Mariani Pier Paolo, Torre Guglielmo, Battaglia Michael J, Ciatti Riccardo, Papalia Rocco
Villa Stuart Sport Clinic - FIFA Medical Centre of Excellence, Rome, Italy.
Department of Movement, Health and Health Science, Foro Italico University, Rome, Italy.
Arthrosc Sports Med Rehabil. 2024 Jun 8;6(5):100956. doi: 10.1016/j.asmr.2024.100956. eCollection 2024 Oct.
To investigate the incidence of popliteomeniscal fascicles (PMF) tears in anterior cruciate ligament (ACL) rupture in professional soccer players, to describe arthroscopic and magnetic resonance imaging (MRI) findings and treatment of these lesions with clinical outcomes, and to evaluate the incidence of subsequent lateral meniscus tears and ACL reinjury.
ACL reconstructions on soccer players were retrospectively analyzed, and among them, a cohort of patients with PMFs tears was reviewed. The cohort was assessed with MRI examination, arthrometric testing, Lysholm score, and International Knee Documentation Committee score. The occurrence of subsequent lateral meniscus tears and ACL reinjury were evaluated.
A total of 208 ACL reconstructions were identified. From these, 43 male and 3 female subjects with a mean age of 24 ± 4.2 years were included. Median time from injury to surgery was 5 days. Preoperative MRI showed a tear of posterior PMFs in 24 of 47 knees (51.1%). The mean preoperative arthrometric measured laxity was 4.3 ± 1.65 mm, and postoperatively 0.1 ± 1.1 mm. Preoperative Lysholm score and International Knee Documentation Committee score were, respectively, 50.4 ± 25.4 and 39.6 ± 5, and postoperatively 98 ± 2.4 and 73.6 ± 1.2. Mean time to return to play, at the same preoperative level for all patients, was 184 ± 41.7 days. One patient underwent ACL revision due to a reinjury 9 months after surgery, whereas no lateral meniscus tears occurred in the follow-up period.
PMF tears are found in approximately 20% of professional soccer players with acute ACL injuries. After ACL reconstruction and PMFs repair, outcomes including return to play are good, ACL retear is low, and recurrent lateral meniscus tears were not observed.
Level IV, therapeutic case series.
调查职业足球运动员前交叉韧带（ACL）断裂时腘半月板束（PMF）撕裂的发生率，描述这些损伤的关节镜和磁共振成像（MRI）表现及治疗情况与临床结果，并评估随后外侧半月板撕裂和ACL再损伤的发生率。
对足球运动员的ACL重建进行回顾性分析，其中对一组有PMF撕裂的患者进行了评估。该队列通过MRI检查、关节测量测试、Lysholm评分和国际膝关节文献委员会评分进行评估。评估随后外侧半月板撕裂和ACL再损伤的发生情况。
共确定了208例ACL重建病例。其中，纳入了43名男性和3名女性受试者，平均年龄为24±4.2岁。受伤至手术的中位时间为5天。术前MRI显示47个膝关节中有24个（51.1%）存在后PMF撕裂。术前关节测量平均松弛度为4.3±1.65mm，术后为0.1±1.1mm。术前Lysholm评分和国际膝关节文献委员会评分分别为50.4±25.4和39.6±5，术后分别为98±2.4和73.6±1.2。所有患者恢复到术前相同水平的平均重返比赛时间为184±41.7天。1例患者在术后9个月因再损伤接受了ACL翻修手术，而随访期间未发生外侧半月板撕裂。
在约20%的急性ACL损伤职业足球运动员中发现有PMF撕裂。ACL重建和PMF修复后，包括重返比赛在内的结果良好，ACL再次撕裂率低，且未观察到复发性外侧半月板撕裂。
IV级，治疗性病例系列。
