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Logic study. Third, only patients <a href="https://www.ncbi.nlm.
Received: 27 January 2015 Accepted: 4 N-Phthalyl-L-tryptophan custom synthesis MarchConclusions Among patients with a tear of the ACL, male sex, age <30 years, and a contact injury mechanism are independent risk factors for concomitant major meniscal tears. All authors read and approved the final manuscript.References 1. Noyes FR, Barber-Westin SD. Treatment of meniscus tears during anterior cruciate ligament reconstruction. Arthroscopy. 2012;28:123?0. doi:10.1016/j. arthro.2011.08.292. 2. Wyatt RW, Inacio MC, Liddle KD, Maletis GB. Factors associated with meniscus repair in patients undergoing anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41:2766?1. doi:10.1177/ 0363546513503287. 3. Smith 3rd JP, Barrett GR. Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med. 2001;29:415?. 4. Slauterbeck JR, Kousa P, Clifton BC, Naud S, Tourville TW, Johnson RJ, et al. Geographic mapping of meniscus and cartilage lesions associated with anterior cruciate ligament injuries. J Bone Joint Surg Am. 2009;91:2094?03. doi:10.2106/JBJS.H.00888. 5. Ghodadra N, Mall NA, Karas V, Grumet RC, Kirk S, McNickle AG, et al. Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction. J Knee Surg. 2013;26:185?3. doi:10.1055/s-00321327450. 6. Michalitsis S, Vlychou M, Malizos KN, Thriskos P, Hantes ME. Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores. Knee Surg Sports Traumatol Arthrosc. 2013. doi:10.1007/s00167-013-2497-9. 7. Magnussen RA, Mansour AA, Carey JL, Spindler KP. Meniscus status at anterior cruciate ligament reconstruction associated with radiographic signs of osteoarthritis at 5- to 10-year follow-up: a systematic review. J Knee Surg. 2009;22:347?7.Logic study. Third, only patients PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/27321907 electing ACL reconstruction were evaluated and therefore the results may not allow generalization to all patients presenting with an ACL tear. Fourth, the injury mechanism was self-reported by the patients which might have introduced an information bias. Fifth, other factors not examined in this study may exist that predict the tear pattern, such as differences in knee morphology or material properties of the meniscus.Acknowledgements The article processing charge was funded by the German Research PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/29072704 Foundation (DFG) and the Albert Ludwigs University Freiburg in the funding program Open Access Publishing. Received: 27 January 2015 Accepted: 4 MarchConclusions Among patients with a tear of the ACL, male sex, age <30 years, and a contact injury mechanism are independent risk factors for concomitant major meniscal tears. Patients with a contact injury mechanism have an approximately 18-fold increased risk for a major lateral meniscus tear compared to patients with a non-contact injury. Special attention for this injury pattern is therefore necessary in those patients and early referral to magnetic resonance imaging and/or arthroscopy is recommended in order to allow meniscus repair in a timely manner.Competing interests The authors declare that they have no competing interests. Authors‘ contributions MJF and SB designed the study, collected data, performed the statistical analysis, and wrote the manuscript. MJF drafted the manuscript.
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