Risk factors for medial meniscal injury in association with cranial cruciate ligament rupture.
Academic Article
Overview
Research
Identity
Additional Document Info
Other
View All
Overview
abstract
OBJECTIVES: To determine the significant risk factors for medial meniscal injury in naturally occurring cranial cruciate ligament rupture and to quantify the risk using multivariate analysis. METHODS: A retrospective case control study was performed of dogs that had undergone surgery for cranial cruciate ligament rupture. Data recorded included patient signalment (age, breed and sex), the duration of the lameness, the extent of the cranial cruciate ligament rupture (complete or partial) and the condition of the medial meniscus. Logistic regression was used to analyse the relationship between these variables and tears in the medial meniscus. RESULTS: One hundred and sixty-one of 443 stifles (363%) in 366 dogs had a medial meniscal tear. The risk of a medial meniscal tear was increased by 129 times in association with complete cranial cruciate ligament rupture (OR 129; 95% CI 68 to 242), by approximately 26% for each additional week of lameness (OR 1026; 95% CI 1009 to 1043) and by approximately 14% for each additional kilogram of bodyweight (OR 1014; 95% CI 1000 to 1028). Golden retrievers and Rottweilers were at increased risk and West Highland white terriers were at reduced risk of medial meniscal tears compared with Labrador retrievers. CLINICAL SIGNIFICANCE: To minimise the risk of medial meniscal tears, surgical stabilisation should not be unnecessarily delayed.
