Acta Ortopédica Mexicana

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>Journals >Acta Ortopédica Mexicana >Year 2015, Issue 5

Montiel-Jarquín A, Barragán-Hervella R, López-Cázares G, Lima-Ramírez P, Lázaro-Michaca G, Vallecillo-Velázquez H, Sánchez-Durán M, Medina-Escobedo C, Villatoro-Martínez A
Concordance between preoperatory diagnosis and arthroscopy findings of meniscal lesions associated to anterior cruciate ligament injury
Acta Ortop Mex 2015; 29 (5)

Language: Español
References: 15
Page: 266-270
PDF: 4. Kb.

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Introduction: Ligament injuries of the knee joint are common during the second and third decades of life, clinical and radiological diagnosis presents difficulties since the surgical findings may differ significantly. The objective is to determine correlation between clinical-radiologic and arthroscopic diagnosis in patients with injury of the anterior cruciate ligament (ACL) and meniscal lesions. Material and methods: Cross-sectional study held in 29 patients with ACL injury associated to meniscal lesions treated arthroscopically. Variables were age, gender, affected side, preoperative and postoperative diagnosis, type and location of meniscal injury; descriptive statistics and Cohen Kappa for concordance were used. Results: There were 29 patients, 23 (79.3%) men and 6 (20.7%) women, mean age 39.04 (15-50) ± 13.19 years; right side was affected in 69% and left in 31%; 19% had not meniscal lesion, 17.2% had injury in anterior horn, 10.3% in posterior horn and 6.9% in the body. The concordance between preoperative and artroscopic diagnosis was: Kappa 0.2; intraboservador was Kappa 1.0; between suspected meniscal injury and arthroscopic findings was: Kappa 0.2. Conclusions: The concordance between the clinical-radiological and arthroscopic diagnosis in patients with ACL injuries and meniscal injury associated is low, which has to be considered in the initial review and the arthroscopic treatment of patients.

Key words: Meniscal injury, ACL injury, concordance, preoperative diagnosis, postoperative diagnosis.


  1. Lázaro-Michaca GA: Lesiones meniscales asociadas a lesión del ligamento cruzado anterior. Tesis de Especialidad, BUAP-IMSS, 2013.

  2. Griffin L, Agel J, Albohm M, Arendt E, Dick R: Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000; 8(3): 141-50.

  3. Jacob KM, Oommen AT: A retrospective analysis of risk factors for meniscal co-morbidities in anterior cruciate ligament injuries. Indian J Orthop. 2012; 46(5): 566-9.

  4. Insall J, Norman Scott: Cirugía de rodilla. Insall & Scott. 2007, 4ª edición. Editorial Elsevier. Tomo I. 240.

  5. Church S, Keating JF: Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change. J Bone Joint Surg Br. 2005; 87(12): 1639-42.

  6. Granan LP, Bahr R, Lie SA, Engebretsen L: Timing of anterior cruciate ligament reconstructive surgery and risk of cartilage lesions and meniscal tears: a cohort study based on the Norwegian National Knee Ligament Registry. Am J Sports Med. 2009; 37(5): 955-61.

  7. Kobayashi H, Nakamura T, Koshida S, Miyashita K, et al: Mechanisms of the anterior cruciate ligament injury in sports activities: A twenty-year clinical research of 1,700 athletes. J Sports Sci Med. 2010; 9(4): 669-75.

  8. Shimokochi Y, Shultz S: Mechanisms of noncontact anterior cruciate ligament injury. J Athl Train. 2008; 43(4): 396-408.

  9. Shybut T, Strauss EJ: Surgical management of meniscal tears. Bull NYU Hosp Jt Dis. 2011; 69(1): 56-62.

  10. Razi M, Salehi S, Dadgostar H, Cherati AS, Moghaddam AB, Tabatabaiand SM: Timing of anterior cruciate ligament reconstruction and incidence of meniscal and chondral injury within the knee. Int J Prev Med. 2013; 4(Suppl 1): S98-S103.

  11. Rodríguez-Caravaca G, García-Cruces Méndez J, Villar del Campo MC, Mosquera-González M, Carrasco-Garrido P, Gil de Miguel A: Concordancia diagnóstica entre Atención Primaria y Atención Especializada al evaluar pacientes con psoriasis. SEMERGEN. 2004; 30(10): 487-90.

  12. Barrera MC, Recondo JA, Gervás C, Fernández E, Villanúa JA, Salvador E: Rotura de menisco. Errores diagnósticos en RM. Radiología. 2003; 45 (1): 32-36.

  13. Van Ginckel A, Verdonk P, Witvrouw E: Cartilage adaptation after anterior cruciate ligament injury and reconstruction: implications for clinical management and research? A systematic review of longitudinal MRI studies. Osteoarthritis Cartilage. 2011; 21(8): 1009-24.

  14. Marshall SW: Recommendations for defining and classifying anterior cruciate ligament injuries in epidemiologic studies. J Athl Train. 2010; 45(5): 516-8.

  15. Shelbourne KD, Heinrich J: The long-term evaluation of lateral meniscus tears left in situ at the time of anterior cruciate ligament reconstruction. Arthroscopy. 2004; 20(4): 346-51.

>Journals >Acta Ortopédica Mexicana >Year 2015, Issue 5

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