An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width

Alentorn-Geli, Eduard; Pelfort, Xavier; Mingo, Felipe; Lizano-Díez, Xavier; Leal-Blanquet, Joan; Torres-Claramunt, Raúl; Hinarejos, Pedro; Puig-Verdié, Lluís; Monllau, Joan Carles

doi:10.1016/j.arthro.2015.04.088

Cited by 57 publications

(60 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conversely, Alentorn-Geli et al ,19 Stijak et al 7 and Lombardo et al 18 found no significant difference on ICN width between ACL-injured and non-ACL-injured participants. Similarly, Vrooijink et al 12 found no significant difference on the ICN width between ACL-injured and non-injured participants; however, they found smaller bicondylar width in injured male participants.…”

Section: Resultsmentioning

confidence: 93%

“…In addition, one study performed a case-series of ACL-reconstructed and ACL-deficient patients 25. Overall, the studies provided a moderate description of their inclusion and exclusion criteria: 11 studies included isolated unilateral ACL tears,7 9 11 13 16 20–26 7 studies included ACL reconstruction/surgery patients,8 10 12 15 19 27 28 one study explored ACL-deficient knees,29 one study investigated the contralateral knee of ACL-injured patients17 and one study also included bilateral ACL tears 23. Nonetheless, 12 of 23 studies (52%)7–10 12 13 15–17 20 23 25 did not report how did they determined the status of ACL.…”

Section: Resultsmentioning

confidence: 99%

“…The most common issue was the intraclass coefficient correlation values, that is, the interobserver and intraobserver, which were not reported in 114 9 11 14–23 25 26 29 and 8 studies,9 11 16–18 20–23 25–27 29 respectively. Additionally, other common issues were exclusion and inclusion criteria; 4 studies11 20–23 did not report their exclusion criteria and 1 study24 mentioned them but did not give a clear definition; 3 studies15 23 24 did not provide enough details on inclusion criteria in order to replicate the study; 8 studies12 13 17 19 23 27 28 29 defined and developed several purposes. The final score for each individual study can be seen in table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, 10 studies8–10 12 14 18 19 21–23 reported the NWI on 1775 patients (731 ACL-injured and 1044 non-injured). The random-effects model showed a statistical significant mean difference of −0.02 on the NWI for the ACL-injured patients (95% CI −0.04 to −0.01; p=0.005).…”

Section: Resultsmentioning

confidence: 99%

“…The scientific literature describes many predisposing factors for ACL injury, including biomechanical, functional, anatomical and morphological factors. The bony anatomical and morphological parameters described in the scientific literature focus primarily on the femoral intercondylar notch (ICN) and femoral condyles’ shape and dimensions,7–20 notch width index (NWI)8–10 12 14 18 19 21–23 and tibial slopes 8 17 19 21 22 24–29. The pathological association between the ICN and the ACL was first described by Palmer,30 in 1938, when he noticed, as the knee was flexed and supinated, that the ACL was placed in a vulnerable position by being stretched over the inner margin of the lateral femoral condyle.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Notch morphology is a risk factor for ACL injury: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Notch morphology is a risk factor for ACL injury: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

Anatomical Variability of Intercondylar Fossa Geometry in Patients Diagnosed with Primary Anterior Cruciate Ligament Rupture

Zbrojkiewicz

Scholes²,

Zhong³

et al. 2019

Clinical Anatomy

View full text Add to dashboard Cite

The aims of this study were to (1) describe the three-dimensional characteristics and sources of anatomical variability in the geometry of the intercondylar fossa ("notch") in an anterior cruciate ligament (ACL)-injured sample and (2) assess the relationship between patient factors and anatomical variability of the fossa in the context of impingement risk. A retrospective analysis of preoperative magnetic resonance imaging (MRI) for 49 patients with ACL rupture was performed. Scans were examined in the axial plane using an online picture archiving and communication system (PACS) viewer and fossa width and angle assessed at multiple slices, as well as anteroposterior depth, fossa height, and calculated total volume. Principal component analysis was performed to prioritize the sources of variability. A multivariate linear regression was performed to assess relationships between different patient factors, controlling for imaging parameters and principal component loadings. Geometric properties were normally distributed for all but fossa volume, height, and distal angle. Three principal components (PCs) were identified explaining 80% of total variance, shape (PC1), size in the coronal plane (PC2), and size in the sagittal plane (PC3). Patient factors were significantly (P < 0.05) related to PC loadings; however, a substantial amount of variance in each model remained unexplained. Intercondylar fossa characteristics vary considerably within ACL-injury patients with shape and size in coronal and axial planes, explaining most of the variance. Although patient factors are associated with anatomical characteristics, further work is required to identify the correct combination of factors accurately predicting geometry of the fossa for planning ACL reconstruction. Clin. Anat. 33:610-618, 2020.

show abstract

The intercondylar fossa—A narrative review

2021

View full text Add to dashboard Cite

The intercondylar fossa ("intercondylar notch," IN) is a groove at the distal end of the femur, housing important stabilizing structures: cruciate ligaments and meniscofemoral ligaments. As the risk for injury to these structures correlates with changes to the IN, exact knowledge of its morphology, possible physiological and pathological changes and different approaches for evaluating it are important. The divergent ways of assessing the IN and the corresponding measurement methods have led to various descriptions of its possible shapes. Ridges at the medial and lateral wall are considered clinically important because they can help with orientation during arthroscopy, whereas ridges at the osteochondral border could affect the risk of ligament injury. Changes related to aging and sex differences have been documented, further emphasizing the importance of individual assessment of the knee joint. Overall, it is of the utmost importance to remember the interactions between the osseous housing and the structures within.

show abstract

An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width

Cited by 57 publications

References 34 publications

Notch morphology is a risk factor for ACL injury: a systematic review and meta-analysis

Notch morphology is a risk factor for ACL injury: a systematic review and meta-analysis

Anatomical Variability of Intercondylar Fossa Geometry in Patients Diagnosed with Primary Anterior Cruciate Ligament Rupture

The intercondylar fossa—A narrative review

Contact Info

Product

Resources

About