Evidence map›Paper›PMID 26535388›Full record

ArticleOrthopaedic journal of sports medicine2015

The Importance of the Intercondylar Notch in Anterior Cruciate Ligament Tears.

Tomás Fernández-Jaén, Juan Manuel López-Alcorocho, Elena Rodriguez-Iñigo, Fabián Castellán, Juan Carlos Hernández, Pedro Guillén-García

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tomás Fernández-JaénUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain. ; Cátedra de Traumatología del Deporte, Facultad de Medicina, Universidad Católica de Murcia, Murcia, Spain.
Juan Manuel López-AlcorochoUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain.
Elena Rodriguez-IñigoUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain.
Fabián CastellánUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain. ; Departamento de Traumatología, Hospital Universitario Reina Fabiola, Córdoba, Argentina.
Juan Carlos HernándezUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain.
Pedro Guillén-GarcíaUnidad de Investigación Biomédica, Clínica CEMTRO, Madrid, Spain. ; Cátedra de Traumatología del Deporte, Facultad de Medicina, Universidad Católica de Murcia, Murcia, Spain.
Universidad Católica de Murcia · ESHospital Universitario Reina Sofía · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe factors associated with anterior cruciate ligament (ACL) tears are not completely clear. Some studies have shown that patients with a narrow intercondylar notch have a predisposition for ACL tears. PURPOSE: To determine the relationship between the α angle and intercondylar notch width measurements and ACL tears. STUDY

designCase-control study; Level of evidence, 3.

methodsA total of 530 patients (308 with ACL rupture, 222 with healthy ACLs) were included in this study. The α angle and intercondylar width were measured from magnetic resonance images (MRIs). Binary logistic regression analysis was performed to determine the influence of the variables on ACL status (normal or torn). Odds ratios (ORs) and their respective 95% CIs were also calculated.

resultsNo significant differences in patient age and the affected knee were found between patients with normal or torn ACLs. The mean α angle was higher in patients with a torn ACL than in those with an intact one (57.5° ± 5.5° vs 56.2° ± 4.5°; P = .009). Intercondylar width was significantly lower in patients with a torn ACL than in those with an intact one (18.2 ± 3.1 vs 19.5 ± 3.6 mm; P < .001). A highly significant difference between men and women was found for mean intercondylar notch width (19.3 ± 3.3 vs 17.4 ± 3.1 mm; P < .001). In a logistic regression model, sex, intercondylar width, and α angle were statistically significant when adjusted for age.

conclusionStudy results suggest that the ACL tears are associated with a narrow intercondylar notch and a high α angle, and that tears occur more frequently in men than in women. CLINICAL RELEVANCE: The model proposed in this study could be used by the physician in the medical office as a tool to identify the risk factors that may predispose a patient for a potential ACL tear.

Indexed as

alpha angleanterior cruciate ligamentanthropometric measuresintercondylar notch

Identifiers

PMID26535388
PMCPMC4622305
OpenAlexW2208631524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.