The influence of the morphometric parameters of the intercondylar notch on rupture of the anterior cruciate ligament

Stijak, Lazar; Mališ, Miloš; Maksimović, Ružica; Aksić, Milan; Filipović, Branislav

doi:10.2298/vsp101224012s

Cited by 8 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stijak et al studied gender based variation of femoral notch width and concluded females have narrower notch than men. 10 However, Anderson et al, found no statistically significant difference of NWI between the sexes(11). Domzalski et al, observed NWI with respect to gender did not make a difference, for factor contributing to ACL injuries.…”

Section: Discussionmentioning

confidence: 99%

The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study

Fahim

Dhawan

Jagadeesh

et al. 2021

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Background: ACL injuries are infamously known for disability in young adults and require surgical reconstruction. The need of time is to predict predisposing factors and prevent ACL injuries.The incidence of ACL injuries has been associated with various factors related to the morphology of distal femur and proximal tibia.Hence, purpose of this study was to assess the relationship of morphology of distal femur by assessing Notch Width(NW), Notch Width Index (NWI), and Notch shape calculated preoperatively on MRI in association with an ACL tear. Methods: The following randomized control study had 60 patients enrolled with non contact injury to knee who were equally divided into 2 groups i.e. ACL injury group and control group. ACL group had patients who had MRI proven ACL tear along with clinical findings suggestive of ACL tear whereas control contained patients with intact ACL. Demographic data was collected and NW, NWI and Notch shape were determined on coronal sections of MRI sequences. Results: Positive correlation of ACL tear was seen with NW, BCW, NWI, NWP, and NWJ. Smaller Notch Width showed higher incidence of ACL tear (p ¼ 0.019). The mean NWI in the injured and control knee is 0.31 ± 0.01 and 0.27 ± 0.01 respectively and was statistically significant(p < 0.001). A shaped Notch (60%) was commonly seen in ACL tear group and U shaped notch (73.3%) was commonly seen in control group.We found the cut off value for the prediction of ACL tear of NWI was 0.29 with a sensitivity of 90% and specificity of 86.7%. Conclusion: ACL injuries in the given population have shown higher incidence with narrow femoral intercondylar notch, smaller notch width index, 'A' shaped femoral notch. If any of the above findings are present in the MRI, its important to counsel the subjects about the increased risk of ACL injuries in them and take preventive measures.

show abstract

Section: Discussionmentioning

confidence: 99%

The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study

Fahim

Dhawan

Jagadeesh

et al. 2021

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…Enhanced height of the intercondylar notch and lesser value of the notch shape index were associated with rupture of the ACL in males but not in females (Stijak et al 2012). It has been recently concluded that type A femoral notch appears to be a risk factor for ACL injury, whereas a reduced notch index has no significant correlation to ACL injury (Al-Saeed et al 2013).…”

Section: Radiographic Assessment Of Bone Morphology Risk Factorsmentioning

confidence: 97%

Anterior Cruciate Ligament Injuries Identifiable for Pre-participation Imagiological Analysis: Risk Factors

Pereira¹,

Fernandes²,

Pereira³

et al. 2015

Sports Injuries

View full text Add to dashboard Cite

“…Discriminant analysis showed that the notch width at the inlet could be a predictor of ACL injury (Simon et al 2010). Enhanced height of the intercondylar notch and lesser value of the notch shape index were associated with rupture of the ACL in males but not in females (Stijak et al 2012). It has been recently concluded that type A femoral notch appears to be a risk factor for ACL injury, whereas a reduced notch index has no significant correlation to ACL injury (Al-Saeed et al 2013).…”

Section: Morphologic and Functional Mri Assessment: Pktd ®mentioning

confidence: 99%

ACL Injuries Identifiable for Pre-participation Imagiological Analysis: Risk Factors

et al. 2013

View full text Add to dashboard Cite

Identification of pre-participation risk factors for noncontact anterior cruciate ligament (ACL) injuries has been attracting a great deal of interest in the sports medicine and traumatology communities. Appropriate methods that enable predicting which patients could benefit from preventive strategies are most welcome. This would enable athlete-specific training and conditioning or tailored equipment in order to develop appropriate strategies to reduce incidence of injury. In order to accomplish these goals, the ideal system should be able to assess both anatomic and functional features. Complementarily, the screening method must be cost-effective and suited for widespread application. Anatomic study protocol requiring only standard X rays could answer some of such demands. Dynamic MRI/CT evaluation and electronically assisted pivot-shift evaluation can be powerful tools providing complementary information. These upcoming insights, when validated and properly combined, envision changing pre-participation knee examination in the near future. Herein different methods (validated or under research) aiming to improve the capacity to identify persons/athletes with higher risk for ACL injury are overviewed.

show abstract

The influence of the morphometric parameters of the intercondylar notch on rupture of the anterior cruciate ligament

Abstract: Enhanced height of the intercondylar notch as well as lesser value of the notch shape index are associated with rupture of the ACL in males but not in females.

Cited by 8 publications

References 0 publications

The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study

The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study

Anterior Cruciate Ligament Injuries Identifiable for Pre-participation Imagiological Analysis: Risk Factors

ACL Injuries Identifiable for Pre-participation Imagiological Analysis: Risk Factors

Contact Info

Product

Resources

About