ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Increased lateral femoral condyle ratio is associated with greater risk of ALC injury in non-contact anterior cruciate ligament injury.
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 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Protocols of rehabilitation and return to sport, and clinical outcomes after medial patellofemoral ligament reconstruction with and without tibial tuberosity osteotomy: a systematic review.International orthopaedics · 2022Pooled it
- Postoperative computed tomography-derived bundle morphology ratios are associated with noncontact graft failure after double-bundle anterior cruciate ligament reconstruction in adolescents.Journal of experimental orthopaedics · 2026Article
- Age is not a primary risk factor for anterior cruciate ligament injury-A comprehensive review of anterior cruciate ligament injury and reinjury risk factors confounded by young patient age.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Correlation between tibial eminence fractures and morphology of femur condyles and tibial slopes in male patients: a retrospective case-control study.BMC musculoskeletal disorders · 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
- No differences in knee anthropometric-related risk factors between unilateral and bilateral ACL reconstruction: A matched MRI-based cohort study.Journal of experimental orthopaedics · 2025Article
- No clinically relevant relationship between different quantitative measurement methods of the lateral femoral condyle morphology on lateral radiographs in anterior cruciate ligament-injured patients.Journal of experimental orthopaedics · 2024Article
- Evaluating the reliability of the lateral femoral condyle measuring methods by different modalities for patients with lateral patellar dislocation.BMC musculoskeletal disorders · 2024Article
- Does an early post traumatic knee brace reduce the incidence of knee rotational instability?Archives of orthopaedic and trauma surgery · 2024Article
- Association of Increased Lateral Femoral Condylar Ratio With Lateral Meniscus Posterior Root Tear in Noncontact ACL Injury.Orthopaedic journal of sports 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
- Characterization of the CT-based risk factors for concomitant patellofemoral instability in patients with anterior cruciate ligament injury.European radiology · 2024Article
- Increased lateral femoral condyle ratio measured by MRI is associated with higher risk of solitary meniscus injury.Frontiers in bioengineering and biotechnology · 2024Article
- Simple foot an ankle value: a simple evaluation correlated to the existing PROMs.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Anatomical factors associated with the development of anterior tibial spine fractures based on MRI measurements.Journal of orthopaedic surgery and research · 2023Article
- Navigated, gap-balanced, adjusted mechanical alignment achieves alignment and balancing goals in a very high percentage but with partially non-anatomical resections.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Restricted kinematic alignment achieves similar relative lateral laxity and greater joint line obliquity compared to gap balancing TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A bone bruise at the lateral and medial tibial plateau with an anterior cruciate ligament injury is associated with a meniscus tear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Increased lateral femoral condyle ratio measured by MRI is associated with higher risk of noncontact anterior cruciate ligament injury.BMC musculoskeletal disorders · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeTo examine whether increased lateral femoral condyle ratio (LFCR) correlates with increased risk of Anterior cruciate ligament (ACL) injury (1) and to evaluate the relationship between the LFCR and anterolateral complex (ALC) injury in non-contact ACL torn knees (2).
methodsSix hundred and seventy-two patients who underwent ACL reconstruction surgery between 2013 and 2019 were retrospectively reviewed, and 120 patients were finally included in the study. Forty patients (ACL + ALC injury) were included in the study group, while forty patients with isolated ACL injury (isolated ACL injury group) and 40 patients who suffered from meniscal tear without ACL or ALC injury were matched in a 1:1 fashion by age, sex, and BMI to the study group (ACL + ALC injury). The LFCR was measured on standard lateral radiographs in a blinded fashion. The differences between the three groups were analyzed by ANOVA. A ROC (Receiver Operating Characteristic) curve was produced to determine risk of ACL injury and risk of concomitant ALC injury in non-contact ACL injury.
resultsThe mean LFCR was 71.9% ± 3.1% in the ACL + ALC injury group, 68.4% ± 3.2% in the isolated ACL injury group, and 66.8% ± 2.6% in the control group (patients who suffered from meniscal tear without ACL or ALC injury). Significantly greater LFCR was found in the ACL + ALC injury group than that in the isolated ACL injury group (p < 0.017). Greater LFCR was additionally confirmed in the ACL injury group as compared to the control group (p < 0.05). ROC curve analysis demonstrated that LFCR > 68.3% was predictive for an increased risk of ACL injury in the entire cohort. LFCR > 69.4% was predictive for an increased risk of ALC injury in non-contact ACL ruptured patients.
conclusionIncreased LFCR was found to be associated with greater risk of ALC injury in non-contact ACL ruptured patients. Additionally, increased LFCR was further confirmed to be correlated with increased risk of ACL injury in an Asian population. The data from this study may help recognize patients undergoing ACL reconstruction that could benefit from additional extra-articular tenodesis. LEVEL OF EVIDENCE: III.
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