{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:02:35Z","timestamp":1789182155618,"version":"build-2803163510"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100016052","name":"friends of the mater foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016052","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>A growing body of evidence surrounds secondary meniscal and cartilage pathology after delay to anterior cruciate ligament (ACL) reconstruction (ACLR). Many of these studies focus on or include an adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To elucidate the prevalence of secondary meniscal and chondral pathology with delay to ACLR in the adolescent population as well as examine the influence of sex, skeletal maturity, and trends over the years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective database was used to identify all patients younger than 19 years who underwent ACLR at the authors\u2019 center between January 1993 and April 2023. Operative data including meniscal and chondral injury and treatment were prospectively recorded at the time of ACLR. A retrospective analysis was performed assessing the relationship between meniscal treatment and chondral injury at ACLR and the time from injury to ACLR, controlling for age, sex, and decade of surgery with multiple regression analysis. Prevalence of meniscal and chondral surgery at ACLR was examined over time and compared between sexes and age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 2740 patients were identified with a median age of 17 years (range, 7-19 years). Surgical delay of 5 to 12 months increased the risk of medial meniscal tear requiring surgery by 1.6 (95% CI, 1.1-2.2;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .007). Surgical delay &gt;12 months increased the risk of medial meniscal tear requiring surgery by 4.2 (95% CI, 3.1-5.8;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001) and medial chondral injury by 3.4 (95% CI, 2.2-5.1;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). The repairability of medial meniscal tears decreased with greater delay to reconstruction (57% before 5 months vs 19% after 12 months;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). Lateral meniscal tear repairability followed a similar trend. More male than female participants had secondary pathology (46% vs 39%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). Patients aged 14-19 years had more meniscal surgery and chondral pathology compared with those younger than 14 years (45% vs 30%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical delay &gt;4 months from injury is associated with a steady increase in the prevalence of medial meniscal and chondral pathology in adolescents with ACL rupture. If ACL surgery is delayed &gt;12 months, the odds of requiring medial meniscal surgery is increased by a factor of 4 and the odds of having a chondral lesion is increased by a factor of 3. Timely diagnosis of ACL injury and early surgical referral are important for reducing the odds of meniscal and chondral pathology in adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465241306759","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T08:32:41Z","timestamp":1736325161000},"page":"291-298","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["The Association Between Delaying Anterior Cruciate Ligament Reconstruction in Adolescents and Increasing Meniscal and Chondral Pathology: A Cohort Study of 2740 Adolescents"],"prefix":"10.1177","volume":"53","author":[{"given":"Kirsten L.","family":"Hickie","sequence":"first","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-8573","authenticated-orcid":false,"given":"Lucy J.","family":"Salmon","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"},{"name":"North Sydney Orthopaedic Research Group, Sydney Australia"},{"name":"School of Medicine, University of Notre Dame, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin R.","family":"Gooden","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"},{"name":"North Sydney Orthopaedic Research Group, Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C.","family":"Lyons","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"},{"name":"North Sydney Orthopaedic Research Group, Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keran","family":"Sundaraj","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"},{"name":"North Sydney Orthopaedic Research Group, Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Carmody","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"},{"name":"North Sydney Orthopaedic Research Group, Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Huang","sequence":"additional","affiliation":[{"name":"North Sydney Orthopaedic Research Group, Sydney 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