Bone Morphological Characteristics as Risk Factors for Anterior Cruciate Ligament Injury: Comparison Between Contact and Noncontact Injury

Choi, Nam-Hong; Lee, Dong Min; Victoroff, Brian N.

doi:10.1177/23259671231179757

Cited by 7 publications

(4 citation statements)

References 27 publications

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“…Similar to PTS, intercondylar notch parameters have been extensively studied as a risk factor in the context of ACL injuries. In the ACL, more narrow intercondylar notches may contribute to the impingement of the ligament [45,46]. Additionally, it is postulated that smaller notches result in a smaller cruciate ligament, decreasing the amount of loading force that can be withstood [16].…”

Section: Discussionmentioning

confidence: 99%

Decreased posterior tibial slope is a risk factor for primary posterior cruciate ligament rupture and posterior cruciate ligament reconstruction failure: A systematic review

Nedaie,

Vivekanantha,

O'Hara

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo determine bony knee morphological factors associated with primary posterior cruciate ligament (PCL) rupture or PCL graft failure after PCL reconstruction.MethodsThree databases, namely MEDLINE, PubMed and EMBASE, were searched on 30th May 2023. The authors adhered to the PRISMA and R‐AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data such as receiver operating characteristic curve parameters, as well as p‐values for comparisons of values between patients with PCL pathology and control patients, were recorded.ResultsNine studies comprising 1054 patients were included. Four studies reported that patients with PCL injury had flatter medial posterior tibial slopes (MTS) than controls, with mean values of 4.3 (range: 3.0–7.0) and 6.5 (range: 5.0–9.2) degrees, respectively. Two studies reported an MTS cutoff value ranging below 3.90–3.93° being a significant risk factor for primary PCL rupture or PCL graft failure. Two studies reported that shallow medial tibial depths were associated with primary PCL rupture, with mean values of 2.1 (range: 2.0–2.2) and 2.6 (range: 2.4–2.7) mm in PCL injury and control groups, respectively. Stenotic intercondylar notches and femoral condylar width were not consistently associated with PCL injuries.ConclusionDecreased MTS is associated with primary PCL rupture and graft failure after PCL reconstruction with values below 3.93° being considered as a significant risk factor. Less common risk factors include shallow medial tibial depth, while femoral condylar width and parameters with regards to the intercondylar notch, such as notch width, notch width index and intercondylar notch volume, demonstrated conflicting associations with primary or secondary PCL injuries.Level of EvidenceLevel III.

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Section: Discussionmentioning

confidence: 99%

Decreased posterior tibial slope is a risk factor for primary posterior cruciate ligament rupture and posterior cruciate ligament reconstruction failure: A systematic review

Nedaie,

Vivekanantha,

O'Hara

et al. 2024

Knee surg. sports traumatol. arthrosc.

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“…A large knee valgus angle during cutting has been identified as a risk factor for ACL injuries [ 54 ]. An important takeaway from this study is that KT significantly reduces the knee valgus angle compared to NT in ACLR athletes during 90° cutting.…”

Section: Discussionmentioning

confidence: 99%

Effects of Kinesio taping on lower limb biomechanical characteristics during the cutting maneuver in athletes after anterior cruciate ligament reconstruction

Zhang,

Wang,

Liu

et al. 2024

PLoS ONE

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Purpose To determine the effects of Kinesio taping (KT) on the biomechanical characteristics of the lower limbs during the 90° cutting maneuver in anterior cruciate ligament (ACL) reconstruction (ACLR) athletes. Method Eighteen ACLR athletes were recruited and subjected randomly to three taping conditions, KT, placebo taping (PT), and no taping (NT), followed by a 90° cutting test. A nine-camera infrared high-speed motion capture system (Vicon, T40, 200 Hz) was used to record the kinematic parameters of the lower limbs during the cutting maneuver, and a three-dimensional dynamometer (Kistler, 1000 Hz) was used to record the kinetic parameters of the lower limbs. A one-way repeated measures analysis of variance was conducted to compare the differences in the lower limb kinematic and kinetic characteristics of ACLR athletes subjected to these interventions. Results During the landing phase, the knee valgus angle reduced significantly with KT than with NT (95% confidence interval = −1.399 to −0.154; P = 0.025), whereas no significant difference was observed between PT and NT (95% confidence interval = −1.251 to 0.217; P = 0.236). No significant differences were observed in the other kinematic variables among the three taping conditions (P > 0.05). During the landing phase, no significant differences in the kinetic variables were observed among the three taping conditions (P > 0.05). Conclusions Although KT does not improve the kinetic variables of athletes after ACLR during the 90° cutting maneuver, it reduces the knee valgus angle, which could reduce the risk of secondary ACL injury.

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“…In human ACL injury, the most common mechanism of injury is sudden pivoting or cutting maneuver which often occur during sports such as soccer, basketball, and football. Non-contact injury is also reported, with risk factors associated with tearing of the ACL including sex (female > male), and numerous bone morphologic characteristics such as lateral femoral condylar ratio, notch width index, and lateral posterior tibial slope ( 17 ). In dogs, one study found an association between tibial anatomical-mechanical axis angle and CCL injury ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for the development of stifle injuries in canine agility athletes

Kieves,

Shoben,

Markley

2024

Front. Vet. Sci.

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ObjectivesOur aim was to determine risk factors for developing stifle injuries in canine agility athletes. We hypothesized that increased weight, increased frequency of competing, and greater number of runs/day would increase risk.Study designInternet based survey, n = 4,197.MethodsIndividuals with at least one dog who had competed in agility in the past 3 years were eligible. Injury history was defined as an injury to the stifle that kept the dog from participating in agility for >1 week. Logistic regression models were used to estimate associations between variables of interest and injury history.ResultsHandlers of 216 dogs reported a history of injury. The majority were cranial cruciate ligament (CCL) injury (101/216), and patella luxation (40/216). In the final model, five variables were independently associated with odds of stifle injury (in addition to age). Heavier dogs (adjusted for height), Border Collies, male dogs neutered <10 months, female dogs spayed before their first heat cycle, handlers aged 18–24, and teeter contact behavior were associated with increased risk.ConclusionHeavier dogs were more likely to report injury, but there was no association with injury and increased number of competition days, or runs/day. The Border Collie breed was at the highest risk of injury. There was substantial risk for stifle injury with early spay/neuter. Additionally, a significant increase in risk of injury was reported for younger (18–24) vs. older handlers (65+). Athlete fitness level, conformation, and genetic predisposition to injury may play the most significant role in the development of injury.

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Bone Morphological Characteristics as Risk Factors for Anterior Cruciate Ligament Injury: Comparison Between Contact and Noncontact Injury

Cited by 7 publications

References 27 publications

Decreased posterior tibial slope is a risk factor for primary posterior cruciate ligament rupture and posterior cruciate ligament reconstruction failure: A systematic review

Decreased posterior tibial slope is a risk factor for primary posterior cruciate ligament rupture and posterior cruciate ligament reconstruction failure: A systematic review

Effects of Kinesio taping on lower limb biomechanical characteristics during the cutting maneuver in athletes after anterior cruciate ligament reconstruction

Risk factors for the development of stifle injuries in canine agility athletes

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