ArticleThe American journal of sports medicine2016
Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture.
Article in The American journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Return to Sports: A Risky Business? A Systematic Review with Meta-Analysis of Risk Factors for Graft Rupture Following ACL Reconstruction.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Long-term outcomes of anterior cruciate ligament reconstruction surgery: 2020 OREF clinical research award paper.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Trial
- Morphologic Factors Associated With Secondary Anterior Cruciate Ligament Injury After Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Correlation of Plain Radiographs and 3-Dimensional CT With Coronal and Sagittal Measurements in Patients Undergoing Corrective Osteotomies.Orthopaedic journal of sports medicine · 2026Article
- The maximum 2D diameter column of the notch as the most important bone risk indicator compared with the posterior tibial slopes for ACL injury based on computed tomography: Analysis using machine learning approach.Journal of experimental orthopaedics · 2026Article
- Notch geometry varies with sex and anthropometrics: An analysis on 1043 adults.Journal of experimental orthopaedics · 2025Article
- Association of Smaller Intercondylar Notch Size With Graft Failure After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2024Article
- Reliability of the Tibial Spine Versus ACL Stump in Assisting Tibial Tunnel Positioning During ACL Reconstruction: Analysis Based on 3-Dimensional Computed Tomography Modeling.Orthopaedic journal of sports medicine · 2023Article
- Knee anatomic geometry accurately predicts risk of anterior cruciate ligament rupture.Acta radiologica (Stockholm, Sweden : 1987) · 2023Article
- Key Thresholds and Relative Contributions of Knee Geometry, Anteroposterior Laxity, and Body Weight as Risk Factors for Noncontact ACL Injury.Orthopaedic journal of sports medicine · 2023Article
- Tibial Spine Height Measured by Radiograph Is a Risk Factor for Non-Contact Anterior Cruciate Ligament Injury in Males: A Retrospective Case-Control Study.International journal of environmental research and public health · 2022Article
- Screening Tests for Assessing Athletes at Risk of ACL Injury or Reinjury-A Scoping Review.International journal of environmental research and public health · 2022Article
- Knees with straight Blumensaat's line have small volume of femoral intercondylar notch.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The radiographic tibial spine area is correlated with the occurrence of ACL injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- ACL Size, but Not Signal Intensity, Is Influenced by Sex, Body Size, and Knee Anatomy.Orthopaedic journal of sports medicine · 2021Article
- A Prediction Model for Primary Anterior Cruciate Ligament Injury Using Artificial Intelligence.Orthopaedic journal of sports medicine · 2021Article
- Correlation between knee anatomical angles and anterior cruciate ligament injury in males.La Radiologia medica · 2021Article
- Truncated-pyramid shape simulation for the measurement of femoral intercondylar notch volume can detect the volume difference between ACL-injured and intact subjects.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The occurrence of ACL injury influenced by the variance in width between the tibial spine and the femoral intercondylar notch.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Sex Differences in Anatomic Features Linked to Anterior Cruciate Ligament Injuries During Skeletal Growth and Maturation.The American journal of sports medicine · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAnterior cruciate ligament (ACL) graft rupture occurs at a high rate, especially in young athletes. The geometries of the tibial plateau and femoral intercondylar notch are risk factors for first-time ACL injury; however, little is known about the relationship between these geometries and risk of ACL graft rupture. HYPOTHESIS: The geometric risk factors for noncontact graft rupture are similar to those previously identified for first-time noncontact ACL injury, and sex-specific differences exist. STUDY
designCase-control study; Level of evidence, 3.
methodsEleven subjects who suffered a noncontact ACL graft rupture and 44 subjects who underwent ACL reconstruction but did not experience graft rupture were included in the study. Using magnetic resonance imaging, the geometries of the tibial plateau subchondral bone, articular cartilage, meniscus, tibial spines, and femoral notch were measured. Risk factors associated with ACL graft rupture were identified using Cox regression.
resultsThe following were associated with increased risk of ACL graft injury in males: increased posterior-inferior-directed slope of the articular cartilage in the lateral tibial plateau measured at 2 locations (hazard ratio [HR] = 1.50, P = .029; HR = 1.39, P = .006), increased volume (HR = 1.45, P = .01) and anteroposterior length (HR = 1.34, P = .0023) of the medial tibial spine, and increased length (HR = 1.18, P = .0005) and mediolateral width (HR = 2.19, P = .0004) of the lateral tibial spine. In females, the following were associated with increased risk of injury: decreased volume (HR = 0.45, P = .02) and height (HR = 0.46, P = .02) of the medial tibial spine, decreased slope of the lateral tibial subchondral bone (HR = 0.72, P = .01), decreased height of the posterior horn of the medial meniscus (HR = 0.09, P = .001), and decreased intercondylar notch width at the anterior attachment of the ACL (HR = 0.72, P = .02).
conclusionThe geometric risk factors for ACL graft rupture are different for males and females. For females, a decreased femoral intercondylar notch width and a decreased height of the posterior medial meniscus were risk factors for ACL graft rupture that have also been found to be risk factors for first-time injury. There were no risk factors in common between ACL graft injury and first-time ACL injury for males.
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