A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch
Objective To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury. Materials and methods Three hundred individuals in total were...
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| Veröffentlicht in: | Skeletal radiology 2020-01, Vol.49 (1), p.75-83 |
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| creator | Zhang, Chengyuan Xie, Guoming Dong, Shikui Chen, Chang’an Peng, Xiaochun Yuan, Feng Zhao, Jinzhong |
| description | Objective
To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury.
Materials and methods
Three hundred individuals in total were included in our study, including 150 patients with ACL ruptures (75 males and 75 females) and 150 age- and gender-matched individuals without ACL ruptures. The notches were divided into four types according to the notch widths at the notch inlet, outlet, and ACL attachment based on the preoperative MRI, the notch volume was calculated, and the risk of ACL injury was compared. The surgical records were reviewed and whether these cases performed notchplasty were collected.
Results
The inlet-and-outlet stenosis notch type was associated with smaller notch volume (
P
= 0.007) and a higher risk of ACL injury (
P
|
| doi_str_mv | 10.1007/s00256-019-03255-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2317584398</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A731361402</galeid><sourcerecordid>A731361402</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-4a2a177d05c3d858ebddba96a9ed378734d9277f55ec1aedee7fc5656f4a10c83</originalsourceid><addsrcrecordid>eNp9kt1qVDEUhYModqy-gBcS8KY3p-Y_Od4NxZ9CRRC9DplkZyblnJMxOVPoE_jazTjVopQhF8nO_tZib1gIvabknBKi31VCmFQdoX1HOJOyE0_QggrOOkYVfYoWhCvRMS7MCXpR6zUhVGupnqMTTpkg3NAF-rXEU76BAY-5bDd5yOvk3YD94GpNsb3nlCccc8HzBnCEhrX2lGe_wStXIeDW_vLt8j12uKZxOwB2U8AQI_g53bSqVqh1hGnGI8ybHB43e4meRTdUeHV_n6IfHz98v_jcXX39dHmxvOq86M3cCcdcWyIQ6Xkw0sAqhJXrleshcG00F6FnWkcpwVMHAUBHL5VUUThKvOGn6Ozguy355w7qbMdUPQyDmyDvqmWcamkE7_fo2__Q67wrU5vOMi2l0kLS_ijFaSOM0ce9mFCS94qoB2rtBrBpinkuzu8HtEvNKVdUENao80eodgKMyecJYmr__wjYQeBLrrVAtNuSRlduLSV2nyR7SJJtSbK_k2RFE725n3i3GiH8lfyJTgP4AaitNa2hPKx0xPYOlIXRhg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2246539606</pqid></control><display><type>article</type><title>A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch</title><source>SpringerLink</source><creator>Zhang, Chengyuan ; Xie, Guoming ; Dong, Shikui ; Chen, Chang’an ; Peng, Xiaochun ; Yuan, Feng ; Zhao, Jinzhong</creator><creatorcontrib>Zhang, Chengyuan ; Xie, Guoming ; Dong, Shikui ; Chen, Chang’an ; Peng, Xiaochun ; Yuan, Feng ; Zhao, Jinzhong</creatorcontrib><description>Objective
To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury.
Materials and methods
Three hundred individuals in total were included in our study, including 150 patients with ACL ruptures (75 males and 75 females) and 150 age- and gender-matched individuals without ACL ruptures. The notches were divided into four types according to the notch widths at the notch inlet, outlet, and ACL attachment based on the preoperative MRI, the notch volume was calculated, and the risk of ACL injury was compared. The surgical records were reviewed and whether these cases performed notchplasty were collected.
Results
The inlet-and-outlet stenosis notch type was associated with smaller notch volume (
P
= 0.007) and a higher risk of ACL injury (
P
< 0.001). There were no significant differences in morphological distribution between males and females. The rate of notchplasty in inlet-and-outlet stenosis type was higher than the others.
Conclusions
The new morphological classification method efficiently reflected the association of the notch shape with the 3D notch volume and the risk of ACL injury. The knees with the inlet-and-outlet stenosis notch type and smaller notch volume tended to have a higher risk of ACL injury.
Level of evidence
Level III, case-control study.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-019-03255-4</identifier><identifier>PMID: 31240381</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anterior cruciate ligament ; Classification ; Females ; Femur ; Imaging ; Injuries ; Joint and ligament injuries ; Knee ; Ligaments ; Magnetic resonance imaging ; Males ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Methods ; Morphology ; Notches ; Nuclear Medicine ; Orthopedics ; Pathology ; Radiology ; Risk ; Scientific Article ; Stenosis</subject><ispartof>Skeletal radiology, 2020-01, Vol.49 (1), p.75-83</ispartof><rights>ISS 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Skeletal Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>ISS 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-4a2a177d05c3d858ebddba96a9ed378734d9277f55ec1aedee7fc5656f4a10c83</citedby><cites>FETCH-LOGICAL-c498t-4a2a177d05c3d858ebddba96a9ed378734d9277f55ec1aedee7fc5656f4a10c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-019-03255-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-019-03255-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31240381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Chengyuan</creatorcontrib><creatorcontrib>Xie, Guoming</creatorcontrib><creatorcontrib>Dong, Shikui</creatorcontrib><creatorcontrib>Chen, Chang’an</creatorcontrib><creatorcontrib>Peng, Xiaochun</creatorcontrib><creatorcontrib>Yuan, Feng</creatorcontrib><creatorcontrib>Zhao, Jinzhong</creatorcontrib><title>A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Objective
To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury.
Materials and methods
Three hundred individuals in total were included in our study, including 150 patients with ACL ruptures (75 males and 75 females) and 150 age- and gender-matched individuals without ACL ruptures. The notches were divided into four types according to the notch widths at the notch inlet, outlet, and ACL attachment based on the preoperative MRI, the notch volume was calculated, and the risk of ACL injury was compared. The surgical records were reviewed and whether these cases performed notchplasty were collected.
Results
The inlet-and-outlet stenosis notch type was associated with smaller notch volume (
P
= 0.007) and a higher risk of ACL injury (
P
< 0.001). There were no significant differences in morphological distribution between males and females. The rate of notchplasty in inlet-and-outlet stenosis type was higher than the others.
Conclusions
The new morphological classification method efficiently reflected the association of the notch shape with the 3D notch volume and the risk of ACL injury. The knees with the inlet-and-outlet stenosis notch type and smaller notch volume tended to have a higher risk of ACL injury.
Level of evidence
Level III, case-control study.</description><subject>Anterior cruciate ligament</subject><subject>Classification</subject><subject>Females</subject><subject>Femur</subject><subject>Imaging</subject><subject>Injuries</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Magnetic resonance imaging</subject><subject>Males</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Methods</subject><subject>Morphology</subject><subject>Notches</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Radiology</subject><subject>Risk</subject><subject>Scientific Article</subject><subject>Stenosis</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kt1qVDEUhYModqy-gBcS8KY3p-Y_Od4NxZ9CRRC9DplkZyblnJMxOVPoE_jazTjVopQhF8nO_tZib1gIvabknBKi31VCmFQdoX1HOJOyE0_QggrOOkYVfYoWhCvRMS7MCXpR6zUhVGupnqMTTpkg3NAF-rXEU76BAY-5bDd5yOvk3YD94GpNsb3nlCccc8HzBnCEhrX2lGe_wStXIeDW_vLt8j12uKZxOwB2U8AQI_g53bSqVqh1hGnGI8ybHB43e4meRTdUeHV_n6IfHz98v_jcXX39dHmxvOq86M3cCcdcWyIQ6Xkw0sAqhJXrleshcG00F6FnWkcpwVMHAUBHL5VUUThKvOGn6Ozguy355w7qbMdUPQyDmyDvqmWcamkE7_fo2__Q67wrU5vOMi2l0kLS_ijFaSOM0ce9mFCS94qoB2rtBrBpinkuzu8HtEvNKVdUENao80eodgKMyecJYmr__wjYQeBLrrVAtNuSRlduLSV2nyR7SJJtSbK_k2RFE725n3i3GiH8lfyJTgP4AaitNa2hPKx0xPYOlIXRhg</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Zhang, Chengyuan</creator><creator>Xie, Guoming</creator><creator>Dong, Shikui</creator><creator>Chen, Chang’an</creator><creator>Peng, Xiaochun</creator><creator>Yuan, Feng</creator><creator>Zhao, Jinzhong</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200101</creationdate><title>A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch</title><author>Zhang, Chengyuan ; Xie, Guoming ; Dong, Shikui ; Chen, Chang’an ; Peng, Xiaochun ; Yuan, Feng ; Zhao, Jinzhong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-4a2a177d05c3d858ebddba96a9ed378734d9277f55ec1aedee7fc5656f4a10c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anterior cruciate ligament</topic><topic>Classification</topic><topic>Females</topic><topic>Femur</topic><topic>Imaging</topic><topic>Injuries</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Magnetic resonance imaging</topic><topic>Males</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Methods</topic><topic>Morphology</topic><topic>Notches</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Radiology</topic><topic>Risk</topic><topic>Scientific Article</topic><topic>Stenosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Chengyuan</creatorcontrib><creatorcontrib>Xie, Guoming</creatorcontrib><creatorcontrib>Dong, Shikui</creatorcontrib><creatorcontrib>Chen, Chang’an</creatorcontrib><creatorcontrib>Peng, Xiaochun</creatorcontrib><creatorcontrib>Yuan, Feng</creatorcontrib><creatorcontrib>Zhao, Jinzhong</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Chengyuan</au><au>Xie, Guoming</au><au>Dong, Shikui</au><au>Chen, Chang’an</au><au>Peng, Xiaochun</au><au>Yuan, Feng</au><au>Zhao, Jinzhong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>49</volume><issue>1</issue><spage>75</spage><epage>83</epage><pages>75-83</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Objective
To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury.
Materials and methods
Three hundred individuals in total were included in our study, including 150 patients with ACL ruptures (75 males and 75 females) and 150 age- and gender-matched individuals without ACL ruptures. The notches were divided into four types according to the notch widths at the notch inlet, outlet, and ACL attachment based on the preoperative MRI, the notch volume was calculated, and the risk of ACL injury was compared. The surgical records were reviewed and whether these cases performed notchplasty were collected.
Results
The inlet-and-outlet stenosis notch type was associated with smaller notch volume (
P
= 0.007) and a higher risk of ACL injury (
P
< 0.001). There were no significant differences in morphological distribution between males and females. The rate of notchplasty in inlet-and-outlet stenosis type was higher than the others.
Conclusions
The new morphological classification method efficiently reflected the association of the notch shape with the 3D notch volume and the risk of ACL injury. The knees with the inlet-and-outlet stenosis notch type and smaller notch volume tended to have a higher risk of ACL injury.
Level of evidence
Level III, case-control study.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31240381</pmid><doi>10.1007/s00256-019-03255-4</doi><tpages>9</tpages></addata></record> |
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| ispartof | Skeletal radiology, 2020-01, Vol.49 (1), p.75-83 |
| issn | 0364-2348 1432-2161 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2317584398 |
| source | SpringerLink |
| subjects | Anterior cruciate ligament Classification Females Femur Imaging Injuries Joint and ligament injuries Knee Ligaments Magnetic resonance imaging Males Medical research Medicine Medicine & Public Health Medicine, Experimental Methods Morphology Notches Nuclear Medicine Orthopedics Pathology Radiology Risk Scientific Article Stenosis |
| title | A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch |
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