2022
Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury
Green J, Seddio A, Roybal D, Moran J, Katz L, Medvecky M. Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury. JBJS Case Connector 2022, 12: e22.00503. PMID: 36821095, DOI: 10.2106/jbjs.cc.22.00503.Peer-Reviewed Original ResearchConceptsBucket-handle meniscus tearsMultiligament knee injuriesKnee injuriesSpontaneous healingAtypical magnetic resonanceAnterior cruciate ligamentBucket-handle tearPolytrauma patientsCompartment syndromeCruciate ligamentMeniscus tearsConcomitant ruptureUnusual caseMedial meniscusMeniscal repairFragment reductionLateral meniscusInjuryTearsHealingMagnetic resonancePainPatientsSyndromeExtravasationOver 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 IPosteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis
Green JS, Moran J, Marcel A, Joo PY, McLaughlin WM, Manzi JE, Yalcin S, Wang A, Porrino J, Jimenez AE, Medvecky MJ, Katz LD. Posteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis. The Physician And Sportsmedicine 2022, 51: 531-538. PMID: 35915996, DOI: 10.1080/00913847.2022.2108350.Peer-Reviewed Original ResearchConceptsMedial meniscal ramp lesionsMeniscal ramp lesionsMagnetic resonance imagingPreoperative magnetic resonance imagingRamp lesionsEgger's linear regression testBone bruisingACL ruptureBone bruiseGreater oddsPublication biasPre-operative magnetic resonance imagingAcute ACL injuryBone bruise patternsConcomitant ACL ruptureConcomitant anterior cruciate ligamentAnterior cruciate ligamentFunnel plot analysisLinear regression testTimes greater oddsWeb of ScienceACL injuryCochrane LibraryMethodological IndexPooled studiesA Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures
Moran J, Katz LD, Schneble CA, Li DT, Kahan JB, Wang A, Porrino J, Fosam A, Cheng R, Jokl P, Hewett TE, Medvecky MJ. A Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221088936. PMID: 35480066, PMCID: PMC9036340, DOI: 10.1177/23259671221088936.Peer-Reviewed Original ResearchNoncontact ACL injuryAnterior cruciate ligamentBone bruise patternsIntraclass correlation coefficientBone bruiseACL injuryTibial plateauFemoral condylePrevious knee injuryMechanism of injuryAnterior tibial translationBruise patternsCross-sectional studyLevel of evidenceInternal tibial rotationLateral femoral condyleNoncontact ACL ruptureLateral tibial plateauMedial tibial plateauPosterior regionMedial femoral condyleIntrarater intraclass correlation coefficientsContusion patternACL ruptureACL reconstruction
2021
Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures
Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. JBJS Open Access 2021, 6: e21.00069. PMID: 34841192, PMCID: PMC8613370, DOI: 10.2106/jbjs.oa.21.00069.Peer-Reviewed Original ResearchMedial meniscal tearsBone marrow edemaDeep medial collateral ligamentMedial collateral ligamentAcute anterior cruciate ligamentACL ruptureMarrow edemaMCL injuryPosterior hornMedial meniscusPreoperative magnetic resonance imaging (MRI) scansBoard-certified musculoskeletal radiologistsMagnetic resonance imaging (MRI) scansSuperficial medial collateral ligamentSuspicion of injuryACL graft failureACL reconstruction surgeryAnterior cruciate ligamentResonance imaging scansPotential risk factorsChi-square testingMeniscofemoral portionGraft failureInsertion sitePhysical examination
2019
Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic
Cravez E, Ibe I, Medvecky M. Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic. 2019, 139-152. DOI: 10.1007/978-3-030-05396-3_10.Peer-Reviewed Original ResearchAnterior cruciate ligamentMagnetic resonance imagingInjury patternsCruciate ligamentMedial collateral ligament injuryMedial-sided knee injuriesCombined Anterior Cruciate LigamentThird-degree sprainsCollateral ligament injuriesZone of injuryMedial-sided injuriesComplete knee dislocationClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingACL injuryMCL injuryKnee dislocationOperative treatmentSurgical treatmentKnee injuriesLigament deficiencyLigament injury
2015
Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee
Medvecky MJ, Tomaszewski P. Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee. Sports Medicine And Arthroscopy Review 2015, 23: e7-e14. PMID: 25932883, DOI: 10.1097/jsa.0000000000000067.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligamentInjury patternsCruciate ligamentMedial collateral ligament injuryThird-degree sprainsCollateral ligament injuriesMedial-sided injuriesClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingMCL injuryACL injuryLigament deficiencyLigament injuryOperative treatmentLigamentous injuriesPhysical examinationKnee subluxationPosteromedial instabilityInjuryMedial structuresActive individualsBiomechanical testing
2013
Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic
Medvecky M. Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic. 2013, 131-145. DOI: 10.1007/978-0-387-49289-6_10.Peer-Reviewed Original ResearchAnterior cruciate ligamentInjury patternsCruciate ligamentMedial collateral ligament injuryMedial-sided knee injuriesCombined Anterior Cruciate LigamentThird-degree sprainsCollateral ligament injuriesMedial-sided injuriesComplete knee dislocationClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingACL injuryMCL injuryKnee dislocationOperative treatmentSurgical treatmentKnee injuriesLigament deficiencyLigament injuryLigamentous injuriesPhysical exam
2007
A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete
Medvecky MJ, Zazulak BT, Hewett TE. A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete. Sports Medicine 2007, 37: 169-187. PMID: 17241105, DOI: 10.2165/00007256-200737020-00005.Peer-Reviewed Original ResearchConceptsLigament injuryKnee injuriesCruciate ligamentLateral collateral ligament injurySerious knee ligament injuriesFull recoveryCollateral ligament injuriesKnee ligament injuriesLimb-threatening injuriesAnterior cruciate ligamentDiagnostic imaging evaluationRecent surgical advancesPosterior cruciate ligamentMedial collateral ligamentKnee dislocationDevastating injuriesImaging evaluationTotal disabilityImproved outcomesSurgical advancesAllograft tissueCollateral ligamentRehabilitative interventionsRehabilitative techniquesOrthopaedic literature