The geometric features of tibiofemoral joint associated with anterior cruciate ligament injury: Reliability of measurements on conventional MRI

Milani, Ali Akhavi; Khanamiri, Mina Motallebzadeh; Mahmoudpour, Masoud

doi:10.1016/j.ejro.2022.100420

Cited by 3 publications

(5 citation statements)

References 27 publications

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“…In another study, it was revealed that the relationship between medial plateau depth and ACL rupture was a risk factor only for women. 16 Unlike these studies, Akhavi Milani et al 2 found no statistical relationship between medial tibial plateau depth and noncontact ACL injury, although they conducted their study in an adolescent population.…”

Section: Discussionmentioning

confidence: 93%

“…Tibiofemoral joint geometry is crucial for knee kinematics and therefore ACL kinematics and structure, and one of the tibiofemoral joint components is medial tibial plateau depth. 2 Hashemi et al 13 concluded in a study based on MRI that a shallow medial plateau depth constituted a risk factor for ACL rupture. In another study, it was revealed that the relationship between medial plateau depth and ACL rupture was a risk factor only for women.…”

Section: Discussionmentioning

confidence: 99%

“…The angle made by this line and the joint line was recorded as eminence angle 2. The technique of Akhavi Milani et al 2 was used to measure the medial tibial plateau depth.…”

Section: Methodsmentioning

confidence: 99%

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Investigation of Morphometric Factors Associated With Adolescent ACL Rupture

Akcaalan,

Kavaklilar,

Caglar

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: There are no definitive anatomic morphometric risk factors for adolescent anterior cruciate ligament (ACL) injury. Purpose: To compare the parameters used to define the tibial and femoral morphometric structure of the knee between adolescent patients with and without ACL rupture. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Included were magnetic resonance imaging (MRI) scans and radiographs of 115 patients aged 10 to 17 years who were evaluated for ACL rupture at a single institution between February 1, 2019, and January 31, 2022. Images from 115 patients with intact MRI scans were included as controls. We investigated the following imaging parameters: tibial slope (on lateral radiograph), lateral condylar height, tibial sulcus height, medial condylar height, condylar width, intercondylar notch with, intercondylar notch angle, notch index, eminence width, tibial plateau width, eminence width/tibial plateau width, medial/lateral/overall eminence height, medial plateau depth, and 2 different eminence angles. Parameters were compared between groups using the chi-square, Fisher exact, Student t, or Mann-Whitney U test, as appropriate. Receiver operating characteristic analysis was conducted for cutoff values of significant parameters. Results: There were no significant differences in age, sex, or side affected between groups. Only the medial plateau depth was found to be statistically significant between the ACL rupture and ACL intact groups (2.6 vs 2.2 mm; P = .015). A statistically significant cutoff value could not be obtained for the medial plateau depth. Conclusion: Medial plateau depth was found to be significantly greater in adolescent patients with ACL rupture compared with ACL-intact controls.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Investigation of Morphometric Factors Associated With Adolescent ACL Rupture

Akcaalan,

Kavaklilar,

Caglar

et al. 2023

Orthopaedic Journal of Sports Medicine

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“…NW was measured on this line at the same time. The NH was measured as the distance between the highest point of the intercondylar notch and the line [1, 31] (Supplement Fig. 3).…”

Section: Methodsmentioning

confidence: 99%

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Luo

Rothrauff

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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PurposeThis study aimed to determine the correlation between the intraoperative diameter of double‐stranded peroneus longus tendon (2PLT) and length of the PLT autograft and preoperative ultrasound (US) measurements, as well as radiographic and anthropometric measurements. The hypothesis was that US can accurately predict the diameter of 2PLT autografts during operation. MethodsTwenty‐six patients underwent ligament reconstruction with 2PLT autografts were included. Preoperative US was used to calculate the in situ PLT cross‐sectional area (CSA) at seven levels (0, 1, 2, 3, 4, 5, 10 cm proximal to the harvest start point). Femoral width, notch width, notch height, maximum patellar length, and patellar tendon length were determined on preoperative radiographs. Intraoperative measurements of PLT were made, including all fiber lengths of PLT and diameters of 2PLT using sizing tubes calibrated to 0.5 mm. ResultsCSA at 1 cm proximal to the harvest site had the highest correlation with the diameter of 2PLT (r = 0.84, P < 0.001). Calf length had the highest correlation with PLT length (r = 0.65, P < 0.001). The diameter of the 2PLT autografts could be predicted by the following formula: 4.6 + 0.2 × [sonographic CSA of PLT at 1 cm level]; the length of PLT could be predicted by the following formula: 5.6 + 0.5 × Calf length. ConclusionThe diameter of 2PLT and length of PLT autografts can be accurately predicted by preoperative US and calf length measurements, respectively. Accurate preoperative prediction of the diameter and length of autologous grafts can provide the most suitable and individualized graft for patients. Level of evidenceIV.

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“…According to Anderson et al, only 6% of the normal knees had a wave-shape notch.However,35% of unilateral ACL injured patients had the wave-shape notch [8].The reason why the result of different authors seems to be controversial is varying measurement techniques and the reliability of these techniques. In conclusion, it still needs further researches.…”

Section: Intercondylar Notchmentioning

confidence: 99%

Research Progress in Pathogenesis and Treatment of the Anterior Cruciate Ligament Injury

Shen

2023

TNS

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With the continuous development of the sports in China, sports trauma is also on the rise year by year, of which the former cruciate ligament injury is quite common. Anterior cruciate ligament (ACL), one of the two main types of intraarticular fibrous ligament, it can provide the rotational and translational stability for the knee. When it injurys, patients' exercise ability and life well-being will decline, and even lead to a series of complications, especially in women. The risk of the ACL injury in the women is almost 3.5 times that in men. There are many factors leading to ACL injury. Studies have shown that after anterior cruciate ligament injury, most patients choose surgical treatment. With the development of the Arthroscopic technique, most of the patients would be likely to choose the surgical treatment, especially the people that are young and active. The surgical treatment have several advantages, like the post-operative recovery is fast, less traumatic, fewer complications. At present, the surgical treatment is mainly reconstruction under arthroscopy. The reconstruction materials include autografts, allografts, artificial ligaments and so on. It is necessary to understand the difference of biochemical and biological characteristics of different grafts in the process of ligament healing. For some elderly patients or patients with other special needs, non-surgical treatment can also be selected. This article reviews the pathogenic factors, surgical methods, grafts, and other aspects for clinical reference.

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The geometric features of tibiofemoral joint associated with anterior cruciate ligament injury: Reliability of measurements on conventional MRI

Cited by 3 publications

References 27 publications

Investigation of Morphometric Factors Associated With Adolescent ACL Rupture

Investigation of Morphometric Factors Associated With Adolescent ACL Rupture

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Research Progress in Pathogenesis and Treatment of the Anterior Cruciate Ligament Injury

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