Posteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis.
| Autor: | Green JS; Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, CT, USA., Moran J; Yale School of Medicine, New Haven, CT, USA., Marcel A; Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, CT, USA., Joo PY; Yale School of Medicine, New Haven, CT, USA., McLaughlin WM; Department of Rehabilitation & Orthopaedics, Yale School of Medicine, New Haven, CT, USA., Manzi JE; Weill Cornell Medical College, New York, NY, USA., Yalcin S; Department of Rehabilitation & Orthopaedics, Yale School of Medicine, New Haven, CT, USA., Wang A; Department of Radiology, Musculoskeletal Imaging, Yale School of Medicine, New Haven, CT, USA., Porrino J; Department of Radiology, Musculoskeletal Imaging, Yale School of Medicine, New Haven, CT, USA., Jimenez AE; Department of Rehabilitation & Orthopaedics, Yale School of Medicine, New Haven, CT, USA., Medvecky MJ; Department of Rehabilitation & Orthopaedics, Yale School of Medicine, New Haven, CT, USA., Katz LD; Department of Radiology, Musculoskeletal Imaging, Yale School of Medicine, New Haven, CT, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Physician and sportsmedicine [Phys Sportsmed] 2023 Dec; Vol. 51 (6), pp. 531-538. Date of Electronic Publication: 2022 Aug 05. |
| DOI: | 10.1080/00913847.2022.2108350 |
| Abstrakt: | Objective: To determine if posteromedial tibial plateau (PMTP) bone bruising on pre-operative MRI is significantly associated with a ramp lesion identified during arthroscopy in patients with concomitant ACL ruptures. Methods: PubMed, CINAHL, Scopus, Web of Sciences, EMBASE, and Cochrane Library were searched systematically for studies that investigated the association between PMTP bone bruises on preoperative MRI and ramp lesions confirmed during arthroscopy. Eight studies met inclusion criteria. The Methodological Index for Nonrandomized Studies (MINORS) checklist was used to assess quality. A meta-analysis was performed to analyze odds of a ramp lesion after PMTP bone bruising identified on magnetic resonance imaging (MRI). Publication bias was assessed by funnel plot and Egger's linear regression test. Results: There are 2.05 greater odds of medial meniscal ramp lesions in patients with an ACL rupture when PMTP bone bruising is found on preoperative MRI (95% CI, 1.29-3.25; p = 0.002). Heterogeneity of the pooled studies may be substantial ( I 2 = 65%; p = 0.006). Funnel plot analysis and Egger's linear regression test ( p > 0.5) determined no publication bias among the studies included in the meta-analysis. Conclusion: Patients with acute ACL injuries and PMTP bone bruising on MRI have 2.05 times greater odds of a concomitant medial meniscal ramp lesion than those without this bone bruise pattern. |
| Databáze: | MEDLINE |
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