Intercondylar notch morphometrics in Indian population: An anthropometric study with magnetic resonance imaging analysis

Balgovind, S. Raja; Raunak, Bhole; Akshay, Anusree

doi:10.1016/j.jcot.2018.07.001

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…17 Balgovind et al in their study done on south population of India and concluded the cut off value for NWI (MRI) as 0.258 in axial images, 0.254 in coronal images. 18 In our study the cut off values of NSI and NDI were 0.662 and 0.472 for discriminating ACL injuries. In previous studies, Wada et al discovered the NDI (MRI) cut off value as 0.55.…”

Section: Discussionmentioning

confidence: 45%

An anthropometric study of intercondylar femur notch with MRI analysis

Patidar,

Arora,

Sharma

et al. 2023

Int J Res Orthop

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Background: Anterior cruciate ligament is the most common ligament injury of knee. The bony anatomy of femur and tibia is responsible for normal knee kinematics and static stability. Intercondylar notch dimensions is considered as a significant predictive risk factor for ACL tear. Narrow femoral intercondylar notch width in either sex were major correlating factors. Aim was to evaluate the intercondylar femur notch dimensions in patients of knee injury using magnetic resonance imaging at RD Gardi Medical College, Ujjain, Madhya Pradesh. Methods: This is a prospective study consist of 400 patients carried out from October 2020 to August 2022 in the Department of Orthopaedics, RDGMC Ujjain. All the patients of knee injury including ACL tear and age 18 years to 60 years are included in the study. Patient less than 18 years and more than 60 years were excluded from the study. Dicom radiant software is used as statistical tool to analyse the data. Various intercondylar notch dimensions in different sections are measured using MRI in the dicom software. Results: The cut off values of axial NWI, NSI, NDI as 0.238, 0.662, 0.472 respectively. Conclusions: We conclude that narrow femoral intercondylar notch, lower notch width index increases the risk of an ACL tear in the given population. This would help in identification of people at risk for ACL injuries. Our study provides a comprehensive analysis on the risk factor of ACL tear, which would help in betterment of the patients at danger for anterior cruciate ligament injury. People with decreased notch dimensions should be educated on the high risk of ACL tear and be given proper prophylactic precautions.

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Section: Discussionmentioning

confidence: 45%

An anthropometric study of intercondylar femur notch with MRI analysis

Patidar,

Arora,

Sharma

et al. 2023

Int J Res Orthop

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“…Studies have suggested that a narrower notch may contribute to a higher risk of ACL injuries by creating a constricted space for ligament movement, leading to increased friction and wear [11][12][13]. Also, there have been radiological as well as anthropometric studies on the Indian population that have noted similar findings [8,14]. Fahim et al noted a notch width of 19.9 mm ± 1.7 mm in the case group and 21.1 mm ± 1.9 mm in the control group; a NWI of 0.27 ± 0.01 in the case group; and 0.31 ± 0.01 in the control group [8].…”

Section: Discussionmentioning

confidence: 89%

Magnetic Resonance Imaging-Based Morphometric Analyses of the Bicruciate Injury of the Knee: Is There a Clue in the Distal Femur?

Misbah,

Sharma,

Faizal

et al. 2024

Cureus

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Background: The morphology of the distal femur's intercondylar notch has been implicated in the susceptibility to and severity of cruciate ligament injuries. While previous research has primarily focused on isolated anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) injuries, the relationship between notch morphology and combined cruciate injuries remains less understood. Objective: This study aimed to explore the association between femoral notch morphology and the severity of combined cruciate ligament injuries in adult males. Methods: In this retrospective cohort study, MRI scans from 118 adult male participants with and without knee dislocations (60 cases with Schenk classification Type II or higher knee dislocations and 58 controls) were analyzed. The study period ranged from 2015 to 2023. Femoral notch width, notch width index (NWI), and notch shape (U shape, A shape) were assessed using a Philips Multiva 1.5 Tesla system (Philips, Amsterdam, Netherlands). The statistical significance of differences in measurements between cases and controls was evaluated using independent sample t-tests performed with IBM SPSS Statistics, version 26 (IBM Corp., Armonk, NY). Results: The case group exhibited a significantly smaller mean femoral notch width (15.88 mm ± 2.7 mm) and NWI (0.238 ± 0.58) compared to the control group (notch width 18.29 mm ± 3.4 mm, NWI 0.25 ± 0.31), with p-values of 0.004 for both measurements. The notch shape was predominantly A-shaped in the case group (n = 49) as opposed to U-shaped in the control group (n = 41). Conclusions: The study identifies a significant association between reduced femoral notch dimensions and the severity of complex cruciate ligament injuries. These findings support the notion that specific femoral notch morphologies may predispose individuals to more severe ligamentous injuries.

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“…Of the ligaments in the knee joint, the anterior cruciate ligament (ACL) is the most commonly injured [19,20,25]. Intercondylar notch dimensions are considered as a significant predictive risk factor for ACL injury [5]. The meniscofemoral ligaments (MFLs) connect the posterior horn of the lateral meniscus to the intercondylar aspect of the medial femoral condyle, or to the posterior cruciate ligament [23].…”

Section: Introductionmentioning

confidence: 99%