J Knee Surg 2017; 30(06): 565-570
DOI: 10.1055/s-0036-1593620
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Prevalence of Cruciate Ligament and Meniscus Knee Injury in Young Adults and Associations with Gender, Body Mass Index, and Height a Large Cross-Sectional Study

Ran Thein
1   Department of Orthopedic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
2   Computer Assisted Surgery; Computer Assisted Surgery Center, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY
*   R.T. and O.H. contributed equally to the manuscript and both of them should be considered as first authors.
,
Oded Hershkovich
1   Department of Orthopedic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3   Medical Corps, Israeli Defense Forces, Israel
*   R.T. and O.H. contributed equally to the manuscript and both of them should be considered as first authors.
,
Barak Gordon
3   Medical Corps, Israeli Defense Forces, Israel
4   Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Gideon Burstein
1   Department of Orthopedic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Shay Tenenbaum
1   Department of Orthopedic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Estela Derazne
3   Medical Corps, Israeli Defense Forces, Israel
4   Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Dorit Tzur
3   Medical Corps, Israeli Defense Forces, Israel
,
Ari Shamis
4   Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
5   Central Management, Chaim Sheba Medical Center, Tel Hashomer, Israel
,
Arnon Afek
4   Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Yitshak Kreiss
3   Medical Corps, Israeli Defense Forces, Israel
› Author Affiliations
Further Information

Publication History

07 June 2016

28 August 2016

Publication Date:
23 November 2016 (online)

Abstract

Anterior cruciate ligament and meniscal injuries are associated with secondary osteoarthrosis which may lead to functional impairment and economic burden. The prevalence of knee injury has not been studied in depth. Our purpose was to report the prevalence of knee ligament and meniscal injuries and their associations with gender, body mass index (BMI), and height in young adults and to characterize individuals with meniscal injuries who gained full recovery. A cross-sectional, population-based study was conducted. Information on the disability codes of knee ligament and meniscal injury according to the Regulations of Medical Fitness Determination was retrieved from a medical database containing records of young prerecruits into mandatory service. Logistic regression assessed the association between genders, BMI, and body height to knee injuries. A total of 825,187 subjects were included. Prevalence of knee injuries was 0.35%. Males had 2.2-fold more knee injuries than females. Increased BMI was associated with increased prevalence of knee injury in both genders, more significantly in females (overweight and obese females had an odds ratio of 1.406 and 1.519, respectively, to suffer from concomitant meniscal and ligamentous knee injury). Being underweight was associated with a lower prevalence of knee injury. An above normal BMI was more significantly associated with meniscal and/or ligament injuries that did not fully recover (females > males). Body height was associated with isolated meniscal injury in both genders. We found an association between BMI, body height, and knee injury in both males and females. Higher body height and higher BMI might be risk factors for knee injuries. Higher BMI was associated with greater probability of disability coding. Meniscal and ligament injuries are more common among males.

 
  • References

  • 1 Jørgensen U, Sonne-Holm S, Lauridsen F, Rosenklint A. Long-term follow-up of meniscectomy in athletes. A prospective longitudinal study. J Bone Joint Surg Br 1987; 69 (01) 80-83
  • 2 Lohmander LS, Ostenberg A, Englund M, Roos H. 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
  • 3 von Porat A, Roos EM, Roos H. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes. Ann Rheum Dis 2004; 63 (03) 269-273
  • 4 Loza E, Lopez-Gomez JM, Abasolo L, Maese J, Carmona L, Batlle-Gualda E. ; Artrocad Study Group. Economic burden of knee and hip osteoarthritis in Spain. Arthritis Rheum 2009; 61 (02) 158-165
  • 5 Nielsen AB, Yde J. Epidemiology of acute knee injuries: a prospective hospital investigation. J Trauma 1991; 31 (12) 1644-1648
  • 6 Parkkari J, Pasanen K, Mattila VM, Kannus P, Rimpelä A. The risk for a cruciate ligament injury of the knee in adolescents and young adults: a population-based cohort study of 46 500 people with a 9 year follow-up. Br J Sports Med 2008; 42 (06) 422-426
  • 7 DeHaven KE. Diagnosis of acute knee injuries with hemarthrosis. Am J Sports Med 1980; 8 (01) 9-14
  • 8 Noyes FR, Bassett RW, Grood ES, Butler DL. Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Joint Surg Am 1980; 62 (05) 687-695 , 757
  • 9 Doherty M, Watt I, Dieppe P. Influence of primary generalised osteoarthritis on development of secondary osteoarthritis. Lancet 1983; 2 (8340): 8-11
  • 10 Englund M, Paradowski PT, Lohmander LS. Association of radiographic hand osteoarthritis with radiographic knee osteoarthritis after meniscectomy. Arthritis Rheum 2004; 50 (02) 469-475
  • 11 Cipolla M, Scala A, Gianni E, Puddu G. Different patterns of meniscal tears in acute anterior cruciate ligament (ACL) ruptures and in chronic ACL-deficient knees. Classification, staging and timing of treatment. Knee Surg Sports Traumatol Arthrosc 1995; 3 (03) 130-134
  • 12 Fithian DC, Paxton LW, Goltz DH. Fate of the anterior cruciate ligament-injured knee. Orthop Clin North Am 2002; 33 (04) 621-636 , v
  • 13 Mitsou A, Vallianatos P. Meniscal injuries associated with rupture of the anterior cruciate ligament: a retrospective study. Injury 1988; 19 (06) 429-431
  • 14 Frobell RB, Lohmander LS, Roos HP. Acute rotational trauma to the knee: poor agreement between clinical assessment and magnetic resonance imaging findings. Scand J Med Sci Sports 2007; 17 (02) 109-114
  • 15 Bennett LD, Buckland-Wright JC. Meniscal and articular cartilage changes in knee osteoarthritis: a cross-sectional double-contrast macroradiographic study. Rheumatology (Oxford) 2002; 41 (08) 917-923 (Oxford)
  • 16 Christoforakis J, Pradhan R, Sanchez-Ballester J, Hunt N, Strachan RK. Is there an association between articular cartilage changes and degenerative meniscus tears?. Arthroscopy 2005; 21 (11) 1366-1369
  • 17 McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br 2006; 88 (12) 1549-1556
  • 18 Englund M, Guermazi A, Roemer FW. , et al. Meniscal tear in knees without surgery and the development of radiographic osteoarthritis among middle-aged and elderly persons: The Multicenter Osteoarthritis Study. Arthritis Rheum 2009; 60 (03) 831-839
  • 19 Englund M, Roos EM, Roos HP, Lohmander LS. Patient-relevant outcomes fourteen years after meniscectomy: influence of type of meniscal tear and size of resection. Rheumatology (Oxford) 2001; 40 (06) 631-639
  • 20 Rockborn P, Gillquist J. Results of open meniscus repair. Long-term follow-up study with a matched uninjured control group. J Bone Joint Surg Br 2000; 82 (04) 494-498
  • 21 Roos H, Adalberth T, Dahlberg L, Lohmander LS. Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and age. Osteoarthritis Cartilage 1995; 3 (04) 261-267
  • 22 Øiestad BE, Engebretsen L, Storheim K, Risberg MA. Knee osteoarthritis after anterior cruciate ligament injury: a systematic review. Am J Sports Med 2009; 37 (07) 1434-1443
  • 23 Wills AK, Black S, Cooper R. , et al. Life course body mass index and risk of knee osteoarthritis at the age of 53 years: evidence from the 1946 British birth cohort study. Ann Rheum Dis 2012; 71 (05) 655-660
  • 24 Macfarlane GJ, de Silva V, Jones GT. The relationship between body mass index across the life course and knee pain in adulthood: results from the 1958 birth cohort study. Rheumatology (Oxford) 2011; 50 (12) 2251-2256
  • 25 Kilcoyne KG, Dickens JF, Haniuk E, Cameron KL, Owens BD. Epidemiology of meniscal injury associated with ACL tears in young athletes. Orthopedics 2012; 35 (03) 208-212
  • 26 Piasecki DP, Spindler KP, Warren TA, Andrish JT, Parker RD. Intraarticular injuries associated with anterior cruciate ligament tear: findings at ligament reconstruction in high school and recreational athletes. An analysis of sex-based differences. Am J Sports Med 2003; 31 (04) 601-605
  • 27 Yeh PC, Starkey C, Lombardo S, Vitti G, Kharrazi FD. Epidemiology of isolated meniscal injury and its effect on performance in athletes from the National Basketball Association. Am J Sports Med 2012; 40 (03) 589-594
  • 28 Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 1995; 23 (06) 694-701
  • 29 Bjordal JM, Arnły F, Hannestad B, Strand T. Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med 1997; 25 (03) 341-345
  • 30 Gwinn DE, Wilckens JH, McDevitt ER, Ross G, Kao TC. The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med 2000; 28 (01) 98-102