Knee morphology and risk factors for developing an anterior cruciate ligament rupture: an MRI comparison between ACL-ruptured and non-injured knees

Diek, Floor M. van; Wolf, Megan; Eck, Carola F. van; Fu, Freddie H.

doi:10.1007/s00167-013-2588-7

Cited by 40 publications

(69 citation statements)

References 39 publications

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“…12,15,19 The absolute values of notch width and notch width index found in our investigation were similar to those in the previous literature on ACL-injured patients (Table 3). 12,[18][19][20]25,26 However, the control patients in this study had notch width index values similar to those of injured patients in previous studies (i.e., close to 0.25). 26 The principal hypothesis of this study was that ACL injuries would be …”

Section: Discussionsupporting

confidence: 82%

“…4,6,30-32 However, our investigation was not able to show any difference in these parameters. Van Diek et al 25 did not find significant differences in lateral condylar width in male patients, but they did find significant differences in female patients. Nonetheless, injured female patients had a larger lateral condylar width than uninjured individuals.…”

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 86%

“…However, the findings of our study go against this hypothesis because the risk was significantly increased with a lower angle of anterior tibial slope. Van Diek et al 25 were not able to find differences in ACL inclination angle between injured and uninjured individuals. No clear explanation was found for the differences in anterior tibial slope between the groups.…”

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 87%

“…15 The relevance of both parameters in terms of the risk of ACL injury in male patients is controversial. 7 Some studies have found that notch width has no influence, 18,20,25 whereas others have found that a narrow intercondylar notch increases the risk of ACL injury in male patients (Table 3). 12,15,19 The absolute values of notch width and notch width index found in our investigation were similar to those in the previous literature on ACL-injured patients (Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, injured female patients had a larger lateral condylar width than uninjured individuals. 25 The influence of lateral condylar width on the risk of ACL injury needs to be better defined in further investigations.…”

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 99%

See 4 more Smart Citations

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

Pelfort

Mingo

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionsupporting

confidence: 82%

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 86%

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Narrow Notch Angle and Acl Injurymentioning

confidence: 99%

See 3 more Smart Citations

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

Pelfort

Mingo

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Motion of the anterior cruciate ligament during internal and external rotation at the knee: A cadaveric study

et al. 2017

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Despite advances in our understanding of anterior cruciate ligament (ACL) anatomy and function, the change in position of the ACL during tibial rotation is not well understood. The purpose of this study was to quantify and compare the movements of the anteromedial (AM) and posterolateral (PL) bundles of the ACL during 15° of medial and lateral rotation (with & without a shear force). Cadaveric knees (12 male/12 female) were dissected and mounted at 90° of knee flexion. Anthropometric features of the ACL and distal femur were recorded, and each bundle was marked at: femoral attachment (FA), midpoint of ligament (MP), and tibial attachment (TA). Digital images of ACL motion in the frontal plane were taken as the tibia was rotated about a fixed femur. Using digitizing software, the change in position of the markers was quantified. Measurements suggested the ACL pattern of motion was consistent between sexes, regardless of shear force. The greatest amount of movement of both the AM and PM bundles occurred at the TA marker. The FA marker moved more during medial rotation, and the MP and TA markers moved more with lateral rotation. The 20 lb-shear force affected medial rotation most. This study is the first to quantify movement of the ACL during medial and lateral tibial rotation. Data should assist surgeons to select a graft position that is capable of replicating the rotational movement of the native ACL, and help improve three-dimensional stability of the ACL reconstructed knee. Clin. Anat. 30:861-867, 2017. © 2017 Wiley Periodicals, Inc.

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The intercondylar fossa—A narrative review

2021

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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.

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Knee morphology and risk factors for developing an anterior cruciate ligament rupture: an MRI comparison between ACL-ruptured and non-injured knees

Abstract: Case-Control study, Level III.

Cited by 40 publications

References 39 publications

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

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

Motion of the anterior cruciate ligament during internal and external rotation at the knee: A cadaveric study

The intercondylar fossa—A narrative review

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