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Ipsilateral ACL injured patients with Segond fractures demonstrate increased posterior tibial slope.
Haase, Lucas; Magister, Steven; Nelson, Grant; Raji, Yazdan; Calcei, Jacob; Voos, James; Karns, Michael.
Afiliación
  • Haase L; University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Electronic address: lucas.haase@uhhospitals.org.
  • Magister S; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Nelson G; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Raji Y; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Calcei J; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Voos J; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Karns M; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Knee ; 38: 76-81, 2022 Oct.
Article en En | MEDLINE | ID: mdl-35930896
BACKGROUND: The anterolateral complex has been demonstrated to assist with rotational stability and prevention of anterior tibial translation during the pivot shift. In this study the Segond fracture is used as a surrogate for an anterolateral complex injury to determine if there is an association between Segond fracture and increased posterior tibial slope. METHODS: Patients' charts and radiographs were analyzed retrospectively for the presence of Segond fractures on injury radiographs. These patients, the Segond cohort, were then age and gender matched to a control cohort. Demographic as well MRI measurements of medial and lateral posterior tibial slope and lateral-to-medial slope asymmetry were collected for each cohort. Secondary outcome of anterior cruciate ligament reconstruction failure data was also collected. RESULTS: The Segond group demonstrated a statistically significantly greater lateral posterior tibial slope (8.42° versus 6.55°, P = 0.003) as well as medial posterior tibial slope (6.57° versus 5.34° degrees, P = 0.045). There was no significant differences between lateral-to-medial asymmetry (2.18°versus 1.83°, P = 0.246). CONCLUSION: Patients with Segond fractures at the time of anterior cruciate ligament injury have increased medial and lateral posterior tibial slope. This may relate to increased rotational and translational instability associated with anterolateral complex injuries. Surgeons treating these patient may use this information to counsel their patients on the risks of associated pathology at the time of arthroscopy such as lateral meniscal posterior root tears.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Reconstrucción del Ligamento Cruzado Anterior / Lesiones del Ligamento Cruzado Anterior Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Knee Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Reconstrucción del Ligamento Cruzado Anterior / Lesiones del Ligamento Cruzado Anterior Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Knee Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos