Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

{"title":"Editorial Commentary: Biomechanical Studies Show Lateral Hinge Screws May Increase Load to Failure After Medial Opening Wedge High Tibial Osteotomy.","authors":"Nathan H Varady","doi":"10.1016/j.arthro.2025.03.054","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.054","url":null,"abstract":"<p><p>Lateral hinge fracture (LHF) is a common complication following medial opening wedge high tibial osteotomy occurring in up to 32%-50% of cases. This can lead to delayed union, nonunion, and loss of correction. Larger medial opening gap width is the most consistently identified risk factor, though lateral hinge width, osteotomy level, and uniplanar versus biplanar technique have also been implicated. To mitigate the risk of postoperative LHF, lateral hinge screws, inserted after osteotomy fixation, improve the ultimate strength of the osteotomy construct, demonstrating a 30% increase in resistance to varus loading and increased load to failure 2-3x in response to compressive stress. Despite these biomechanical findings, clinical translation remains a critical next step.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lateral Extra-Articular Tenodesis With Iliotibial Band in ACL Autograft Reconstruction for Female Soccer Athletes With Generalized Ligamentous Laxity Yields Graft Failure and Return-to-Sport Rates Comparable to Athletes Without Generalized Laxity.","authors":"Romir Parmar, Sailesh V Tummala, Joseph C Brinkman, Kostas J Economopoulos","doi":"10.1016/j.arthro.2025.03.045","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.045","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of adding lateral extra-articular tenodesis (LET) to primary anterior cruciate ligament reconstruction (ACLR) in competitive female soccer athletes with higher preoperative generalized ligamentous laxity.</p><p><strong>Methods: </strong>A retrospective review of female high school and collegiate soccer players who underwent primary ACLR from 2013 to 2021, with a minimum of two years of follow-up, was conducted. Participants were divided into two groups: those who received ACLR alone and those who received ACLR with LET. Generalized ligamentous laxity (GLL) was defined as a Beighton score ≥4 and was not considered an indication for LET. ACL autografts included the quadriceps, bone patellar tendon bone, and hamstrings in both groups. Patient demographics and physical exam findings, including pivot shift results, were collected. Positive pivot-shift refers to a grade ≥ 2. Patient outcomes included graft failure (defined as ACL re-tear), International Knee Documentation Committee (IKDC) score, Lysholm score, return to sport, and complications. Independent t-tests, chi-squared tests, and Mann-Whitney U tests were conducted to compare outcomes between the two groups. Minimally Clinical Important Difference (MCID) was calculated from preoperative to final follow-up.</p><p><strong>Results: </strong>A total of 133 female soccer players who underwent ACLR met inclusion criteria, including 43 patients that received an ACLR + LET and 90 patients that underwent isolated ACLR. Average follow-up was 39.0 and 36.1 months in the LET group and the control group, respectively. Patients who underwent LET had a higher GLL rate (48.8% vs. 18.9%; P<0.001) and greater median Beighton score (3.0 vs. 1.0; P<0.001) than those without LET. There was a similar rate of graft failure in patients who underwent LET compared to the control group (4.7% vs. 3.0%; P=0.658). Based on MCID thresholds, there were no clinically relevant differences in IKDC or Lysholm scores noted between the two groups. Return-to-sport rates were also comparable between the LET and control cohorts (90.7% vs. 85.6%; P=0.807) CONCLUSIONS: The addition of LET during ACLR in female soccer players with preoperative generalized ligamentous laxity yields graft re-tear and return-to-sport rates comparable to those of athletes without ligamentous laxity.</p><p><strong>Level of evidence: </strong>III - retrospective comparative study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Both Arthroscopically Assisted Suture Button and Hook Plate Are Effective in Treating Acute High-grade Acromioclavicular Joint Dislocation: A Systematic Review.","authors":"Junbo Liang, Dawei Han, Xiaofang Ying, Cong Chen, Hua Luo","doi":"10.1016/j.arthro.2025.03.035","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.035","url":null,"abstract":"<p><strong>Purpose: </strong>To conduct a systematic review of clinical studies comparing the clinical outcomes of arthroscopically assisted suture button (AASB) and hook plate (HP) in the treatment of acute high-grade acromioclavicular joint (ACJ) dislocation to determine which technique provides superior clinical benefits.</p><p><strong>Methods: </strong>Two independent researchers conducted literature searches based on Preferred Reporting Items from Systematic Reviews and Meta-analyses guidelines. PubMed, EMBASE, and the Cochrane Library were searched for studies comparing AASB and HP in treating acute high-grade (grade Ⅲ and above) ACJ dislocation. Inclusion criteria included clinical studies comparing AASB and HP for acute Rockwood Type ≥ III dislocations with evaluations of functional outcomes (Constant score (CS), pain score, American shoulder and elbow, Disabilities of the Arm, Shoulder and Hand). Studies were excluded if they were case reports, reviews, or had missing data, revision procedures, or loss to follow-up >20%. The methodological quality of the included studies was assessed based on Newcastle-Ottawa scale.</p><p><strong>Results: </strong>In this systematic review, 14 studies with 782 participants were included, all of which were classified as level III-IV evidence. The analysis of 12 studies showed that the AASB group (81.9 to 95.31) had only slightly higher postoperative CS compared to the HP group (77.5 to 92.38), with nine studies reporting significant improvements, while three studies found no significant difference compared to the HP group. For pain outcomes, four studies showed lower pain score in the AASB group, while the rest found no significant difference; the VAS scores ranged from 0.3 to 3.61 in the AASB group and 0.5 to 4.9 in the HP group. Operation time was generally longer in the AASB group (AASB: 48.3 to 89.39 min; HP: 40.77 to 76.5 min). Complication rates were similar (AASB: 0% to 50%; HP: 0% to 36.36%), with only one study reporting a higher incidence in the AASB group. Minimal Clinically Important Difference analysis from three studies showed clinically significant improvements in CS with AASB, but no significant difference between AASB and HP for pain outcomes.</p><p><strong>Conclusions: </strong>Despite longer operation times, AASB demonstrates comparable outcomes to HP for acute high-grade ACJ dislocations, with similar ranges in clinical scores and complication rates. Although AASB shows some advantages in functional outcomes, the differences between the two methods are minimal, suggesting that both approaches are effective and safe.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Patellofemoral stabilization for first-time dislocation in skeletally immature patients achieves excellent outcomes yet indications remain unclear.","authors":"Joshua P Castle, Vasilios Moutzouros","doi":"10.1016/j.arthro.2025.03.051","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.051","url":null,"abstract":"<p><p>Historically, initial management of patellofemoral instability without osteochondral fracture consists of bracing and physical therapy, but up to 50% of skeletally immature patients may develop recurrent instability. Recent studies suggest that patients with first time dislocations may benefit from surgical stabilization. Risk stratification is essential; those with ligamentous laxity, increased patellar height, and trochlear dysplasia have higher failure rates with nonoperative management. Surgery in skeletally immature patients also entails risk. We recommend conservative management to the majority of patients with a first-time patellar dislocation. Patients with high-risk features are counseled candidly about their elevated risk of failure potentially requiring surgery.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Early Home Exercises and Formal Physical Therapy After ACL Reconstruction Is Optimal to Prevent Arthrofibrosis.","authors":"Laura M Krivicich, Matthew J Salzler","doi":"10.1016/j.arthro.2025.03.052","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.052","url":null,"abstract":"<p><p>Arthrofibrosis after ACL reconstruction can be a devastating complication. Female sex, older age, elevated blood glucose, and concomitant procedures may increase the risk. Pre-operative exercise programs including formal physical therapy, is recommended if patients lack full extension pre-operatively. After surgery, accelerated rehabilitation programs are associated with lower rates of arthrofibrosis, including those with higher frequency or intensity of rehabilitation. Early rehabilitation has also been associated with achievement of improved postoperative outcomes. Our practice is to recommend that pre-operative patients have a normalized gait, full extension, a mobile patella, and comfortable flexion within 20 degrees of the contralateral knee prior to reconstruction. After surgery, patients start a home exercise program on day 0 and begin early physical therapy as soon as reasonably possible.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Carbazochrome Sodium Sulfonate May Offer Benefits During Shoulder Arthroscopy, but More Robust Study is Needed.","authors":"Samer S Hasan","doi":"10.1016/j.arthro.2025.03.050","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.050","url":null,"abstract":"<p><p>Intraoperative bleeding impedes visual clarity during shoulder arthroscopy and leads to longer operative times, greater use of irrigation fluid, and greater blood loss. Epinephrine in the irrigation fluid and intravenous tranexamic acid are common interventions that have been found to maintain hemostasis and improve visual clarity during arthroscopy. Intravenous carbazochrome sodium sulfonate may also offer similar benefit during shoulder arthroscopy, but more robust study of effectiveness and safety, and FDA approval, are needed before it can be recommended for use.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Anterolateral and Anterior Cruciate Ligament Reconstruction Improves Pivot Shift and Anterior Tibial Translation with Similar Outcomes Compared with Isolated Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Guangqing Cai, Xing Li, Yun Zhou, Zihao Ren, Zheng Hu, Shengwen Xiang, Zhijian Ao, Weiguo Hu, Yangbo Liu, Licheng Wei","doi":"10.1016/j.arthro.2025.03.047","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.047","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the subjective measurement indicators between isolated anterior cruciate ligament reconstruction (ACLR) and combined ACLR with anterolateral ligament reconstruction (ALLR) in patients with ACL injuries.</p><p><strong>Methods: </strong>The Ovid MEDLINE and the Cochrane Central Registry of Controlled Trials were searched for Randomized Controlled Studies (RCTs) with a level of evidence (LOE) I-II published until September 2024 that evaluated subjective and safety outcomes between ACLR+ALLR and isolated ACLR. The Cochrane Risk of Bias 2.0 tool was used to evaluate publication bias.</p><p><strong>Results: </strong>After literature reviews, 5 RCT studies were identified. The follow-up data were obtained for 377 patients; 184 underwent isolated ACLR, and 193 underwent ACLR+ALLR. The patients who achieved pivot shift test grade I or more after surgery were reported in all five studies, and it was significantly lower in the ACLR+ALLR group compared to the isolated ACLR group [(risk ratio (RR):0.47, 95% confidence interval (CI): 0.23-0.96, P=0.04, I²=20%). Moreover, the degree of anterior tibial translation after surgery was reported in four studies, and it was also significantly lower in the ACLR+ALLR group [mean difference (MD): -0.65, 95%CI: -1.26 - -0.04, P=0.04, I²=83%)]. The operative and follow-up outcomes were similar between the two groups.</p><p><strong>Conclusions: </strong>Through a meta-analysis with LOE I-II and minimum 1-year follow-up data with similar outcomes, we proved that the combined ACLR+ALLR approach yielded superior residual laxity and pivot-shift test compared to isolated ACLR.</p><p><strong>Level of evidence: </strong>Level II, meta-analysis of randomized controlled trials.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Not Only Extrusion! A Thickened Medial Meniscus on Coronal MRI Also Points to Medial Meniscal Posterior Root Tears.","authors":"Andrew S Bi","doi":"10.1016/j.arthro.2025.03.049","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.049","url":null,"abstract":"<p><p>Medial meniscal posterior root tears (MMPRTs) can be challenging to diagnose even on magnetic resonance imaging (MRI). Despite several \"signs\" for MMPRTs, such as the \"ghost sign\" on sagittal images, truncation or cleft sign on coronal images, bony edema at the tibial root attachment, and meniscal extrusion on coronal images, the finding of increased maximal thickness of the medial meniscus (MTMM) on coronal images provides a simple, intuitive, and reproducible measurement for knee surgeons to identify MMPRTs. With a cutoff of 10 mm providing a sensitivity of 0.771 and specific of 0.942, the thickened meniscus sign is a valuable addition to the MMPRT literature. Even if exact measurements are not utilized due to racial anatomical or age related differences in baseline meniscal size, the identification of a thickened medial meniscus on coronal sequences still provides a clue to avoid missing MMPRTs, as well as differentiating them from other meniscal tear patterns, such as radial tears.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgically Treated Multiligamentous Knee Injuries with LCL Disruption and Vascular Injury Demonstrate Higher Incidence of Peroneal Nerve Injury.","authors":"Collin D R Hunter, Benjamin T Johnson, Joseph Featherall, Pat Greis, Travis G Maak, Stephen K Aoki, Antonio Klasan, Justin J Ernat","doi":"10.1016/j.arthro.2025.03.046","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.046","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to clarify which specific ligamentous constellations predispose patients to peroneal nerve or vascular injuries in MLKIs.</p><p><strong>Methods: </strong>This is a retrospective review of patients who underwent surgical treatment for MLKI, defined as having at least two ligaments (anterior cruciate ligament, ACL; posterior cruciate ligament, PCL; medial collateral ligament, MCL; lateral collateral ligament, LCL) surgically reconstructed or repaired due to identified injury and laxity, between April 2008 and August 2024. Demographic data and clinical records were obtained, and injury patterns were categorized based on individual ligament involvement (ACL/MCL, ACL/LCL, PCL/MCL, PCL/LCL, ACL/PCL, ACL/PCL/MCL, ACL/PCL/LCL, and ACL/PCL/MCL/LCL). Chi-squared analysis and binary logistic regression were performed to evaluate the association between ligament patterns and neurovascular injury risk, adjusting for age, sex, and body mass index (BMI).</p><p><strong>Results: </strong>171 patients were included (mean age 24 years), with 23% sustaining a peroneal nerve injury, and 3% sustaining a vascular injury requiring surgical repair. Peroneal nerve injuries were significantly more common in MLKIs involving the ACL/LCL (41%) and ACL/LCL/PCL (53%) compared to other patterns. Binary logistic regression revealed that LCL involvement was associated with an 8-fold increase in peroneal nerve injury risk (OR = 8.042, p = 0.003), while male sex (OR = 2.870, p = 0.032) and higher BMI (OR = 1.082, p = 0.008) were also significant predictors. Six of eleven patients (55%) with vascular injuries sustained concurrent peroneal nerve injury (OR, 6.34; 95% CI, 1.64-24.48; P = .007). No significant predictors were found for vascular injury.</p><p><strong>Conclusion: </strong>Among patients with MLKIs, involvement of the lateral collateral ligament (LCL) confers an 8-fold higher risk of peroneal nerve injury, with additional risk factors including male sex and elevated BMI. Although no specific predictors were identified for lower extremity vascular injuries, patients with such injuries were more likely to experience concomitant peroneal nerve injury. These findings underscore the need for heightened clinical vigilance for peroneal nerve injury in MLKIs involving the LCL or in the presence of vascular injuries.</p><p><strong>Level of evidence: </strong>IV; retrospective prognostic case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Energy and Polytraumatic Multiligament Knee Injuries Requiring Surgical Treatment Are Associated with More Chondral Damage Yet Similar Rates of Meniscal Injury.","authors":"Collin D R Hunter, Joseph Featherall, Natalya McNamara, Benjamin T Johnson, Pat Greis, Travis G Maak, Stephen K Aoki, Antonio Klasan, Justin J Ernat","doi":"10.1016/j.arthro.2025.03.044","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.044","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the rates of meniscal and chondral injuries that occur with high-energy (HE) versus low-energy (LE), and polytraumatic (PT) versus non-polytraumatic (NPT) multiligament knee injury (MLKI) mechanisms.</p><p><strong>Methods: </strong>This single institution retrospective review included patients with MLKIs treated from April 2008 - October 2022. Inclusion criteria were surgically treated MLKIs, available operative reports, and mechanism of injury (PT vs NPT; HE vs. LE) in the electronic medical record. The location and grading of chondral injuries and size of meniscal injuries were evaluated accordingly. Additionally, a sub-analysis considers anterior/posterior cruciate ligament injury patterns.</p><p><strong>Results: </strong>Two hundred (206) patients with MLKI were included (57 PT (28%) and 149 NPT (72%); 84 HE (41%) and 122 LE (59%)). Chondral injury incidence was greater in PT (53%) and HE (45%) compared to NPT (27%; p=0.004) and LE (26%; p=0.001) patients, respectively. Mean number of surfaces injured was higher in PT versus NPT (1.59 ±1.94 vs 0.77 ±1.58; p=0.002), and HE versus LE (1.48 ±1.99 vs 0.66 ±1.43; p<0.001), respectively. PT patients exhibited more chondral injuries of the medial femoral condyle (MFC) (39% vs. 15%; p<0.001), lateral femoral condyle (LFC) (21% vs. 10%; p=0.034), and medial tibial plateau (MTP) (33% vs. 14%; p=0.001) compared to NPT. HE patients exhibited more chondral injuries of the MFC (20% vs. 8%; p<0.001), LFC (19% vs. 9%; p=0.035), and MTP (33% vs. 14%; p=0.001). No differences were found in rates of meniscal tears or chondral injuries of the lateral tibial plateau or patellofemoral joint. Pattern of cruciate ligament injury pattern did not impact rates of any injuries.</p><p><strong>Conclusion: </strong>MLKIs from HE and PT requiring definitive surgical treatment were associated with higher rates of chondral injury across more surfaces compared to NPT and LE mechanisms, respectively. The mechanism by which the injury occurs does not appear to impact the rate of meniscal tears, nor does cruciate ligament injury pattern matter.</p><p><strong>Level of evidence: </strong>III; Retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}