Anterior Cruciate Ligament Rupture and Concomitant Injuries

Authors

  • Francisco Winter dos Santos Figueiredo Faculdade de Medicina do ABC. Laboratório de Epidemiologia e Análise de Dados do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.
  • Laércio da Silva Paiva Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.
  • Luiz Vinicius de Alcantara Sousa Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.
  • Maria Inês da Rosa Universidade do Extremo Sul Catarinense, Programa de Graduação de Saúde Coletiva, Criciúma, SC, Brasil. 1105 Universitária Ave., Universitário, CEP 88806000, Criciúma, Santa Catarina, Brasil.
  • Luciane Bisognin Ceretta Universidade do Extremo Sul Catarinense, Programa de Graduação de Saúde Coletiva, Criciúma, SC, Brasil. 1105 Universitária Ave., Universitário, CEP 88806000, Criciúma, Santa Catarina, Brasil.
  • Vitor Engrácia Valenti Programa de Graduação em Fisioterapia, Faculdade de Ciências e Tecnologia da UNESP. Rua Roberto Simonsen, 305 19.060-900. Presidente Prudente, São Paulo, Brasil.
  • Blanca Elena Guerrero Daboin Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.
  • Italla Maria Pinheiro Bezerra Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC. Departamento de Saúde da Coletividade. Disciplina de Metodologia Científica.
  • Fernando Adami Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica do Departamento de Saúde Coletiva. Santo André, SP, Brasil. 821 Príncipe de Gales Ave., CEP 09060650, Santo André, São Paulo, Brasil.

DOI:

https://doi.org/10.3823/1835

Keywords:

Anterior Cruciate Ligament, Ligaments, knee Injury.

Abstract

Introduction: The association between previous injury and the risk of re-injury has been widely studied, however still there are limited studies about the prevalence and distribution of the injuries associated to rupture of Anterior Cruciate Ligament (ACL) mainly focused on people who plays sports for leisure or to improve their quality of life. Objective: To identify the prevalence of concomitant injuries with rupture of ACL and its association with sex, age and practice of sports for leisure. Methods: Cross-sectional study of clinical base. It was analyzed the data of clinical records and demographic information of 807 individuals who underwent ACL reconstruction surgery  in a clinic specializing in orthopedics knees in Santo André, São Paulo, Brazil. Results: The prevalence of concomitant injuries with the ACL injury was 57.9%. The meniscus injuries were the main concomitant injuries found. It is observed a trend of concomitant injuries with ACL rupture in males (59.2%) and in individuals who do not practice recreational sports (58.9%). Individuals who had concomitant lesions had higher median age (37%, 95% CI 36-39) compared to individuals diagnosed with isolated ACL rupture. Conclusions: The prevalence of concomitant injuries with the ACL rupture found in this study points to the need of further research about injuries of adjacent structures to ACL.

References

Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: A systematic review and meta-analysis of the state of play. Br J Sports Med. 2011;45:596-606

Rotterud JH, Sivertsen EA, Forssblad M, Engebretsen L, Aroen A. Effect of gender and sports on the risk of full-thickness articular cartilage lesions in anterior cruciate ligament-injured knees: A nationwide cohort study from sweden and norway of 15 783 patients. Am J Sports Med. 2011;39:1387-1394

Ageberg E, Forssblad M, Herbertsson P, Roos EM. Sex differences in patient-reported outcomes after anterior cruciate ligament reconstruction: Data from the swedish knee ligament register. Am J Sports Med. 2010;38:1334-1342

Walden M, Hagglund M, Magnusson H, Ekstrand J. Anterior cruciate ligament injury in elite football: A prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc. 2011;19:11-19

Brophy RH, Zeltser D, Wright RW, Flanigan D. Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: Incidence and treatment. Arthroscopy. 2010;26:112-120

Fulton J, Wright K, Kelly M, Zebrosky B, Zanis M, Drvol C, et al. Injury risk is altered by previous injury: A systematic review of the literature and presentation of causative neuromuscular factors. Int J Sports Phys Ther. 2014;9:583-595

Borchers JR, Pedroza A, Kaeding C. Activity level and graft type as risk factors for anterior cruciate ligament graft failure: A case-control study. Am J Sports Med. 2009;37:2362-2367

Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K. A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy. 2007;23:1320-1325.e1326

Hirota, VB, França, E, Paulo, LF.L, Ayala, CO. Adami, F. Goal´s Orientation of Brazilian’s Military Police Cadets. Sch. J. Arts. Humanit. Soc. Sci. 2014; 2(5C):779-781.

Barrett AM, Craft JA, Replogle WH, Hydrick JM, Barrett GR. Anterior cruciate ligament graft failure: A comparison of graft type based on age and tegner activity level. Am J Sports Med. 2011;39:2194-2198

Faltstrom A, Hagglund M, Magnusson H, Forssblad M, Kvist J. Predictors for additional anterior cruciate ligament reconstruction: Data from the swedish national acl register. Knee Surg Sports Traumatol Arthrosc. 2014

Rocha IDd, Moraes TMdS, Rezende MUd, Pécora JR. Avaliação da evolução de lesões associadas à lesão do ligamento cruzado anterior. Acta Ortopédica Brasileira. 2007;15:105-108

Kilcoyne KG, Dickens JF, Haniuk E, Cameron KL, Owens BD. Epidemiology of meniscal injury associated with acl tears in young athletes. Orthopedics. 2012;35:208-212

Kluczynski MA, Marzo JM, Bisson LJ. Factors associated with meniscal tears and chondral lesions in patients undergoing anterior cruciate ligament reconstruction: A prospective study. Am J Sports Med. 2013;41:2759-2765

Luciano, A P; Filho, N F ; Adami, F; Abreu, L C . Fratura por estresse segmentária na tíbia em corredora recreacional. Revista brasileira de ortopedia (impresso), v. 48, p. 574-577, 2013.

Quisquater L, Bollars P, Vanlommel L, Claes S, Corten K, Bellemans J. The incidence of knee and anterior cruciate ligament injuries over one decade in the belgian soccer league. Acta Orthop Belg. 2013;79:541-546

Brito J, Soares J, Rebelo AN. Prevenção de lesões do ligamento cruzado anterior em futebolistas. Revista Brasileira de Medicina do Esporte. 2009;15:62-69

Yan D, Song Y, Pei F. Allograft ligament transplantation in anterior cruciate ligament reconstruction patients with meniscal tears. Arch Orthop Trauma Surg. 2014;134:521-527

Paulo, L.F.L. Andrade, M.F.A.M. Neto, C.B. Hirota, V.B. Adami, F. Prevalência de dor em alunos da academia de polícia militar do barro branco. Revista ENAF Science | Volume 9 – Nº 01 | 1º Semestre de 2014.

Bae JY, Park KS, Seon JK, Kwak DS, Jeon I, Song EK. Biomechanical analysis of the effects of medial meniscectomy on degenerative osteoarthritis. Med Biol Eng Comput. 2012;50:53-60

Brandt KD, Dieppe P, Radin EL. Commentary: Is it useful to subset "primary" osteoarthritis? A critique based on evidence regarding the etiopathogenesis of osteoarthritis. Semin Arthritis Rheum. 2009;39:81-95.

Lopes, AD, Costa LO, Saragiotto BT, Yamato TP, Adami F, Verhagen E. Musculoskeletal pain is prevalent among recreational runners who are about to compete: an observational study of 1049 runners. J. Physiother. 2011;57(3):179-82.

Bezerra IMP, et al. Professional activity in the context of health education: a systematic review. Journal of Human Growth and Development. 24(3): 255-262. doi.org/10.7322/jhdg.88909

Monteiro CBM, Almeida Junior AD, Wajnzstejn R. Project Management in Health and Medical Research. Journal of Human Growth and Development. 2014; 24(3): 239-242. DOI: dx.doi.org/10.7322/jhdg.88895

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Published

2015-10-25

Issue

Vol. 8 (2015)

Section

Traumatology and Orthopedics

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