Research Article
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Year 2025, Volume: 42 Issue: 2, 101 - 106, 30.06.2025

Abstract

References

  • Yasen SK. Common knee injuries, diagnosis and management. Surg Oxf, 41(4):215–22.
  • Gage BE, McIlvain NM, Collins CL, Fields SK, Dawn Comstock R. Epidemiology of 6.6 Million Knee Injuries Presenting to United States Emergency Departments From 1999 Through 2008. Acad Emerg Med, 19(4):378–85.
  • Incidence of Anterior Cruciate Ligament Tears and Reconstruction - Thomas L. Sanders, Hilal Maradit Kremers, Andrew J. Bryan, Dirk R. Larson, Diane L. Dahm, Bruce A. Levy, Michael J. Stuart, Aaron J. Krych, 2016.
  • Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study – PMC.
  • Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions. J Orthop Sports Phys Ther. 2010, 40(6):A1–35.
  • Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg Ma. Simple Decision Rules Reduce Reinjury Risk After Anterior Cruciate Ligament Reconstruction. Br J Sports Med, 2016, 50(13):804–8.
  • Feroe AG, Clark SC, Hevesi M, Okoroha KR, Saris DBF, Krych AJ, et al. Management of Meniscus Pathology with Concomitant Anterior Cruciate Ligament Injury. Curr Rev Musculoskelet Med. 2024, 17(8):321–34.
  • JBJS [Internet]. [cited 2025 May 10]. Available from: https://journals.lww.com/jbjsjournal/citation/1963/45050/complete_dislocation_of_the_knee_joint.1.aspx
  • Risk Factors Associated with Noncontact Injury of the Anterior Cruciate Ligament - John M. Uhorchak, Charles R. Scoville, Glenn N. Williams, Robert A. Arciero, Patrick St. Pierre, Dean C. Taylor, 2003.
  • Snoeker BAM, Bakker EWP, Kegel CAT, Lucas C. Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis. J Orthop Sports Phys Ther. 2013, 43(6):352–67.
  • Meniscal tears: pathologic correlation with MR imaging. | Radiology.
  • A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Knee - Timothy G. Sanders, Mark D. Miller, 2005.
  • Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A Multisport Epidemiologic Comparison of Anterior Cruciate Ligament Injuries in High School Athletics. J Athl Train. 2013, 48(6):810–7.
  • Sports Medicine and Arthroscopy Review. Avaliable from: https://journals.lww.com/sportsmedarthro/abstract/2021/09000/the_epidemiology_of_meniscus_injury.4.aspx
  • Nukuto K, Konstantinou E, Wackerle AM, Lagreca JC, Grandberg C, Park YL, et al. Meniscus tears in the setting of anterior cruciate ligament injury. J Jt Surg Res. 2024, 2(4):180–8.
  • ACL Injuries with Concomitant Meniscal Pathologies. Available from: https://link.springer.com/referenceworkentry/10.1007/978-3-642-36801-1_88-1#
  • Adouni M, Aydelik H, Faisal TR, Hajji R. The effect of body weight on the knee joint biomechanics based on subject-specific finite element-musculoskeletal approach. Sci Rep [Internet]. 2024, 14:13777. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178890/
  • Guimaraes JB, Nevitt MC, McCulloch CE, Schwaiger BJ, Gersing AS, Facchetti L, et al. Association of weight change with progression of meniscal intrasubstance degeneration over 48 months: Data from the Osteoarthritis Initiative. Eur Radiol. 2018, 28(3):953–62.
  • Associations of body mass index with meniscal tears. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0749379705000577
  • Tomihara T, Hashimoto Y, Takahashi S, Taniuchi M, Takigami J, Tsumoto S, et al. Analyses of associated factors with concomitant meniscal injury and irreparable meniscal tear at primary anterior cruciate ligament reconstruction in young patients. Asia-Pac J Sports Med Arthrosc Rehabil Technol. 2023, 32:12–7.
  • Increased Risk of Concomitant Meniscal Injuries in Adolescents With Elevated Body Mass Index After Anterior Cruciate Ligament Tear: A Systematic Review - Arthroscopy. Available from: https://www.arthroscopyjournal.org/article/S0749-8063(22)00300-0/abstract
  • Etzel CM, Meghani O, Owens BD, Kocher MS, Field AE. Predictors of Anterior Cruciate Ligament Tears in Adolescents and Young Adults. Orthop J Sports Med. 2024, 12(9):23259671241272699.
  • Anterior Cruciate Ligament Knee Injury. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499848/
  • Aguero AD, Irrgang JJ, MacGregor AJ, Rothenberger SD, Hart JM, Fraser JJ. Sex, military occupation and rank are associated with risk of anterior cruciate ligament injury in tactical-athletes. BMJ Mil Health. 2023, 169(6):535–41.
  • Rahmadian R, Afriani N, Ifan, Ariliusra Z. Profile of Major Ligament Injuries of The Knee in Patients at Indonesia Tertiary Referral Hospital. Indones Surg J. 2024, 1(2):31–7.

Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study

Year 2025, Volume: 42 Issue: 2, 101 - 106, 30.06.2025

Abstract

Knee injuries, particularly ligament and meniscus injuries, are among the most prevalent musculoskeletal injuries, particularly in the active population. However, limited data are available on the epidemiology of and associated risk factors in the Jordanian population. To determine the prevalence and patterns of ligament and meniscus knee injuries and evaluate their association with demographic and anthropometric variables in patients presenting with knee pain at Al-Karak Governmental Hospital, Jordan. This retrospective cross-sectional study included 175 patients diagnosed with ligament or meniscal knee injuries via MRI between September 2018 and January 2022. Sociodemographic and clinical data were collected, including age, sex, body mass index (BMI), occupation, injury type, and side. Descriptive statistics, Pearson’s chi-square tests, and multivariable logistic regression were performed to identify significant predictors and associations between variables. This study analyzed 175 participants, predominantly aged 18–50 years (68%), with a small female majority (53%). Most participants had a BMI > 25 (63%) and injuries were more common on the right side (58%). ACL injuries were the most frequent ligament injuries (58.3%), while meniscus injuries were highly prevalent (83.4%), with 64% of patients experiencing concomitant ligament and meniscus injuries (CLMI). Participants with a BMI > 25 had significantly higher odds of ligament (OR = 4.35, p < 0.001), meniscus (OR = 3.5, p < 0.01), and concomitant injuries (OR = 6.06, p < 0.001). Left-sided injuries were associated with higher odds of ligament injuries (OR = 2.99, p < 0.05). While age and occupation showed no significant association with most injuries, students had increased odds of ACL injuries (OR = 4.18, p < 0.05). Ligament and meniscus knee injuries are highly prevalent among Jordanian patients, particularly among overweight individuals. BMI has emerged as a significant risk factor across injury types, underscoring the need for targeted preventive strategies among high-risk populations. These findings emphasize the importance of early diagnosis and risk stratification in populations vulnerable to traumatic knee injuries.

Thanks

Thanks to all participants for their contribution to this study and for granting us full consent for publishing this study.

References

  • Yasen SK. Common knee injuries, diagnosis and management. Surg Oxf, 41(4):215–22.
  • Gage BE, McIlvain NM, Collins CL, Fields SK, Dawn Comstock R. Epidemiology of 6.6 Million Knee Injuries Presenting to United States Emergency Departments From 1999 Through 2008. Acad Emerg Med, 19(4):378–85.
  • Incidence of Anterior Cruciate Ligament Tears and Reconstruction - Thomas L. Sanders, Hilal Maradit Kremers, Andrew J. Bryan, Dirk R. Larson, Diane L. Dahm, Bruce A. Levy, Michael J. Stuart, Aaron J. Krych, 2016.
  • Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study – PMC.
  • Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions. J Orthop Sports Phys Ther. 2010, 40(6):A1–35.
  • Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg Ma. Simple Decision Rules Reduce Reinjury Risk After Anterior Cruciate Ligament Reconstruction. Br J Sports Med, 2016, 50(13):804–8.
  • Feroe AG, Clark SC, Hevesi M, Okoroha KR, Saris DBF, Krych AJ, et al. Management of Meniscus Pathology with Concomitant Anterior Cruciate Ligament Injury. Curr Rev Musculoskelet Med. 2024, 17(8):321–34.
  • JBJS [Internet]. [cited 2025 May 10]. Available from: https://journals.lww.com/jbjsjournal/citation/1963/45050/complete_dislocation_of_the_knee_joint.1.aspx
  • Risk Factors Associated with Noncontact Injury of the Anterior Cruciate Ligament - John M. Uhorchak, Charles R. Scoville, Glenn N. Williams, Robert A. Arciero, Patrick St. Pierre, Dean C. Taylor, 2003.
  • Snoeker BAM, Bakker EWP, Kegel CAT, Lucas C. Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis. J Orthop Sports Phys Ther. 2013, 43(6):352–67.
  • Meniscal tears: pathologic correlation with MR imaging. | Radiology.
  • A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Knee - Timothy G. Sanders, Mark D. Miller, 2005.
  • Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A Multisport Epidemiologic Comparison of Anterior Cruciate Ligament Injuries in High School Athletics. J Athl Train. 2013, 48(6):810–7.
  • Sports Medicine and Arthroscopy Review. Avaliable from: https://journals.lww.com/sportsmedarthro/abstract/2021/09000/the_epidemiology_of_meniscus_injury.4.aspx
  • Nukuto K, Konstantinou E, Wackerle AM, Lagreca JC, Grandberg C, Park YL, et al. Meniscus tears in the setting of anterior cruciate ligament injury. J Jt Surg Res. 2024, 2(4):180–8.
  • ACL Injuries with Concomitant Meniscal Pathologies. Available from: https://link.springer.com/referenceworkentry/10.1007/978-3-642-36801-1_88-1#
  • Adouni M, Aydelik H, Faisal TR, Hajji R. The effect of body weight on the knee joint biomechanics based on subject-specific finite element-musculoskeletal approach. Sci Rep [Internet]. 2024, 14:13777. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178890/
  • Guimaraes JB, Nevitt MC, McCulloch CE, Schwaiger BJ, Gersing AS, Facchetti L, et al. Association of weight change with progression of meniscal intrasubstance degeneration over 48 months: Data from the Osteoarthritis Initiative. Eur Radiol. 2018, 28(3):953–62.
  • Associations of body mass index with meniscal tears. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0749379705000577
  • Tomihara T, Hashimoto Y, Takahashi S, Taniuchi M, Takigami J, Tsumoto S, et al. Analyses of associated factors with concomitant meniscal injury and irreparable meniscal tear at primary anterior cruciate ligament reconstruction in young patients. Asia-Pac J Sports Med Arthrosc Rehabil Technol. 2023, 32:12–7.
  • Increased Risk of Concomitant Meniscal Injuries in Adolescents With Elevated Body Mass Index After Anterior Cruciate Ligament Tear: A Systematic Review - Arthroscopy. Available from: https://www.arthroscopyjournal.org/article/S0749-8063(22)00300-0/abstract
  • Etzel CM, Meghani O, Owens BD, Kocher MS, Field AE. Predictors of Anterior Cruciate Ligament Tears in Adolescents and Young Adults. Orthop J Sports Med. 2024, 12(9):23259671241272699.
  • Anterior Cruciate Ligament Knee Injury. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499848/
  • Aguero AD, Irrgang JJ, MacGregor AJ, Rothenberger SD, Hart JM, Fraser JJ. Sex, military occupation and rank are associated with risk of anterior cruciate ligament injury in tactical-athletes. BMJ Mil Health. 2023, 169(6):535–41.
  • Rahmadian R, Afriani N, Ifan, Ariliusra Z. Profile of Major Ligament Injuries of The Knee in Patients at Indonesia Tertiary Referral Hospital. Indones Surg J. 2024, 1(2):31–7.
There are 25 citations in total.

Details

Primary Language English
Subjects Orthopaedics, Diagnostic Radiography
Journal Section Research Article
Authors

Mahmoud H. Khasawneh 0000-0001-8481-8501

Jaber H. Jaradat 0000-0002-6488-4664

Ibraheem M. Alkhawaldeh 0000-0002-0187-1583

Elmatasam Elawami 0009-0008-7146-7368

Youssef Hussein 0000-0002-8210-1547

Zina Smadi This is me 0009-0001-4410-2290

Amal A. Albtoosh 0000-0003-0872-3126

Submission Date June 27, 2024
Acceptance Date May 18, 2025
Publication Date June 30, 2025
Published in Issue Year 2025 Volume: 42 Issue: 2

Cite

APA Khasawneh, M. H., Jaradat, J. H., Alkhawaldeh, I. M., … Elawami, E. (2025). Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study. Deneysel Ve Klinik Tıp Dergisi, 42(2), 101-106.
AMA Khasawneh MH, Jaradat JH, Alkhawaldeh IM, et al. Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study. J. Exp. Clin. Med. June 2025;42(2):101-106.
Chicago Khasawneh, Mahmoud H., Jaber H. Jaradat, Ibraheem M. Alkhawaldeh, Elmatasam Elawami, Youssef Hussein, Zina Smadi, and Amal A. Albtoosh. “Epidemiological Trends of Knee Injuries in Al-Karak, Jordan: MRI Based Cross-Sectional Study”. Deneysel Ve Klinik Tıp Dergisi 42, no. 2 (June 2025): 101-6.
EndNote Khasawneh MH, Jaradat JH, Alkhawaldeh IM, Elawami E, Hussein Y, Smadi Z, Albtoosh AA (June 1, 2025) Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study. Deneysel ve Klinik Tıp Dergisi 42 2 101–106.
IEEE M. H. Khasawneh, J. H. Jaradat, I. M. Alkhawaldeh, E. Elawami, Y. Hussein, Z. Smadi, and A. A. Albtoosh, “Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study”, J. Exp. Clin. Med., vol. 42, no. 2, pp. 101–106, 2025.
ISNAD Khasawneh, Mahmoud H. et al. “Epidemiological Trends of Knee Injuries in Al-Karak, Jordan: MRI Based Cross-Sectional Study”. Deneysel ve Klinik Tıp Dergisi 42/2 (June2025), 101-106.
JAMA Khasawneh MH, Jaradat JH, Alkhawaldeh IM, Elawami E, Hussein Y, Smadi Z, Albtoosh AA. Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study. J. Exp. Clin. Med. 2025;42:101–106.
MLA Khasawneh, Mahmoud H. et al. “Epidemiological Trends of Knee Injuries in Al-Karak, Jordan: MRI Based Cross-Sectional Study”. Deneysel Ve Klinik Tıp Dergisi, vol. 42, no. 2, 2025, pp. 101-6.
Vancouver Khasawneh MH, Jaradat JH, Alkhawaldeh IM, Elawami E, Hussein Y, Smadi Z, et al. Epidemiological trends of Knee Injuries in Al-Karak, Jordan: MRI based cross-sectional study. J. Exp. Clin. Med. 2025;42(2):101-6.