{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T04:53:53Z","timestamp":1788324833712,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The menisci serve as secondary stabilizers in the knee, and anterior cruciate ligament (ACL) tears have been associated with meniscal tears. Previous studies have indicated that a delay \u226512 months is associated with development of new meniscal pathology in an ACL-deficient knee. Some studies have indicated that the time period might be shorter in the pediatric and adolescent population, and other predictive factors remain poorly defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To examine the association between time, patient-related factors, and the extent and location of meniscal pathology for patients of all ages with ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study (prognosis); Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This multicenter retrospective cohort analysis of 2033 patients with ACL reconstruction, aged 9 to 73 years, included those who underwent ACL reconstruction between 2013 and 2023. Multivariable logistic regression analysis was used to model meniscal tear patterns based on age, sex, activity level, and surgery interval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Delayed ACL reconstruction (&gt;120 days postinjury) was associated with a significantly higher prevalence of medial meniscus tears (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Multivariable analyses revealed that delayed surgery increased the odds of medial meniscus tears by 80% (adjusted odds ratio [aOR], 1.80; 95% CI, 1.47-2.21;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and both medial and lateral tears by 47% (aOR, 1.47; 95% CI, 1.10-1.97;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .009). Furthermore, male sex was associated with an elevated prevalence for meniscal tears at all time points compared to female sex, demonstrating 43% higher odds of medial meniscus tears (aOR, 1.43; 95% CI, 1.18-1.74;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), 61% higher odds of lateral meniscus tears (aOR, 1.61; 95% CI, 1.34-1.93;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), and 50% higher odds of both medial and lateral meniscus tears (aOR, 1.50; 95% CI, 1.13-1.98;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These results highlight the importance of timely surgical management to mitigate progressive intra-articular damage, with special consideration for male athletes and patients at high risk for delayed intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261430929","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:04:08Z","timestamp":1774951448000},"page":"1360-1364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence of Medial Meniscus Injury After Delayed ACL Reconstruction"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8148-3955","authenticated-orcid":false,"given":"Chris","family":"Nickelberry","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1049-6262","authenticated-orcid":false,"given":"Sydney","family":"Laxson","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4706-1076","authenticated-orcid":false,"given":"Isaac O.","family":"Lapite","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley T.","family":"Haddock","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Yim","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana Qassim","family":"Abdul Rahman","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Nhem","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Phan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung U.","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline M.","family":"Brady","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510379977"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100180116"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120967120"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B12.16916"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.030"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518786481"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07516-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.014"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.251"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211005090"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241306759"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-011-9243-y"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B3.22424"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115571300"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.01459"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.05.028"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(88)90140-4"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211073905"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/928301"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118813917"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510364052"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503258868"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465261430929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03635465261430929","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465261430929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T19:02:59Z","timestamp":1779476579000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465261430929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,31]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/03635465261430929"],"URL":"https:\/\/doi.org\/10.1177\/03635465261430929","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,31]]}}}