Cited 2 times in
Outpatient-based diagnostic criteria for partial ACL injury: clinical outcomes of non-operative treatment and radiographic predictor
DC Field | Value | Language |
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dc.contributor.author | 김성준 | - |
dc.contributor.author | 김성환 | - |
dc.contributor.author | 정민 | - |
dc.contributor.author | 최종혁 | - |
dc.contributor.author | 문현수 | - |
dc.date.accessioned | 2023-04-20T08:26:06Z | - |
dc.date.available | 2023-04-20T08:26:06Z | - |
dc.date.issued | 2023-04 | - |
dc.identifier.issn | 0936-8051 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/194090 | - |
dc.description.abstract | Introduction This study aimed to (1) evaluate the short-term clinical outcomes of patients who underwent non-operative treatment for partial anterior cruciate ligament (ACL) tears diagnosed using the outpatient-based diagnostic criteria and (2) investigate the radiographic predictors distinguishing patients at risk of non-operative treatment failure. Methods From 2010 to 2019, patients diagnosed with partial ACL tears and treated with non-operative treatment were reviewed retrospectively. Patients were then classified into two groups: those who successfully responded to non-operative treatment (group S) and those who failed to respond to non-operative treatment and required surgical reconstruction within 6 months after injury (group F). ACL laxity, patient-reported outcomes (PROs), and several radiographic parameters were analyzed. To identify radiographic predictors related to clinical outcomes, radiographic parameters were compared between the groups, which were statistically matched for potential confounders (age and activity level) using inverse probability of treatment weighting. Results A total of 44 patients were analyzed (mean age, 28.7 +/- 8.7 years; 31 men), and classified into two groups (group S, 23 patients; group F, 21 patients). There were no significant differences in ACL laxity and PROs between the groups at 1 year after either non-operative treatment or surgical reconstruction. A comparison of radiographic parameters between the groups revealed significant differences in several parameters related to secondary signs of ACL injury. Subsequent regression analyses revealed that anterior tibial translation and extent of bone bruises were radiographic predictors related to clinical outcomes. Conclusion Non-operative treatment for partial ACL tears diagnosed using the outpatient-based diagnostic criteria can provide successful short-term clinical outcomes in selective patients. Secondary signs of ACL injuries, particularly the amount of anterior tibial translation and the extent of bone bruises, are radiographic predictors that could differentiate patients at risk of non-operative treatment failure. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer Verlag | - |
dc.relation.isPartOf | ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Anterior Cruciate Ligament Injuries* / diagnostic imaging | - |
dc.subject.MESH | Anterior Cruciate Ligament Injuries* / therapy | - |
dc.subject.MESH | Contusions* / complications | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Outpatients | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Tibia | - |
dc.subject.MESH | Young Adult | - |
dc.title | Outpatient-based diagnostic criteria for partial ACL injury: clinical outcomes of non-operative treatment and radiographic predictor | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Hyun-Soo Moon | - |
dc.contributor.googleauthor | Chong-Hyuk Choi | - |
dc.contributor.googleauthor | Sungjun Kim | - |
dc.contributor.googleauthor | Je-Hyun Yoo | - |
dc.contributor.googleauthor | Min Jung | - |
dc.contributor.googleauthor | Hyuk-Jun Kwon | - |
dc.contributor.googleauthor | Yong-Jae Hong | - |
dc.contributor.googleauthor | Sung-Hwan Kim | - |
dc.identifier.doi | 10.1007/s00402-022-04467-5 | - |
dc.contributor.localId | A00585 | - |
dc.contributor.localId | A00592 | - |
dc.contributor.localId | A03605 | - |
dc.contributor.localId | A04187 | - |
dc.relation.journalcode | J00226 | - |
dc.identifier.eissn | 1434-3916 | - |
dc.identifier.pmid | 35552802 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s00402-022-04467-5 | - |
dc.subject.keyword | ACL, partial ACL tear | - |
dc.subject.keyword | Diagnostic criteria | - |
dc.subject.keyword | Prognostic factor | - |
dc.subject.keyword | Secondary sign of ACL injury | - |
dc.contributor.alternativeName | Kim, Sungjun | - |
dc.contributor.affiliatedAuthor | 김성준 | - |
dc.contributor.affiliatedAuthor | 김성환 | - |
dc.contributor.affiliatedAuthor | 정민 | - |
dc.contributor.affiliatedAuthor | 최종혁 | - |
dc.citation.volume | 143 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 2027 | - |
dc.citation.endPage | 2036 | - |
dc.identifier.bibliographicCitation | ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, Vol.143(4) : 2027-2036, 2023-04 | - |
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