Abstract
Objective: To assess the incidence, nature and pattern of meniscal tear in ACL injury. Methodology: A retrospective study was conducted among the patients who were admitted and treated for ACL tear in Saveetha Medical And College And Hospital over a 2-year period from August 2019-August 2021. There were 52 patients admitted and treated for the same. The case records of each of the patients were reviewed to find the incidence of meniscal lesion in ACL tear and were then analyzed using appropriate statistical tests.
 Results: 52 patients with ACL tear were reviewed in this study. ACL tear was most commonly reported in younger age group of 20-29 (46.15%). Out of which, 19(36.54%) patients had meniscal tears. About 9(47.37%) patients had lateral meniscus tear, 6(31.58%) had medial meniscus tear and 4(21.05%) had bilateral meniscal tear. It was seen that bucket handle injury (n=12) was the most common meniscus tear overall. Radial tear was most specifically common in bilateral meniscus injury (N=4).
 Conclusion: Meniscal tears are the most common intra articular lesions associated with ACL tear. It was most commonly reported in the age group of 20-29. We found that the incidence of lateral meniscal tear was significantly higher in the patients rather than medial meniscal tear. Bucket handle injury was the most commonly reported tear in meniscal injury. Therefore, the surgeon needs to equip himself with the necessary meniscal repair instruments in his armamentarium
Highlights
Out of 52 patients reviewed in this study, it was found that about 19(36.54%)patients had meniscal injury along with ACL tear whereas 33(63.46%) patients had isolated ACL tear alone
The highest incidence of ACL tear about 24 (46.15%)was reported in the age group of 2029
This shows us that ACL tear more common in younger age group around 20-29 years
Summary
The main role of meniscus is to evenly distribute impact forces through the knee and to maintain joint stability. A meniscus tear is usually caused by twisting or turning quickly. These tears can occur commonly while playing sports or lifting heavy weights and is common in young, active adults [1,2]. Degenerative tears commonly occur in patients with osteoarthritis. Meniscus tear can occur along-side with other ligamentous injury and it is commonly associated with ACL tear because of its anatomic and functional relationships to these structures. For maintaining long term joint function, especially in active patients, meniscal tissue function should be preserved. Concomitant meniscal surgery has no significant effect on patient outcome on strength and jump metrics post-operatively [5]. The purpose of this study is to document the frequency, morphology and commonest meniscal injuries accompanying anterior cruciate ligament tear
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