Jay Moran, MD
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Delayed Surgical Treatment of Pediatric and Adolescent Medial Meniscus Posterior Root Tears Is Associated With Increased Odds of Medial Tibiofemoral Compartment Cartilage Injury: A Multicenter Study
Moran J, Amaral J, Ortiz E, Farhat A, Jones R, Groff K, Tollefson L, LaPrade C, Katz L, Gardner E, Hsu J, Franklin C, Allen C, Jimenez A, Medvecky M, Hewett T, Chahla J, McKay S, Fabricant P, LaPrade R. Delayed Surgical Treatment of Pediatric and Adolescent Medial Meniscus Posterior Root Tears Is Associated With Increased Odds of Medial Tibiofemoral Compartment Cartilage Injury: A Multicenter Study. The American Journal Of Sports Medicine 2026, 54: 1831-1842. PMID: 42141718, PMCID: PMC13279983, DOI: 10.1177/03635465261442975.Peer-Reviewed Original ResearchMedial meniscus posterior root tearTime of surgerySurgical treatmentPosterior root tearDelayed surgeryMultivariate logistic regressionAdolescent patientsRoot tearsMMPRT repairMedial femoral condyleTreatment of medial meniscus posterior root tearsGrade 2Cartilage injuryRisk factorsHigh-grade lesionsSkeletally mature adolescentsSkeletally Immature PatientsLogistic regressionConcomitant ligament injuriesInternational Cartilage RegenerationLevel of evidenceYears of ageClinical presentationMulticenter studyCase seriesArticular Cartilage Injuries in Pediatric and Adolescent Patients Undergoing Medial Meniscal Ramp Lesion Repair During Primary Anterior Cruciate Ligament Reconstruction: A Multicenter Study
Moran J, Amaral J, Tollefson L, Jones R, Dave U, Lee M, Ferrell S, LaPrade C, Katz L, Salandra J, Schenble C, Allen C, Gardner E, Jimenez A, Medvecky M, Hewett T, Verma N, Chahla J, LaPrade R, Fabricant P, McKay S. Articular Cartilage Injuries in Pediatric and Adolescent Patients Undergoing Medial Meniscal Ramp Lesion Repair During Primary Anterior Cruciate Ligament Reconstruction: A Multicenter Study. The American Journal Of Sports Medicine 2025, 53: 2817-2826. PMID: 40952167, DOI: 10.1177/03635465251366440.Peer-Reviewed Original ResearchMedial meniscal ramp lesionsDelayed ACL reconstructionTime of surgeryAdolescent patientsArticular cartilage injuryACL reconstructionRisk factorsMulticenter studyPrimary anterior cruciate ligament reconstructionMedial femoral condyleCartilage injuryInternational Cartilage Repair Society classificationAnterior cruciate ligament (ACL) tearsPatients aged <Meniscal ramp lesionsHigh-risk patientsRamp lesion repairAnterior cruciate ligament reconstructionPrimary ACL reconstructionRetrospective cohort studyMultivariate logistic regression modelCruciate ligament reconstructionLevel of evidenceRed-red zoneAssociated with articular cartilage damageInvestigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study
Moran J, Amaral J, Lee M, Jones R, Gross P, Katz L, Wang A, Carrino J, Jimenez A, Chhabra B, Kan J, Smith B, Gladstein A, McKay S, LaPrade R, Fabricant P, Medvecky M. Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study. The American Journal Of Sports Medicine 2024, 52: 2456-2463. PMID: 39101652, DOI: 10.1177/03635465241264282.Peer-Reviewed Original ResearchMagnetic resonance imagingMechanism of injuryBone bruise patternPreoperative MRI scansACL tearsBone bruisesNoncontact ACL tearsPediatric patientsPresence of bone bruiseMeniscus tearsFat-suppressed T2-weighted imagesAcute anterior cruciate ligament tearsLocation of bone bruisesMRI scansAnterior cruciate ligament (ACL) tearsIpsilateral knee injuriesAnterior cruciate ligament tearsPrimary ACL reconstruction surgeryMagnetic resonance imaging scansConcomitant medial meniscus tearLateral meniscus tearsMedial meniscus tearCruciate ligament tearsT2-weighted imagesNoncontact mechanism of injuryExamining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury
Moran J, Schneble CA, Katz LD, Fosam A, Wang A, Li DT, Kahan JB, McLaughlin WM, Jokl P, Hewett TE, LaPrade RF, Medvecky MJ. Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury. The American Journal Of Sports Medicine 2022, 50: 1618-1626. PMID: 35384729, DOI: 10.1177/03635465221087406.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesBone bruise patternsPeroneal nerve injuryMagnetic resonance imagingCPN injuryPhysical examinationBone bruisingNerve injuryBone bruisePLC injuriesKnee injuriesBruise patternsCommon peroneal nerve injuryLevel 1 trauma centerBoard-certified musculoskeletal radiologistsHigh-energy traumaPosterolateral corner injuriesLevel of evidenceCPN palsySchenck classificationInjury subtypesKnee dislocationCase seriesTrauma centerLigamentous injuriesExamining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries
Moran J, Lee M, Kunze K, Green J, Katz L, Wang A, McLaughlin W, Gillinov S, Jimenez A, Hewett T, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries. The American Journal Of Sports Medicine 2023, 51: 1155-1161. PMID: 36867053, DOI: 10.1177/03635465231159899.Peer-Reviewed Original ResearchConceptsBone bruise patternsAcute anterior cruciate ligament injuryMagnetic resonance imagingAnterior cruciate ligament injuryCruciate ligament injuryBone bruiseNoncontact injuriesLigament injuryContact injuriesACL injuryBruise patternsMedial collateral ligament injuryNoncontact mechanismFat-suppressed T2-weighted imagesMultivariate logistical regression modelIpsilateral knee injuriesCollateral ligament injuriesACL reconstruction surgeryMechanism of injuryBody mass indexNoncontact ACL injuryMedial tibiofemoral compartmentPreoperative MRI scansACL injury mechanismsPosterior cruciate ligamentClinical Outcomes After Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction in Pediatric and Adolescent Patients: A Multicenter Study With a Mean Follow-up of 5 Years
Moran J, Amaral J, Jones R, Dave U, Lee M, Ferrell S, Tollefson L, LaPrade C, Katz L, Porrino J, Gardner E, Allen C, Jimenez A, Fulkerson J, Hewett T, Verma N, Chahla J, Medvecky M, Fabricant P, McKay S, LaPrade R. Clinical Outcomes After Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction in Pediatric and Adolescent Patients: A Multicenter Study With a Mean Follow-up of 5 Years. Orthopaedic Journal Of Sports Medicine 2026, 14: 23259671251398436. PMID: 41522462, PMCID: PMC12783542, DOI: 10.1177/23259671251398436.Peer-Reviewed Original ResearchMedial meniscal ramp lesionsMedial meniscal surgeryAnterior cruciate ligament (ACL) reconstructionReturn to sportInternational Knee Documentation CommitteeMeniscal surgeryFollow-upAdolescent patientsRisk factorsPediatric patientsClinical outcomesInternational Knee Documentation Committee scoreNo significant risk factorsReturn to sport ratesHigh-grade pivot shiftMid-term clinical outcomesAt-risk patient populationsExamination under anaesthesiaIntact ACL graftMeniscal ramp lesionsLateral meniscal tearsAnterior cruciate ligament reconstructionPostoperative outcome measuresRamp lesion repairTime of surgeryConcomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usually Repaired: A Multicenter Study
Moran J, Amaral J, Tollefson L, Jones R, Dave U, Lee M, LaPrade C, Katz L, Porrino J, Salandra J, Allen C, Gardner E, Jimenez A, Medvecky M, Hewett T, Verma N, Chahla J, Fabricant P, McKay S, LaPrade R. Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usually Repaired: A Multicenter Study. Orthopaedic Journal Of Sports Medicine 2026, 14: 23259671251396140. PMID: 41732223, PMCID: PMC12924988, DOI: 10.1177/23259671251396140.Peer-Reviewed Original ResearchMedial meniscal ramp lesionsLateral meniscal tearsAnterior cruciate ligament reconstructionPreoperative magnetic resonance imagingLateral meniscus root tearsMagnetic resonance imagingAdolescent patientsRoot tearsSurgical managementCruciate ligament reconstructionBucket-handle tearPosterior hornPediatric patientsMulticenter studyTreated with partial meniscectomyMeniscal tearsLigament reconstructionRadial tearsPosterior rootMeniscal ramp lesionsLateral meniscal repairRamp lesion repairTime of surgeryTreated with repairSignificant risk factorsIncidence and Risk Factors for Posttraumatic Osteoarthritis After Primary ACL Reconstruction in Pediatric Patients: A National Database Study
Moran J, Gouzoulis M, Kunze K, LaPrade C, Grauer J, Hewett T, Chahla J, Jimenez A, McKay S, Fabricant P, LaPrade R, Franklin C. Incidence and Risk Factors for Posttraumatic Osteoarthritis After Primary ACL Reconstruction in Pediatric Patients: A National Database Study. Orthopaedic Journal Of Sports Medicine 2025, 13: 23259671251313754. PMID: 39926589, PMCID: PMC11806457, DOI: 10.1177/23259671251313754.Peer-Reviewed Original ResearchPrimary ACLRAnterior cruciate ligament (ACL) reconstructionRisk factorsPosttraumatic osteoarthritisPediatric patientsMale sexRestorative proceduresTibial eminence avulsion fractureLysis of adhesionsYears of follow-up dataPrimary ACL reconstructionACL injury diagnosisMultiligament knee injuriesNational database studyCase-control studyConcomitant partial meniscectomyFollow-up dataMultivariate logistic regressionLevel of evidenceJuvenile idiopathic arthritisDevelopment of posttraumatic osteoarthritisInjury diagnosisKnee injuriesKnee osteoarthritisCartilage proceduresRepair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique
Moran J, Kahan J, Schneble C, McLaughlin W, Green J, Gillinov S, Cheng R, Patel R, Jimenez A, LaPrade R, Schenck R, Medvecky M. Repair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221131817. PMID: 36389620, PMCID: PMC9663643, DOI: 10.1177/23259671221131817.Peer-Reviewed Original ResearchInternational Knee Documentation CommitteePatient-reported outcome measuresMultiligament knee injuriesPeroneal nerve injuryAvulsion injuriesNerve injuryKrackow sutureLysholm scoreAcute repairKnee injuriesOutcome scoresMean International Knee Documentation CommitteePosterolateral cornerSubjective International Knee Documentation CommitteeSubjective outcome scoresAcute grade 3Level of evidenceFailure rateLower outcome scoresCruciate injuryTegner scoreCase seriesSurgical repairGraft augmentationSalvage procedureOver One‐Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One‐Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel I
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