, Japan; Corresponding author. 3-6-1 Okayamadai, Togane, Chiba, 283-8686, Japan.Department of Orthopedic Surgery, Eastern Chiba Medical Center, 3-6-1 Okayamadai, Togane, Chiba, 283-8686, JapanCenter for Preventive Medicine, Musculoskeletal Disease and Pain, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, Japan; Department of Orthopedic Surgery, Funabashi Orthopedic Hospital, 1-833 Hasamacho, Funabashi, Chiba, 274-0822, JapanCenter for Preventive Medicine, Musculoskeletal Disease and Pain, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, Japan; Department of Orthopedic Surgery, Funabashi Orthopedic Hospital, 1-833 Hasamacho, Funabashi, Chiba, 274-0822, JapanDepartment of Orthopedic Surgery, Eastern Chiba Medical Center, 3-6-1 Okayamadai, Togane, Chiba, 283-8686, Japan; Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, JapanCenter for Preventive Medicine, Musculoskeletal Disease and Pain, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, Japan; Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, JapanBiostatistics Section, Clinical Research Center, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-0856, JapanCenter for Preventive Medicine, Musculoskeletal Disease and Pain, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, Japan; Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8670, JapanBackground/Objective: The purpose of this study was to find factors indicating the occurrence of the Segond fracture, a specific type of anterolateral ligament injury. Methods: From January 2015 to December 2017, we retrospectively reviewed the medical records of patients diagnosed with acute anterior cruciate ligament (ACL) injury who underwent reconstruction within 90 days of injury. Diagnosis of the Segond fracture was determined either by magnetic resonance imaging or plain radiographs. Factors examined were: age at surgery, sex, body mass index (kg/m2), status of menisci, and activities led to ACL injury. After univariate screening, multivariate logistic regression analyses were performed. Patients were divided into four groups based on the presence of lateral meniscal (LM) and/or medial meniscal (MM) injuries and compared with respect to the occurrence of Segond fractures. Results: A total of 375 patients were included (163 males, 212 females), with mean age 25.8 years old. Among them, 22 of 375 (5.9 %) had a Segond fracture. We identified injured lateral menisci (adjusted odds ratio (aOR), 3.029; 95 % Confidence Interval (CI), 1.206–7.609; P = 0.018), intact medial menisci (aOR, 0.229; 95 % CI, 0.065–0.810; P = 0.022), and higher body mass index (aOR, 1.102; 95 % CI, 1.008–1.205; P = 0.034) as factors indicative of the occurrence of Segond fracture. LM injury without MM injury suggested the existence of a Segond fracture. Conclusion: LM injury without a MM injury indicated the occurrence of a Segond fracture. Higher body mass index also increased the risk for Segond fracture occurrence.http://www.sciencedirect.com/science/article/pii/S2214687323000262Anterior cruciate ligament injuryAnterolateral ligamentLateral meniscal injuryMedial meniscal injuryRisk factorsSegond fracture |
| spellingShingle | Nobutada Suzuki Atsuya Watanabe Taishi Ninomiya Hirofumi Nakajima Manato Horii Shotaro Watanabe Yuki Shiko Takahisa Sasho Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Anterior cruciate ligament injury Anterolateral ligament Lateral meniscal injury Medial meniscal injury Risk factors Segond fracture |
| title | Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees |
| title_full | Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees |
| title_fullStr | Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees |
| title_full_unstemmed | Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees |
| title_short | Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees |
| title_sort | lateral meniscal injury without medial meniscal injury indicates the existence of the segond fracture in acl deficient knees |
| topic | Anterior cruciate ligament injury Anterolateral ligament Lateral meniscal injury Medial meniscal injury Risk factors Segond fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2214687323000262 |
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