ASSOCIATION OF ANTERIOR CRUCIATE LIGAMENT DEGENERATION WITH MEDIAL MENISCUS TEAR AND INTERCONDYLAR NOTCH IMPINGEMENT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 HUANGJingmin ^1,2 , HUWenjin ^1,2 , LIDongchao ^1,2 , ZHANGZheng ^1,2 , WANGHaijiao ^1,2 , LIYuhong ^1,2 , CAOJiangang ¹ , ZHAOQian ¹ , CHENXiao ¹

1. Department of Sports Injuries and Arthroscopic Branch, Tianjin Hospital, Tianjin, 300211, P. R. China;
2. Tianjin University of Traditional Chinese Medicine;

Corresponding author：

HUANGJingmin, Email: huangjingmin@126.com

Keywords：

Knee; Osteoarthritis; Anterior cruciate ligament degeneration; Intercondylar notch impingement; Medial meniscus tear

DOI：

10.7507/1002-1892.20160306

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the association of anterior cruciate ligament (ACL) degeneration with intercondylar notch impingement and the medial meniscus tear in knee osteoarthritis (KOA). Methods Between July 2014 and February 2016, 55 KOA patients (55 knees) with ACL degeneration (degeneration group) and 55 KOA patients (55 knees) without ACL degeneration (control group) were included in the study. No significant difference was found in gender, age, body mass index, and side between 2 groups (P > 0.05). The notch width index was measured on preoperative MRI to evaluate whether the intercondylar notch was narrow. The location of the medial and lateral meniscus tear and osteophyte of the ACL tibial insertion were observed under arthroscopy, and the incidences of the meniscus tear and osteophyte were calculated. Results There was no significant difference in anterior horn and body tear of the medial meniscus and in anterior horn, body, posterior horn, and root tear of the lateral meniscus (P > 0.05). Significant difference was found in the posterior horn and root tear of the medial meniscus, osteophyte of the ACL tibial insertion, narrow intercondylar notch, and the notch width index between 2 groups (P < 0.05). The incidence of root tear of the medial meniscus was 53.8% (7/13) in 13 knees with osteophyte of the ACL tibial insertion and was 16.5% (16/97) in 97 knees without osteophyte, showing significant difference (χ²=9.671, P=0.002). Conclusion There is a strong association of ACL degeneration with posterior horn and root tear of the medial meniscus and intercondylar notch impingement in KOA. And the high incidence of root tear of the medial meniscus in knee is correlated with osteophyte of the ACL tibial insertion.

Citation： HUANGJingmin, HUWenjin, LIDongchao, ZHANGZheng, WANGHaijiao, LIYuhong, CAOJiangang, ZHAOQian, CHENXiao. ASSOCIATION OF ANTERIOR CRUCIATE LIGAMENT DEGENERATION WITH MEDIAL MENISCUS TEAR AND INTERCONDYLAR NOTCH IMPINGEMENT. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(12): 1478-1482. doi: 10.7507/1002-1892.20160306 Copy

1.	冯明利.骨关节炎发病机制研究进展.北京医学, 2015, 37(4):372-374.
2.	Fernandes JL, Viana SL, Mendonça JL, et al. Mucoid degeneration of the anterior cruciate ligament:magnetic resonance imaging findings of an underdiagnosed entity. Acta Radiol, 2008, 49(1):75-79.
3.	Mclntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Skeletal Radiol, 2001, 30(6):312-315.
4.	Hasegawa A, Otsuki S, Pauli C, et al. Anterior cruciate ligament changes in the human knee joint in aging and osteoarthritis. Arthritis Rheum, 2012, 64(3):696-704.
5.	Domzalski ME, Keller MS, Grzelak P, et al. MRI evaluation of the development of intercondylar notch width in children. Surg Radiol Anat, 2015, 37(6):609-615.
6.	Zantop T, Petersen W, Sekiya JK, et al. Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee Surg Sports Traumatol Arthrosc, 2006, 14(10):982-992.
7.	Hovis KK, Alizai H, Tham SC, et al. Non-traumatic anterior cruciate ligament abnormalities and their relationship to osteoarthritis using morphological grading and cartilage T2 relaxation times:data from the Osteoarthritis Initiative (OAI). Skeletal Radiol, 2012, 41(11):1435-1443.
8.	Hill CL, Seo GS, Gale D, et al. Cruciate ligament integrity in osteoarthritis of the knee. Arthritis Rheum, 2005, 52(3):794-799.
9.	Lohmander LS, Ostenberg A, Englund M, et al. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum, 2004, 50(10):3145-3152.
10.	Kwee RM, Ahlawat S, Kompel AJ, et al. Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage. Osteoarthritis Cartilage, 2015, 23(9):1543-1550.
11.	Cushner FD, La Rosa DF, Vigorita VJ, et al. A quantitative histologic comparison:ACL degeneration in the osteoarthritic knee. J Arthroplasty, 2003, 18(6):687-692.
12.	Niki Y, Matsumoto H, Enomoto H, et al. Mucoid degeneration of the anterior cruciate ligament associated with subclinical instability in young patients. J Orthop Sci, 2010, 15(2):251-256.
13.	Chudasama CH, Chudasama VC, Prabhakar MM. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Indian J Orthop, 2012, 46(5):561-565.
14.	Makino A, Pascual-Garrido C, Rolón A, et al. Mucoid degeneration of the anterior cruciate ligament:MRI, clinical, intraoperative, and histological findings. Knee Surg Sports Traumatol Arthrosc, 2011, 19(3):408-411.
15.	Lintz F, Pujol N, Dejour D, et al. Anterior cruciate ligament mucoid degeneration:Selecting the best treatment option. Orthop Traumatol Surg Res, 2010, 96(4):400-406.
16.	Quasnichka HL, Anderson-MacKenzie JM, Tarlton JF, et al. Cruciate ligament laxity and femoral intercondylar notch narrowing in early-stage knee osteoarthritis. Arthritis Rheum, 2005, 52(10):3100-3109.
17.	黄竞敏, 王海蛟, 吴疆, 等.关节镜下髁间窝成形术对老年膝骨关节炎患者神经肌肉控制能力影响的临床研究.中国修复重建外科杂志, 2015, 29(8):945-950.
18.	Comerford EJ, Tarlton JF, Avery NC, et al. Distal femoral intercondylar notch dimensions and their relationship to composition and metabolism of the canine anterior cruciate ligament. Osteoarthritis Cartilage, 2006, 14(3):273-278.
19.	Hoteya K, Kato Y, Motojima S, et al. Association between intercondylar notch narrowing and bilateral anterior cruciate ligament injuries in athletes. Arch Orthop Trauma Surg, 2011, 131(3):371-376.
20.	Louboutin H, Debarge R, Richou J, et al. Osteoarthritis in patients with anterior cruciate ligament rupture:a review of risk factors. Knee, 2009, 16(4):239-244.
21.	Brindle T, Nyland J, Johnson DL. The meniscus:review of basic principles with application to surgery and rehabilitation. J Athl Train, 2001, 36(2):160-169.
22.	Allen CR, Wong EK, Livesay GA, et al. Importance of the medial meniscus in the anterior cruciate ligament-deficient knee. J Orthop Res, 2000, 18(1):109-115.
23.	Mahfouz MR, Komistek RD, Dennis DA, et al. In vivo assessment of the kinematics in normal and anterior cruciate ligament-deficient knees. J Bone Joint Surg (Am), 2004, 86-A Suppl 2:56-61.
24.	Kim TH, Lee DH, Lee SH, et al. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Arthroscopy, 2008, 24(6):642-649.
25.	Dejour H, Walch G, Deschamps G, et al. Arthrosis of the knee in chronic anterior laxity. Orthop Traumatol Surg Res, 2014, 100(1):49-58.
26.	Mullaji AB, Marawar SV, Luthra M. Tibial articular cartilage wear in varus osteoarthritic knees:correlation with anterior cruciate ligament integrity and severity of deformity. J Arthroplasty, 2008, 23(1):128-135.

1. 冯明利.骨关节炎发病机制研究进展.北京医学, 2015, 37(4):372-374.
2. Fernandes JL, Viana SL, Mendonça JL, et al. Mucoid degeneration of the anterior cruciate ligament:magnetic resonance imaging findings of an underdiagnosed entity. Acta Radiol, 2008, 49(1):75-79.
3. Mclntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Skeletal Radiol, 2001, 30(6):312-315.
4. Hasegawa A, Otsuki S, Pauli C, et al. Anterior cruciate ligament changes in the human knee joint in aging and osteoarthritis. Arthritis Rheum, 2012, 64(3):696-704.
5. Domzalski ME, Keller MS, Grzelak P, et al. MRI evaluation of the development of intercondylar notch width in children. Surg Radiol Anat, 2015, 37(6):609-615.
6. Zantop T, Petersen W, Sekiya JK, et al. Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee Surg Sports Traumatol Arthrosc, 2006, 14(10):982-992.
7. Hovis KK, Alizai H, Tham SC, et al. Non-traumatic anterior cruciate ligament abnormalities and their relationship to osteoarthritis using morphological grading and cartilage T2 relaxation times:data from the Osteoarthritis Initiative (OAI). Skeletal Radiol, 2012, 41(11):1435-1443.
8. Hill CL, Seo GS, Gale D, et al. Cruciate ligament integrity in osteoarthritis of the knee. Arthritis Rheum, 2005, 52(3):794-799.
9. Lohmander LS, Ostenberg A, Englund M, et al. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum, 2004, 50(10):3145-3152.
10. Kwee RM, Ahlawat S, Kompel AJ, et al. Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage. Osteoarthritis Cartilage, 2015, 23(9):1543-1550.
11. Cushner FD, La Rosa DF, Vigorita VJ, et al. A quantitative histologic comparison:ACL degeneration in the osteoarthritic knee. J Arthroplasty, 2003, 18(6):687-692.
12. Niki Y, Matsumoto H, Enomoto H, et al. Mucoid degeneration of the anterior cruciate ligament associated with subclinical instability in young patients. J Orthop Sci, 2010, 15(2):251-256.
13. Chudasama CH, Chudasama VC, Prabhakar MM. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Indian J Orthop, 2012, 46(5):561-565.
14. Makino A, Pascual-Garrido C, Rolón A, et al. Mucoid degeneration of the anterior cruciate ligament:MRI, clinical, intraoperative, and histological findings. Knee Surg Sports Traumatol Arthrosc, 2011, 19(3):408-411.
15. Lintz F, Pujol N, Dejour D, et al. Anterior cruciate ligament mucoid degeneration:Selecting the best treatment option. Orthop Traumatol Surg Res, 2010, 96(4):400-406.
16. Quasnichka HL, Anderson-MacKenzie JM, Tarlton JF, et al. Cruciate ligament laxity and femoral intercondylar notch narrowing in early-stage knee osteoarthritis. Arthritis Rheum, 2005, 52(10):3100-3109.
17. 黄竞敏, 王海蛟, 吴疆, 等.关节镜下髁间窝成形术对老年膝骨关节炎患者神经肌肉控制能力影响的临床研究.中国修复重建外科杂志, 2015, 29(8):945-950.
18. Comerford EJ, Tarlton JF, Avery NC, et al. Distal femoral intercondylar notch dimensions and their relationship to composition and metabolism of the canine anterior cruciate ligament. Osteoarthritis Cartilage, 2006, 14(3):273-278.
19. Hoteya K, Kato Y, Motojima S, et al. Association between intercondylar notch narrowing and bilateral anterior cruciate ligament injuries in athletes. Arch Orthop Trauma Surg, 2011, 131(3):371-376.
20. Louboutin H, Debarge R, Richou J, et al. Osteoarthritis in patients with anterior cruciate ligament rupture:a review of risk factors. Knee, 2009, 16(4):239-244.
21. Brindle T, Nyland J, Johnson DL. The meniscus:review of basic principles with application to surgery and rehabilitation. J Athl Train, 2001, 36(2):160-169.
22. Allen CR, Wong EK, Livesay GA, et al. Importance of the medial meniscus in the anterior cruciate ligament-deficient knee. J Orthop Res, 2000, 18(1):109-115.
23. Mahfouz MR, Komistek RD, Dennis DA, et al. In vivo assessment of the kinematics in normal and anterior cruciate ligament-deficient knees. J Bone Joint Surg (Am), 2004, 86-A Suppl 2:56-61.
24. Kim TH, Lee DH, Lee SH, et al. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Arthroscopy, 2008, 24(6):642-649.
25. Dejour H, Walch G, Deschamps G, et al. Arthrosis of the knee in chronic anterior laxity. Orthop Traumatol Surg Res, 2014, 100(1):49-58.
26. Mullaji AB, Marawar SV, Luthra M. Tibial articular cartilage wear in varus osteoarthritic knees:correlation with anterior cruciate ligament integrity and severity of deformity. J Arthroplasty, 2008, 23(1):128-135.

Chinese Journal of Reparative and Reconstructive Surgery

ASSOCIATION OF ANTERIOR CRUCIATE LIGAMENT DEGENERATION WITH MEDIAL MENISCUS TEAR AND INTERCONDYLAR NOTCH IMPINGEMENT

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content