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  1. Article ; Online: CORR Insights

    Mouton, Caroline

    Clinical orthopaedics and related research

    2017  Volume 475, Issue 10, Page(s) 2481–2483

    MeSH term(s) Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction ; Female ; Humans ; Knee Injuries/surgery ; Male ; Treatment Outcome
    Language English
    Publishing date 2017-08-07
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-017-5464-9
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  2. Article ; Online: Presentation of an intraosseous suspensory fixation technique for pediatric and adult ACL reconstruction.

    Siboni, Renaud / Pioger, Charles / Mouton, Caroline / Seil, Romain

    Orthopaedics & traumatology, surgery & research : OTSR

    2023  Volume 110, Issue 1, Page(s) 103633

    Abstract: The aim is to present a technique for pediatric and adult ACL reconstruction using an intraosseous suspensory fixation. This technique uses a 4-strands hamstring graft fixed in the femoral tunnel, with a loop locked in a polyetheretherketone (PEEK) cage. ...

    Abstract The aim is to present a technique for pediatric and adult ACL reconstruction using an intraosseous suspensory fixation. This technique uses a 4-strands hamstring graft fixed in the femoral tunnel, with a loop locked in a polyetheretherketone (PEEK) cage. The ACLip® device offers an inside-out drilling system and a closer fixation to the joint than an extracortical button fixation. The technique can be easily used both in adults and in skeletally immature patients. The first practical experience shows promising results regarding the safety and the effectiveness of the technique. Level of evidence: IV.
    MeSH term(s) Adult ; Humans ; Child ; Femur/surgery ; Hamstring Muscles/surgery ; Anterior Cruciate Ligament Reconstruction/methods ; Biomechanical Phenomena ; Anterior Cruciate Ligament Injuries/surgery
    Language English
    Publishing date 2023-04-28
    Publishing country France
    Document type Journal Article
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2023.103633
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  3. Article ; Online: Meniscal ramp lesions: a lot is known, but a lot is also unknown….

    Cristiani, Riccardo / Mouton, Caroline / Stålman, Anders / Seil, Romain

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

    2022  Volume 31, Issue 7, Page(s) 2535–2539

    MeSH term(s) Humans ; Knee Joint/surgery ; Menisci, Tibial/surgery ; Anterior Cruciate Ligament Injuries
    Language English
    Publishing date 2022-12-22
    Publishing country Germany
    Document type Editorial
    ZDB-ID 1159064-6
    ISSN 1433-7347 ; 0942-2056
    ISSN (online) 1433-7347
    ISSN 0942-2056
    DOI 10.1007/s00167-022-07292-w
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  4. Article: Meniscal Ramp Repair: Double-Row Anatomic Repair in Acute Anterior Cruciate Ligament Tears.

    Vittone, Giulio / Mouton, Caroline / Valcarenghi, Jérôme / Dor, Jérémie / Seil, Romain

    Arthroscopy techniques

    2023  Volume 12, Issue 9, Page(s) e1535–e1540

    Abstract: The surgical management of medial meniscus ramp lesions can be challenging. Currently, repairs are performed via a trans-notch view, combined with a single posteromedial working portal. This technique, however, does not allow for a direct and complete ... ...

    Abstract The surgical management of medial meniscus ramp lesions can be challenging. Currently, repairs are performed via a trans-notch view, combined with a single posteromedial working portal. This technique, however, does not allow for a direct and complete visualization of the structures being injured, making a precise appreciation of the injured structures, as well as an anatomical repair, difficult. To overcome this limitation, a 2-portal posteromedial approach has recently been described. It allows better visualization of the mediolateral extent of the tear and a precise identification of the injured structures. In this Technical Note, an anatomic repair technique using this approach is presented. It consists of a double-row of sutures to repair individually both the meniscotibial and meniscocapsular ligament, thus restoring the 2 main components of the posterior horn of the medial meniscus to their natural insertion site.
    Language English
    Publishing date 2023-08-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2653101-X
    ISSN 2212-6287
    ISSN 2212-6287
    DOI 10.1016/j.eats.2023.04.027
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  5. Article: Case report: unusual posteromedial capsular lesion with posterior lateral meniscus root tear in two patients with constitutional genu recurvatum presenting after an acute ACL injury.

    Vittone, Giulio / Mouton, Caroline / Valcarenghi, Jérôme / Dor, Jérémie / Seil, Romain

    Journal of experimental orthopaedics

    2023  Volume 10, Issue 1, Page(s) 136

    Abstract: Ramp lesions of the medial meniscus and posterior lateral meniscus root tears (LMPRT) can be present simultaneously in up to 8% of patients undergoing anterior cruciate ligament (ACL) reconstruction. The prevalence of these complex and highly unstable ... ...

    Abstract Ramp lesions of the medial meniscus and posterior lateral meniscus root tears (LMPRT) can be present simultaneously in up to 8% of patients undergoing anterior cruciate ligament (ACL) reconstruction. The prevalence of these complex and highly unstable meniscal tears increases exponentially with the severity of the injury. The posteromedial capsule (PMC) has often been disregarded in the past when discussing ligamentous and meniscal injuries, but the recent interest in ramp lesions has drawn surgeons' attention to the posteromedial structures of the ACL injured knee. While the meniscocapsular junction is commonly repaired in unstable ramp lesions, in the current literature there is no report regarding proximal PMC lesions, be they in isolation or associated with complex meniscal injuries.We report here two cases of proximal posteromedial capsular lesions associated with medial meniscus instability and posterior lateral root tears after ACL injury. The first case involves a meniscus ramp lesion associated with a proximal PMC tear and a posteromedial fluid collection in the muscle plane on magnetic resonance in a 22-year-old male soccer player. The second case involves a 21-year-old female soccer player who presented with a PMC lesion after hyperextension/valgus knee injury. The capsular lesions were repaired to restore capsular tension and improve medial meniscus posterior horn stability.
    Language English
    Publishing date 2023-12-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2780021-0
    ISSN 2197-1153
    ISSN 2197-1153
    DOI 10.1186/s40634-023-00684-y
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  6. Article: Ramp Lesions of the Medial Meniscus.

    Siboni, Renaud / Pioger, Charles / Jacquet, Christophe / Mouton, Caroline / Seil, Romain

    Current reviews in musculoskeletal medicine

    2023  Volume 16, Issue 5, Page(s) 173–181

    Abstract: Purpose of review: To provide an overview of the recent scientific literature about ramp lesions of the medial meniscus and to summarise the current evidence on their prevalence, classification, biomechanics, surgical techniques and clinical outcomes.!## ...

    Abstract Purpose of review: To provide an overview of the recent scientific literature about ramp lesions of the medial meniscus and to summarise the current evidence on their prevalence, classification, biomechanics, surgical techniques and clinical outcomes.
    Recent findings: Ramp lesions may be present in more than 1 patient undergoing ACL reconstruction out of 5 and almost half of the medial meniscal tears observed in this population. Due to the risk of persistent anterior and rotational laxity after ACL reconstruction, their repair has been advocated. There is no general agreement to date on whether and when ramp lesions should be treated surgically. Comparative studies have failed to show that the repair of stable lesions was superior in comparison to nonoperative approaches. A lower failure rate and secondary meniscectomy has been reported with a suture hook repair through the posteromedial portal in comparison with an all-inside technique. Furthermore, reconstructions of the anterolateral complex in association with ACL reconstruction may have a protective effect on ramp repair. Ramp lesions of the medial meniscus in ACL-injured knees cannot be neglected anymore. Given their novelty, their clinical impact has not been fully assessed yet, but the evidence is growing that they need to be systematically identified and eventually repaired, for which they require advanced surgical knowledge. There is, to date, no consensus on whether and when ramp lesions should be treated surgically. Their subtypes, size and stability may influence the decision-making process.
    Language English
    Publishing date 2023-04-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2407827-X
    ISSN 1935-9748 ; 1935-973X
    ISSN (online) 1935-9748
    ISSN 1935-973X
    DOI 10.1007/s12178-023-09834-2
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  7. Article ; Online: The anterior cruciate ligament injury severity scale (ACLISS) is an effective tool to document and categorize the magnitude of associated tissue damage in knees after primary ACL injury and reconstruction.

    Seil, Romain / Pioger, Charles / Siboni, Renaud / Amendola, Annunziato / Mouton, Caroline

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

    2023  Volume 31, Issue 7, Page(s) 2983–2997

    Abstract: Purpose: To develop a tool allowing to classify the magnitude of structural tissue damage occurring in ACL injured knees. The proposed ACL Injury Severity Scale (ACLISS) would provide an easy description and categorization of the wide spectrum of ... ...

    Abstract Purpose: To develop a tool allowing to classify the magnitude of structural tissue damage occurring in ACL injured knees. The proposed ACL Injury Severity Scale (ACLISS) would provide an easy description and categorization of the wide spectrum of injuries in patients undergoing primary ACL reconstruction, reaching from isolated ACL tears to ACL injuries with a complex association of combined structural damage.
    Methods: A stepwise approach was used to develop the ACLISS. The eligibility of each item was based on a literature search and a consensus between the authors after considering the diagnostic modalities and clinical importance of associated injuries to the menisci, subchondral bone, articular cartilage or collateral ligaments. Then, a retrospective analysis of associated injuries was performed in 100 patients who underwent a primary ACL reconstruction (ACLR) by a single surgeon. This was based on acute preoperative MRI (within 8 weeks after injury) as well as intraoperative arthroscopic findings. Depending on their prevalence, the number of selected items was reduced. Finally, an analysis of the overall scale distribution was performed to classify the patients according to different injury profiles.
    Results: A final scoring system of 12 points was developed (12 = highest severity). Six points were attributed to the medial and lateral tibiofemoral compartment respectively. The amount of associated injuries increased with ACLISS grading. The median scale value was 4.5 (lower quartile 3.0; higher quartile 7.0). Based on these quartiles, a score < 4 was considered to be an injury of mild severity (grade I), a score between ≥ 4 and ≤ 7 was defined as moderately severe (grade II) and a score > 7 displayed the most severe cases of ACL injuries (grade III). The knees were graded ACLISS I in 35%, ACLISS II in 49% and ACLISS III in 16% of patients. Overall, damage to the lateral tibiofemoral compartment was predominant (p < 0.01), but a proportional increase of tissue damage could be observed in the medial tibiofemoral compartment with the severity of ACLISS grading (p < 0.01).
    Conclusions: The ACLISS allowed to easily and rapidly identify different injury severity profiles in patients who underwent primary ACLR. Injury severity was associated with an increased involvement of the medial tibiofemoral compartment. The ACLISS is convenient to use in daily clinical practice and represents a feasible grading and documentation tool for a reproducible comparison of clinical data in ACL injured patients.
    Level of evidence: Level III.
    MeSH term(s) Humans ; Anterior Cruciate Ligament Injuries/complications ; Anterior Cruciate Ligament Injuries/diagnosis ; Anterior Cruciate Ligament Injuries/surgery ; Retrospective Studies ; Anterior Cruciate Ligament/surgery ; Knee Injuries/complications ; Knee Injuries/surgery ; Cartilage, Articular/surgery ; Menisci, Tibial/surgery
    Language English
    Publishing date 2023-01-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1159064-6
    ISSN 1433-7347 ; 0942-2056
    ISSN (online) 1433-7347
    ISSN 0942-2056
    DOI 10.1007/s00167-023-07311-4
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    Zs.A 3742: Show issues Location:
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  8. Article ; Online: The posterior cruciate ligament-posterior femoral cortex angle: a reliable and accurate MRI method to quantify the buckling phenomenon of the PCL in ACL-deficient knees.

    Siboni, Renaud / Pioger, Charles / Mouton, Caroline / Seil, Romain

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

    2022  Volume 31, Issue 1, Page(s) 332–339

    Abstract: Purpose: The aim was to validate a new MRI method to measure the buckling phenomenon of the PCL, representative of anterior tibial translation, by comparing its reliability and accuracy to identify anterior cruciate ligament (ACL)-deficient knees with ... ...

    Abstract Purpose: The aim was to validate a new MRI method to measure the buckling phenomenon of the PCL, representative of anterior tibial translation, by comparing its reliability and accuracy to identify anterior cruciate ligament (ACL)-deficient knees with existing methods.
    Methods: Patients were selected retrospectively and separated into a group of primary ACL injuries and ACL-intact knees. Exclusion criteria were: skeletal immaturity, PCL or a concomitant collateral ligament injury, signs of osteoarthritis (> 1 Kellgren and Lawrence score), tibial plateau fracture, previous ACL reconstruction or displaced meniscal bucket handle tear. The assessment of the curvature of the anterolateral bundle of the PCL was performed on T2 sagittal MRI slices according to 3 methods: (1) the PCL angle (PCLA), (2) the PCL inclination angle (PCLIA) and (3) a new method: the PCL-posterior cortex angle (PCL-PCA), representing the angle between the vertical part of the PCL-ALB and the posterior diaphyseal cortex of the femur. For each method, the inter- and intra-observer reliability was measured. The ability to discriminate both ACL-deficient and ACL-intact knees was evaluated using ROC curves.
    Results: Twenty-four patients were included in each group. Intra-observer reliability was excellent for all 3 methods (ICCs > 0.90). Inter-observer reliability was excellent for the PCL-PCA (ICC > 0.90) and good for the PCLA and the PCLIA (ICCs between 0.75 and 0.90). The PCL-PCA had the highest precision (lowest standard error of measurement: 2.7°). It yielded an excellent discrimination between the ACL and CTL groups (AUC 0.80 [0.67-0.93]) with the highest sensitivity (71% [52.8-89.2]) and specificity (88% [75-100]) for a positive threshold when the angle was ≤ 22.7°. The PCLA and PCLIA methods led to acceptable discrimination and lower sensitivities and specificities (PCLA: AUC 0.71, sensitivity 63%, specificity 79%, threshold ≤ 117.9°; PCLIA: AUC 0.62, sensitivity 50%, specificity 83%, threshold ≤ 21.4°).
    Conclusion: In comparison with previously described methods, the PCL-PCA was the most reliable and accurate method to measure the PCL buckling phenomenon on MRI in anterior cruciate ligament (ACL)-deficient knees. It offers an easy and objective method for the follow-up of ACL-injured patients and can therefore be recommended for routine use.
    Level of evidence: IV.
    MeSH term(s) Humans ; Anterior Cruciate Ligament/surgery ; Posterior Cruciate Ligament/diagnostic imaging ; Posterior Cruciate Ligament/surgery ; Knee Joint/surgery ; Retrospective Studies ; Reproducibility of Results ; Knee Injuries/diagnostic imaging ; Knee Injuries/surgery ; Anterior Cruciate Ligament Injuries/diagnostic imaging ; Anterior Cruciate Ligament Injuries/surgery ; Femur/diagnostic imaging ; Tibia/surgery ; Magnetic Resonance Imaging
    Language English
    Publishing date 2022-09-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1159064-6
    ISSN 1433-7347 ; 0942-2056
    ISSN (online) 1433-7347
    ISSN 0942-2056
    DOI 10.1007/s00167-022-07145-6
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  9. Article ; Online: Implementation of evidence-based medicine in everyday clinical practice.

    Prill, Robert / Mouton, Caroline / Klugorová, Jitka / Królikowska, Aleksandra / Karlsson, Jon / Becker, Roland

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

    2023  Volume 31, Issue 8, Page(s) 3034–3036

    MeSH term(s) Humans ; Evidence-Based Medicine
    Language English
    Publishing date 2023-06-05
    Publishing country Germany
    Document type Editorial
    ZDB-ID 1159064-6
    ISSN 1433-7347 ; 0942-2056
    ISSN (online) 1433-7347
    ISSN 0942-2056
    DOI 10.1007/s00167-023-07468-y
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  10. Article ; Online: Fill out a registry: A matter of public-spiritedness and professional conscience!

    Barth, Johannes / Conso, Christel / Mouton, Caroline / Bauer, Thomas

    Orthopaedics & traumatology, surgery & research : OTSR

    2021  Volume 107, Issue 8S, Page(s) 103090

    MeSH term(s) Conscience ; Humans ; Registries
    Language English
    Publishing date 2021-09-28
    Publishing country France
    Document type Editorial
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2021.103090
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