Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size
The intercondylar notch (ICN) and the anterior cruciate ligament (ACL) are important structures in knee morphometry, with key roles in stabilizing the knee. To determine the associations between the specific shape of the ICN (A-, W-, or U-shape) and the ACL size in patients with intact ACLs. Magneti...
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creator | Cernat, Eduard M Dima, Alina Popescu, Claudiu Neagu, Andrei Betianu, Cezar Moga, Marius Manolescu, Loredana Sabina Cornelia Barbilian, Adrian |
description | The intercondylar notch (ICN) and the anterior cruciate ligament (ACL) are important structures in knee morphometry, with key roles in stabilizing the knee.
To determine the associations between the specific shape of the ICN (A-, W-, or U-shape) and the ACL size in patients with intact ACLs.
Magnetic resonance imaging (MRI) scans were independently analyzed by two experts: one orthopedic surgeon and one imaging physician. In all cases, the following measurements were taken based on the existing definitions: ACL area, anterior ICN (aICN) area, ICN width, lateral trochlear inclination (LTI), and Insall-Salvati index.
A total of 65 cases (50.8% male; 33.8 ± 10.2 years mean age at inclusion) were included in the study. The ACL and aICN areas were significantly larger in patients with U-shaped compared with A-shaped and W-shaped ICNs: 0.50 (0.20-0.80) vs. 0.40 (0.20-0.80) vs. 0.40 (0.30-0.80),
= 0.011 and 1.16 (0.57-3.60) vs. 0.47 (0.15-0.95) vs. 0.37 (0.15-0.81),
< 0.001, respectively. Internal meniscal lesions were more common in cases with U-shaped ICNs (64.0%), while external ones were more common in W-shaped ICN cases (35.3%). None of the A-shaped cases had external chondral or meniscal lesions. The ACL area was significantly larger in males and internal meniscal injuries, with no differences between chondral lesions, external meniscal injuries, patellar chondral lesions, patella alta, or trochlear dysplasia.
The specific shape of the intercondylar notch was associated with the anterior cruciate ligament-anterior intercondylar notch (ACL-aICN) area size correlation, with a strong correlation between ACL and aICN area when the intercondylar notch was A-shaped or W-shaped, and a low correlation when the notch was U- shaped. The specific shape of the intercondylar notch (A-, W-, or U-shape) was associated with the occurrence of both internal and external meniscal injuries, with the U-shaped intercondylar notch morphometry being more frequent in cases with internal meniscal injuries and the W-shape being more common in cases with external meniscal injuries. |
doi_str_mv | 10.3390/jcm13020309 |
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To determine the associations between the specific shape of the ICN (A-, W-, or U-shape) and the ACL size in patients with intact ACLs.
Magnetic resonance imaging (MRI) scans were independently analyzed by two experts: one orthopedic surgeon and one imaging physician. In all cases, the following measurements were taken based on the existing definitions: ACL area, anterior ICN (aICN) area, ICN width, lateral trochlear inclination (LTI), and Insall-Salvati index.
A total of 65 cases (50.8% male; 33.8 ± 10.2 years mean age at inclusion) were included in the study. The ACL and aICN areas were significantly larger in patients with U-shaped compared with A-shaped and W-shaped ICNs: 0.50 (0.20-0.80) vs. 0.40 (0.20-0.80) vs. 0.40 (0.30-0.80),
= 0.011 and 1.16 (0.57-3.60) vs. 0.47 (0.15-0.95) vs. 0.37 (0.15-0.81),
< 0.001, respectively. Internal meniscal lesions were more common in cases with U-shaped ICNs (64.0%), while external ones were more common in W-shaped ICN cases (35.3%). None of the A-shaped cases had external chondral or meniscal lesions. The ACL area was significantly larger in males and internal meniscal injuries, with no differences between chondral lesions, external meniscal injuries, patellar chondral lesions, patella alta, or trochlear dysplasia.
The specific shape of the intercondylar notch was associated with the anterior cruciate ligament-anterior intercondylar notch (ACL-aICN) area size correlation, with a strong correlation between ACL and aICN area when the intercondylar notch was A-shaped or W-shaped, and a low correlation when the notch was U- shaped. The specific shape of the intercondylar notch (A-, W-, or U-shape) was associated with the occurrence of both internal and external meniscal injuries, with the U-shaped intercondylar notch morphometry being more frequent in cases with internal meniscal injuries and the W-shape being more common in cases with external meniscal injuries.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13020309</identifier><identifier>PMID: 38256446</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Injuries ; Joint and ligament injuries ; Knee ; Magnetic resonance imaging ; Orthopedics ; Pain ; Variables</subject><ispartof>Journal of clinical medicine, 2024-01, Vol.13 (2), p.309</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-d30f02a115dbc0acfec064616b369768c8a303ff5fe2366cdec4db347d475da3</citedby><cites>FETCH-LOGICAL-c421t-d30f02a115dbc0acfec064616b369768c8a303ff5fe2366cdec4db347d475da3</cites><orcidid>0000-0002-8236-1242 ; 0000-0001-8743-3236 ; 0000-0001-8694-6195</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38256446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cernat, Eduard M</creatorcontrib><creatorcontrib>Dima, Alina</creatorcontrib><creatorcontrib>Popescu, Claudiu</creatorcontrib><creatorcontrib>Neagu, Andrei</creatorcontrib><creatorcontrib>Betianu, Cezar</creatorcontrib><creatorcontrib>Moga, Marius</creatorcontrib><creatorcontrib>Manolescu, Loredana Sabina Cornelia</creatorcontrib><creatorcontrib>Barbilian, Adrian</creatorcontrib><title>Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>The intercondylar notch (ICN) and the anterior cruciate ligament (ACL) are important structures in knee morphometry, with key roles in stabilizing the knee.
To determine the associations between the specific shape of the ICN (A-, W-, or U-shape) and the ACL size in patients with intact ACLs.
Magnetic resonance imaging (MRI) scans were independently analyzed by two experts: one orthopedic surgeon and one imaging physician. In all cases, the following measurements were taken based on the existing definitions: ACL area, anterior ICN (aICN) area, ICN width, lateral trochlear inclination (LTI), and Insall-Salvati index.
A total of 65 cases (50.8% male; 33.8 ± 10.2 years mean age at inclusion) were included in the study. The ACL and aICN areas were significantly larger in patients with U-shaped compared with A-shaped and W-shaped ICNs: 0.50 (0.20-0.80) vs. 0.40 (0.20-0.80) vs. 0.40 (0.30-0.80),
= 0.011 and 1.16 (0.57-3.60) vs. 0.47 (0.15-0.95) vs. 0.37 (0.15-0.81),
< 0.001, respectively. Internal meniscal lesions were more common in cases with U-shaped ICNs (64.0%), while external ones were more common in W-shaped ICN cases (35.3%). None of the A-shaped cases had external chondral or meniscal lesions. The ACL area was significantly larger in males and internal meniscal injuries, with no differences between chondral lesions, external meniscal injuries, patellar chondral lesions, patella alta, or trochlear dysplasia.
The specific shape of the intercondylar notch was associated with the anterior cruciate ligament-anterior intercondylar notch (ACL-aICN) area size correlation, with a strong correlation between ACL and aICN area when the intercondylar notch was A-shaped or W-shaped, and a low correlation when the notch was U- shaped. The specific shape of the intercondylar notch (A-, W-, or U-shape) was associated with the occurrence of both internal and external meniscal injuries, with the U-shaped intercondylar notch morphometry being more frequent in cases with internal meniscal injuries and the W-shape being more common in cases with external meniscal injuries.</description><subject>Injuries</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Magnetic resonance imaging</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Variables</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkc1LAzEQxYMoKurJuwS8CFLNxzZJj6VoFYqCeg9pMtGU3Y1ms0L96039VswcMhN-b3jkIbRPyQnnI3K6sA3lhBFORmtomxEpB4Qrvv6j30J7Xbcg5ShVMSo30RZXbCiqSmwjPW4zpBATvlw1NrZuWZuEr2K2D3gKsYGclji0-AZqk0NscY44PwC-KtMz4C_9JPU2mAx4Fu5NA23Gt-EFdtGGN3UHex_3Dro7P7ubXAxm19PLyXg2sMVSHjhOPGGG0qGbW2KsB0tEJaiYczGSQlllOOHeDz0wLoR1YCs355V0lRw6w3fQ0fvaxxSfeuiybkJnoa5NC7HvNBtRqYTijBb08A-6iH1qi7kVpaSsGFPf1L2pQYfWx5yMXS3VY6lIwegbdfIPVcpBE8pfgg_l_Zfg-F1gU-y6BF4_ptCYtNSU6FWg-keghT74sNrPG3Bf7Gd8_BWUf5lc</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Cernat, Eduard M</creator><creator>Dima, Alina</creator><creator>Popescu, Claudiu</creator><creator>Neagu, Andrei</creator><creator>Betianu, Cezar</creator><creator>Moga, Marius</creator><creator>Manolescu, Loredana Sabina Cornelia</creator><creator>Barbilian, Adrian</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8236-1242</orcidid><orcidid>https://orcid.org/0000-0001-8743-3236</orcidid><orcidid>https://orcid.org/0000-0001-8694-6195</orcidid></search><sort><creationdate>20240101</creationdate><title>Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size</title><author>Cernat, Eduard M ; Dima, Alina ; Popescu, Claudiu ; Neagu, Andrei ; Betianu, Cezar ; Moga, Marius ; Manolescu, Loredana Sabina Cornelia ; Barbilian, Adrian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-d30f02a115dbc0acfec064616b369768c8a303ff5fe2366cdec4db347d475da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Injuries</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Magnetic resonance imaging</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cernat, Eduard M</creatorcontrib><creatorcontrib>Dima, Alina</creatorcontrib><creatorcontrib>Popescu, Claudiu</creatorcontrib><creatorcontrib>Neagu, Andrei</creatorcontrib><creatorcontrib>Betianu, Cezar</creatorcontrib><creatorcontrib>Moga, Marius</creatorcontrib><creatorcontrib>Manolescu, Loredana Sabina Cornelia</creatorcontrib><creatorcontrib>Barbilian, Adrian</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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 Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cernat, Eduard M</au><au>Dima, Alina</au><au>Popescu, Claudiu</au><au>Neagu, Andrei</au><au>Betianu, Cezar</au><au>Moga, Marius</au><au>Manolescu, Loredana Sabina Cornelia</au><au>Barbilian, Adrian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>13</volume><issue>2</issue><spage>309</spage><pages>309-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>The intercondylar notch (ICN) and the anterior cruciate ligament (ACL) are important structures in knee morphometry, with key roles in stabilizing the knee.
To determine the associations between the specific shape of the ICN (A-, W-, or U-shape) and the ACL size in patients with intact ACLs.
Magnetic resonance imaging (MRI) scans were independently analyzed by two experts: one orthopedic surgeon and one imaging physician. In all cases, the following measurements were taken based on the existing definitions: ACL area, anterior ICN (aICN) area, ICN width, lateral trochlear inclination (LTI), and Insall-Salvati index.
A total of 65 cases (50.8% male; 33.8 ± 10.2 years mean age at inclusion) were included in the study. The ACL and aICN areas were significantly larger in patients with U-shaped compared with A-shaped and W-shaped ICNs: 0.50 (0.20-0.80) vs. 0.40 (0.20-0.80) vs. 0.40 (0.30-0.80),
= 0.011 and 1.16 (0.57-3.60) vs. 0.47 (0.15-0.95) vs. 0.37 (0.15-0.81),
< 0.001, respectively. Internal meniscal lesions were more common in cases with U-shaped ICNs (64.0%), while external ones were more common in W-shaped ICN cases (35.3%). None of the A-shaped cases had external chondral or meniscal lesions. The ACL area was significantly larger in males and internal meniscal injuries, with no differences between chondral lesions, external meniscal injuries, patellar chondral lesions, patella alta, or trochlear dysplasia.
The specific shape of the intercondylar notch was associated with the anterior cruciate ligament-anterior intercondylar notch (ACL-aICN) area size correlation, with a strong correlation between ACL and aICN area when the intercondylar notch was A-shaped or W-shaped, and a low correlation when the notch was U- shaped. The specific shape of the intercondylar notch (A-, W-, or U-shape) was associated with the occurrence of both internal and external meniscal injuries, with the U-shaped intercondylar notch morphometry being more frequent in cases with internal meniscal injuries and the W-shape being more common in cases with external meniscal injuries.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38256446</pmid><doi>10.3390/jcm13020309</doi><orcidid>https://orcid.org/0000-0002-8236-1242</orcidid><orcidid>https://orcid.org/0000-0001-8743-3236</orcidid><orcidid>https://orcid.org/0000-0001-8694-6195</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Injuries Joint and ligament injuries Knee Magnetic resonance imaging Orthopedics Pain Variables |
title | Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size |
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