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Investigation of concomitant soft tissue injury on the rotatory knee laxity in anterior cruciate ligament injured knees

Research Project

Project/Area Number 16K10902
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionKobe University

Principal Investigator

Hoshino Yuichi  神戸大学, 医学部附属病院, 助教 (40718384)

Co-Investigator(Kenkyū-buntansha) 松下 雄彦  神戸大学, 医学研究科, 講師 (40467650)
黒田 良祐  神戸大学, 医学研究科, 教授 (80379362)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords膝前十字靭帯損傷 / 半月板損傷 / 回旋不安定性 / 膝前十字靭帯 / 前十字靭帯再建術 / 膝前外側関節包靭帯 / 前十字靭帯損傷 / 前外側関節包靭帯損傷 / スポーツ医学
Outline of Final Research Achievements

In the anterior cruciate ligament (ACL)-injured knee, the anterolateral joint capsule injury had no effect on the toratory knee laxity, while the effect of concomitant meniscus injury, especially lateral meniscus injury on the knee rotatory laxity was confirmed. In addition, one year after the ACL reconstruction, the ACL injured knees with medial and lateral meniscus preoperatively was greater than those without meniscus injury. In addition, ACL reconstructed knees whose meniscus tears were repaired had similar rotatory knee laxity compared to those without meniscus tears, whereas in ACL reconstructed knees with unrepaired lateral meniscus tear, significantly greater rotatory knee laxity was observed compared to the meniscus intact ACL reconstructed knees. Therefore, it is considered that the concomitant meniscus tear in the ACL injured knees may cause the residual rotatory knee laxity postoperatively unless repair is performed.

Academic Significance and Societal Importance of the Research Achievements

膝前十字靭帯損傷では半月板損傷を合併する例も多いが、特に外側半月板損傷の合併に関しては、過去の報告に基づき、保存的に修復しないで治療することが多かったが、今研究の結果からは、半月板の合併損傷を見た場合には可能な限り修復して治療を行うことが、回旋不安定性を制御するという点で望ましいと考えられる。積極的な前十字靭帯損傷に伴う半月板損傷に対する修復術の治療が、今後の治療成績を改善させることが期待できる。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (27 results)

All 2020 2019 2018 2017 2016

All Journal Article (4 results) (of which Peer Reviewed: 4 results) Presentation (23 results) (of which Int'l Joint Research: 16 results,  Invited: 5 results)

  • [Journal Article] No difference in postoperative rotational laxity after ACL reconstruction in patients with and without anterolateral capsule injury: quantitative evaluation of the pivot-shift test at 1-year follow-up.2020

    • Author(s)
      Hiroshima Y, Hoshino Y, Miyaji N, Tanaka T, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Journal Title

      Knee Surg Sports Traumatol Arthrosc.

      Volume: 28 (2) Issue: 2 Pages: 489494-489494

    • DOI

      10.1007/s00167-019-05664-3

    • NAID

      120006897889

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] MRI-determined anterolateral capsule injury did not affect the pivot-shift in anterior cruciate ligament-injured knees2019

    • Author(s)
      Miyaji Nobuaki、Hoshino Yuichi、Tanaka Toshikazu、Nishida Kyohei、Araki Daisuke、Kanzaki Noriyuki、Matsushita Takehiko、Kuroda Ryosuke
    • Journal Title

      Knee Surgery, Sports Traumatology, Arthroscopy

      Volume: 印刷中 Issue: 11 Pages: 34263731-34263731

    • DOI

      10.1007/s00167-019-05376-8

    • NAID

      120006775979

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] The concomitant lateral meniscus injury increased the pivot shift in the anterior cruciate ligament-injured knee2019

    • Author(s)
      Hoshino Yuichi, Miyaji Nobuaki, Nishida Kyohei, Nishizawa Yuichiro, Araki Daisuke, Kanzaki Noriyuki, Kakutani Kenichiro, Matsushita Takehiko, Kuroda Ryosuke.
    • Journal Title

      Knee Surgery, Sports Traumatology, Arthroscopy

      Volume: 27 Issue: 2 Pages: 646651-646651

    • DOI

      10.1007/s00167-018-5209-7

    • NAID

      120006601530

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 前十字靱帯損傷膝に生じるpivot-shift現象に及ぼす半月板合併損傷の影響2018

    • Author(s)
      星野祐一, 松下雄彦, 宮地伸晃, 西澤勇一郎, 荒木大輔, 黒田良祐
    • Journal Title

      日本整形外科スポーツ医学会雑誌

      Volume: 38 Pages: 27-30

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] ACL再建術の向上を目指したPivot-shiftを定量的に評価するための基礎研究と臨床応用2019

    • Author(s)
      星野祐一, 荒木大輔, 神崎至幸, 松下雄彦, 黒田良祐.
    • Organizer
      日本整形外科学会学術総会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Remaining Pivot-Shift Was Observed in the ACL Reconstructed Knee with Unrepaired Lateral Meniscus Tear.2019

    • Author(s)
      Hoshino Y.
    • Organizer
      Biennial Congress International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] If you can’t measure it, you can’t improve it.2019

    • Author(s)
      星野祐一, 長井寛斗、荒木大輔, 神崎至幸, 松下雄彦, 黒田良祐.
    • Organizer
      日本関節鏡・膝・スポーツ整形外科学会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] ACL損傷に対する治療 アートをエビデンスにする2019

    • Author(s)
      星野祐一, 長井寛斗、荒木大輔, 神崎至幸, 松下雄彦, 黒田良祐.
    • Organizer
      日本整形外科スポーツ医学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Quantitative evaluation of the pivot-shift is a key to improve current ACL treatment.2019

    • Author(s)
      .Hoshino Y, Nagai K, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      Korea-Japan combined meeting of orthopaedic sports medicine
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] What does it take to improve the current ACL reconstruction?2019

    • Author(s)
      Hoshino Y, Nagai K, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      Annual Congress of the Korean Orthopaedic Association (KOA)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] The impact of the meniscus injury on the rotational laxity in the anterior cruciate ligament injured and reconstructed knees quantitatively evaluated by the electromagnetic measurement system.2018

    • Author(s)
      Hoshino Yuichi, Miyaji Nobuaki, Araki Daisuke, Kuroda Ryosuke.
    • Organizer
      ACL study group
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] The impact of the anterolateral capsule injury on the rotational laxity in the ACL injured knees: preoperative and 1 year postoperative evaluation.2018

    • Author(s)
      Miyaji Nobuaki, Hoshino Yuichi, Araki Daisuke, Kuroda Ryosuke.
    • Organizer
      ACL study group
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] The Postoperative Impact Of The Concomitant Alc Injury On The Rotational Laxity In The Acl econstructed Knees -quantitative Evaluation Of The Pivot-shift Test At One Year Follow-up After Acl Reconstruction-2018

    • Author(s)
      Hiroshima Yuji, Hoshino Yuichi, Miyaji Nobuaki, Ibaraki Kazuyuki, Tanaka Toshikazu, Nishida Kyohei, Araki Daisuke, Kanzaki Noriyuki, Matsushita Takehiko, Kuroda Ryosuke.
    • Organizer
      64th Annual Meeting of the Orthopaedic Research Society (ORS)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 74.The impact of the meniscus injury on the rotational laxity in the anterior cruciate ligament injured and reconstructed knees quantitatively evaluated by the electromagnetic measurement system.2018

    • Author(s)
      Hoshino Y, Miyaji N, Araki D, Kuroda R.
    • Organizer
      ACL study group
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 75.The impact of the anterolateral capsule injury on the rotational laxity in the ACL injured knees: preoperative and 1 year postoperative evaluation.2018

    • Author(s)
      Miyaji N, Hoshino Y, Araki D, Kuroda R.
    • Organizer
      ACL study group
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Investigation of the Impact of the Concomitant Meniscus Injury on the Rotational Laxity in the ACL Injured Knees using the Quantitative Measurement of the Pivot-Shift Test.2017

    • Author(s)
      Hoshino Y, Miyaji N, Tanaka T, Ibaragi K, Nishida K, Nishizawa Y, Araki D, Kanzaki N, Matsushita T, Kuroda R
    • Organizer
      Orthopaedic Research Society 2017 Annual Meeting
    • Place of Presentation
      San Diego (USA)
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Investigation of the Effect of the Anterolateral Capsule Injury on the Rotational Laxity in the Anterior Cruciate Ligament Injured-Knees Using Quantitative Measurement of the Pivot-shift test in Clinical Cases2017

    • Author(s)
      Nobuaki Miyaji, Yuichi Hoshino, Kazuyuki Ibaraki, Toshikazu Tanaka, Kyohei Nishida, Yuichiro Nishizawa, Daisuke Araki, Noriyuki Kanzaki, Takehiko Matsushita, Ryosuke Kuroda
    • Organizer
      Orthopaedic Research Society 2017 Annual Meeting
    • Place of Presentation
      San Diego (USA)
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Investigation of the Impact of the Concomitant Meniscus Injury on the Rotational Laxity in the ACL Injured Knees using the Quantitative Measurement of the Pivot-Shift Test.2017

    • Author(s)
      Hoshino Y, Miyaji N, Tanaka T, Ibaragi K, Nishida K, Nishizawa Y, Araki D, Kanzaki N, Matsushita T, Kuroda R
    • Organizer
      American Academy of Orthopaedic Surgeons 2017 Annual Meeting
    • Place of Presentation
      San Diego (USA)
    • Year and Date
      2017-03-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 前十字靱帯断裂に伴う前外側関節包(ALC)損傷の回旋不安定性に対する影響についての調査2017

    • Author(s)
      宮地 伸晃、星野 祐一、茨木 一行、田中 聡一、西田 京平、西澤 勇一郎、荒木 大輔、神崎 至幸、松下 雄彦、黒田 良祐
    • Organizer
      第29回 関西関節鏡膝研究会
    • Place of Presentation
      リーガロイヤルNCB(大阪府・大阪市)
    • Year and Date
      2017-03-11
    • Related Report
      2016 Research-status Report
  • [Presentation] 67.Limited Clinical Value in MRI Evaluation of Anterolateral Capsule Injury in ACL Injured-Knees.2017

    • Author(s)
      Miyaji N, Hoshino Y, Ibaragi K, Tanaka T, Nishida K, Nishizawa Y, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      APKASS(Asia-Pacific Knee, Arthroscopy and Sports Medicine Society) summit
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 68.Aggravated Rotational Laxity Due to the Concomitant Meniscus Tear in the Anterior Cruciate Ligament-Injured Knees Detected by the Quantitative Measurement of the Pivot-Shift Test.2017

    • Author(s)
      Hoshino Y, Miyaji N, Ibaraki K, Tanaka T, Nishida K, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      ISAKOS 11th Biennial Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 71.The Impact of the Anterolateral Capsule Injury on the Rotational Laxity in the Anterior Cruciate Ligament Injured-Knees. A Result of clinical Quantitative Evaluation of the Pivot-Shift Test.2017

    • Author(s)
      Miyaji N, Hoshino Y, Ibaraki K, Tanaka T, Nishida K, Nishizawa Y, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      ISAKOS 11th Biennial Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 72.Concomitant Lateral Meniscus Injury Aggravates Rotational Laxity of the Anterior Cruciate Ligament-Injured Knees2017

    • Author(s)
      Hoshino Y, Miyaji N, Nishizawa Y, Araki D, Matsushita T, Kuroda R.
    • Organizer
      AOSSM 2017 annual meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 73.Anterolateral Capsule Injury Did Not Aggravate Rotational Laxity of the Anterior Cruciate Ligament Injured-Knees. Measured by Quantitative Pivot-Shift Evaluation.2017

    • Author(s)
      Miyaji N, Hoshino Y, Tanaka T, Nishida K, Nishizawa Y, Araki D, Kanzaki N, Matsushita T, Kuroda R.
    • Organizer
      AOSSM 2017 annual meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 前十字靭帯損傷に生じる膝回旋不安定性に及ぼす半月板合併損傷の影響2017

    • Author(s)
      18.星野祐一, 宮地伸晃, 田中聡一, 西田京平, 西澤勇一郎, 荒木大輔, 松下雄彦, 黒田良祐
    • Organizer
      第43回 日本整形外科スポーツ医学会 学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 前十字靭帯損傷に合併した半月板損傷は前十字靭帯再建術術後に潜在的Pivot-Shiftを残存させる要因となる2017

    • Author(s)
      19.星野祐一, 宮地伸晃, 寛島佑史, 山下貴大, 茨木一行, 田中聡一, 西田京平, 荒木大輔, 神崎至幸, 松下雄彦, 黒田 良祐
    • Organizer
      第28回 臨床スポーツ医学会 学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 前十字靭帯断裂に伴う半月板合併損傷の回旋不安定性に対する影響についての調査2016

    • Author(s)
      星野 祐一、宮地 伸晃、田中 聡一、西田 京平、西澤 勇一郎、荒木 大輔、松下 雄彦、黒田 良祐
    • Organizer
      第43回日本臨床バイオメカニクス学会
    • Place of Presentation
      かでる2・7ホール(北海道・札幌市)
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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