ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
High prevalence of a deep lateral femoral notch sign in patients with anterior cruciate ligament (ACL) and concomitant posterior root tears of the lateral meniscus.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evaluating the diagnostic performance of MRI-based signs for identification of meniscus posterior root tears: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Age, male sex, higher posterior tibial slope, deep sulcus sign, bone bruises on the lateral femoral condyle, and concomitant medial meniscal tears are risk factors for lateral meniscal posterior root tears: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Anterolateral ligament injury in ACL-injured patients is not associated with the presence of the deep lateral femoral notch sign: A cross-sectional study.Journal of experimental orthopaedics · 2026Article
- Lateral meniscal stabilizers, variants, and injuries of the knee.Skeletal radiology · 2026Review
- Lateral meniscus posterior root repair during ACL reconstruction restores knee stability and results in outcomes comparable to isolated ACL reconstruction: A propensity-matched cohort analysis.Journal of experimental orthopaedics · 2026Article
- The deep lateral femoral notch sign (DLFNS) is associated with concomitant knee injuries in skeletally immature patients with anterior cruciate ligament injuries.Journal of experimental orthopaedics · 2025Article
- DEEP lateral femoral notch sign is associated with lateral meniscus tear and non-spherical lateral femoral condyle in ACL deficient knee.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Lateral Condyle Impaction Fracture Reduction With Anterior Cruciate Ligament Reconstruction, Medial Collateral Ligament Reconstruction, and Repair of Lateral Meniscus Radial Tear After a High-Grade Pivot-Shift Injury.Arthroscopy techniques · 2025Article
- Diagnosis and Treatment Strategies of Meniscus Root Tears: A Scoping Review.Orthopaedic journal of sports medicine · 2024Article
- Magnetic Resonance Imaging of Anterior Cruciate Ligament Injury.Orthopedic research and reviews · 2024Review
- Reduction of a Depressed Femoral Lateral Notch at the Time of Lateral Extra-articular Tenodesis.Arthroscopy techniques · 2023Article
- Comparison of Bone Bruise Pattern Epidemiology between Anterior Cruciate Ligament Rupture and Patellar Dislocation Patients-Implications of Injury Mechanism.Bioengineering (Basel, Switzerland) · 2023Article
- Impaction Fractures of the Lateral Femoral Condyle Related to Anterior Cruciate Ligament Injury: A Scoping Review Concerning Diagnosis, Prevalence, Clinical Importance, and Management.Clinics in orthopedic surgery · 2023Article
- The posterior cruciate ligament index as a reliable indirect sign of anterior cruciate ligament rupture is associated with the course of knee joint injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Evaluation of the All-Inside Technique for the Repair of Lateral Meniscus Root Tears at 1 Year After ACL Reconstruction.Orthopaedic journal of sports medicine · 2023Article
- Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study.Archives of orthopaedic and trauma surgery · 2023Article
- Lateral femoral notch sign and posterolateral tibial plateau fractures and their associated injuries in the setting of an anterior cruciate ligament rupture.Archives of orthopaedic and trauma surgery · 2022Article
- The lateral femoral notch sign and coronal lateral collateral ligament sign in magnetic resonance imaging failed to predict dynamic anterior tibial laxity.BMC musculoskeletal disorders · 2022Article
- [Research progress of lateral femoral notch sign in diagnosis of anterior cruciate ligament rupture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- High Rate of Initially Overlooked Kaplan Fiber Complex Injuries in Patients With Isolated Anterior Cruciate Ligament Injury.The American journal of sports medicine · 2021Article
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Authors and funding
7 authors.
Funding
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Abstract
purposeTo determine the prevalence of a deep lateral femoral notch sign (LFNS) in magnetic resonance imaging (MRI) in patients with anterior cruciate ligament (ACL) and concomitant posterior root tears of the lateral meniscus (PLRT).
methodsA retrospective chart review was conducted to identify all patients undergoing ACL reconstruction between 2016 and 2018. Based on the arthroscopic appearance of the lateral meniscus, patients were assorted to one of three groups: isolated ACL tear (ACL-Group), ACL tear with concomitant lateral meniscus tear not involving the posterolateral root (Meniscus-Group), and ACL tear with concomitant PLRT (PLRT-Group). Incidence and depth of a LFNS on preoperative MRI was compared between the three cohorts.
results115 patients (mean age: 29.5 ± 11.3 years) were included in the study, with 58 patients (50.4%) assorted to the ACL-Group, 24 patients (20.9%) to the Meniscus-Group, and 33 patients (28.7%) to the PLRT-Group. The prevalence of a LFNS was significantly higher in the PLRT-Group (39.4%), when compared to the ACL- (5.2%) or Meniscus-Groups (25.0%; p < 0.001, respectively). Additionally, logistic regression analysis demonstrated that patients with PLRT were 5.3 times more likely to have a LFNS as compared to those without a lateral root tear (p < 0.001).
conclusionIn patients with ACL tears, the presence of a LFNS on preoperative MRI may be predictive for a PLRT. As the LFNS occurs in almost 40% of the patients with combined ACL tears and PLRT, the LFNS may be a useful secondary diagnostic finding in early MRI diagnostic. Identifying PLRT on MRI is clinically relevant, as it prevents misdiagnosis and facilitates surgical decision-making, thus avoiding subsequent delayed treatment. LEVEL OF EVIDENCE: Level IV.
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