ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Increased femoral anteversion related to infratrochanteric femoral torsion is associated with ACL rupture.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 31 citations in OpenAlex.
- Evaluation of Changes in Hip Morphology in a Rabbit Model of Patellar Dislocation via Computed Tomography Imaging.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Morphologic Factors Associated With Secondary Anterior Cruciate Ligament Injury After Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Anatomical Risk Factors for Lower Extremity Musculoskeletal Disorders and Proposed Prevention Strategies.Physical therapy research · 2026Review
- Knee laxity, joint hypermobility, femoral anteversion, hamstring extensibility and navicular drop as risk factors for non-contact anterior cruciate ligament injury in female athletes: A 4.5-year prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Increased lateral, but not medial, posterior tibial slope is associated with early graft failure following anterior cruciate ligament reconstruction.BMC musculoskeletal disorders · 2025Article
- Association between Patellar Instability and Increased Supratrochanteric Torsional Malalignment.Orthopaedic journal of sports medicine · 2025Article
- Influence of limb position on femoral neck anteversion angle measurement during computed tomography imaging.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Anatomic Risk Factors for Initial and Secondary Noncontact Anterior Cruciate Ligament Injury: A Prospective Cohort Study in 880 Female Elite Handball and Soccer Players.The American journal of sports medicine · 2025Article
- Femoral anteversion as a potential risk factor for anterior cruciate ligament injuries in athletes.Journal of experimental orthopaedics · 2025Article
- Increased Femoral Neck Anteversion is Prevalent in Male Elite Youth Soccer Players with Chronic Ankle Instability.Indian journal of orthopaedics · 2024Article
- Unveiling the Hidden Links: Anatomical and Radiological Insights into Primary Hip Osteoarthritis.Journal of personalized medicine · 2024Article
- Increased knee torsional misalignment associated with femoral torsion is related to non-contact anterior cruciate ligament injury: a case-control study.Journal of orthopaedic surgery and research · 2024Article
- The quest for optimal femoral torsion angle measurements: a comparative advanced 3D study defining the femoral neck axis.Journal of experimental orthopaedics · 2023Article
- Hindlimb torsional alignment changes in growing rabbits after patellar dislocation.BMC musculoskeletal disorders · 2021Article
- Risk factors for noncontact anterior cruciate ligament injury in female high school basketball and handball players: A prospective 3-year cohort study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2020Article
- Proximal femoral derotation osteotomy for management of femoral malversion: a systematic review.Journal of hip preservation surgeryReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the association between femoral torsion and anterior cruciate ligament (ACL) rupture and determine the level of torsion using magnetic resonance imaging (MRI).
methodsThe medical records of patients who were diagnosed with ACL injury were reviewed retrospectively. This descriptive epidemiological study included 2344 patients. MRI scans were examined and patients with femur and knee MRI scans obtained at the same time were identified (ACL-deficient group). Twenty-eight of them had femur and knee MRI scans because of an incidental benign lesion in the distal femur. Patients who were diagnosed with enchondroma were followed up by MRI evaluation of the femur and were randomly selected as controls. Supratrochanteric torsion (STT), infratrochanteric torsion (ITT), and femoral anteversion (FA) were measured by orthopedic surgeons with at least 5 years of experience.
resultsAge, sex, and side properties were similar in both groups. The mean FA values were 19.4 ± 3.0 degrees and 11.9 ± 2.0 degrees in the ACL-deficient and control groups, respectively (p < 0.001). STT was similar in the ACL-deficient and control groups [mean: 38.2 ± 4.3 and 37.7 ± 3.3, respectively, (n.s.)]. ITT was increased in the ACL-deficient group compared with the control group (mean - 18.8 ± 4.3 and - 25.8 ± 3.8, respectively; p < 0.001).
conclusionsAccording to our results, increased FA was associated with ACL rupture. Further, the torsional abnormality was developed from the ITT. We concluded that each ACL-deficient patient should be assessed by a clinician for torsional abnormality using physical examination. LEVEL OF EVIDENCE: III.
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