ArticleArthroscopy, sports medicine, and rehabilitation2021
Narrow Notch Width is a Risk Factor for Anterior Cruciate Ligament Injury in the Pediatric Population: A Multicenter Study.
Article in Arthroscopy, sports medicine, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Posterior tibial slope, notch width index and tibial tubercle to trochlear groove distance contribute to development of mucoid degeneration of the anterior cruciate ligament: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy.Computational and mathematical methods in medicine · 2022Trial
- MRI-Based Knee Morphometry and Pediatric Anterior Cruciate Ligament Injury: A Machine Learning Case-Control Study.Journal of clinical medicine · 2026Article
- Foot and Ankle Contributions to Noncontact ACL Injury Risk: A Systematic Review.Orthopaedic journal of sports medicine · 2026Review
- Article
- ACL injuries in skeletally immature athletes.Frontiers in pediatrics · 2026Review
- Mechanical Angle and Its Relationship to Intercondylar Fossa Stenosis: An Anatomical Donor Study.Cureus · 2025Article
- A small notch width index, steeper medial and lateral tibial slope and higher lateral/medial tibial slope ratio are relevant knee morphological factors for ACL injuries in skeletally immature patients-A systematic review.Journal of experimental orthopaedics · 2025Article
- The Clinical Significance of Femoral and Tibial Anatomy for Anterior Cruciate Ligament Injury and ReconstructionCurrent medical imaging · 2025Review
- Evaluating Differences in Baseline Knee Hyperextension and Postoperative Stiffness Between Patients With Tibial Spine Fracture Versus ACL Tear.Orthopaedic journal of sports medicine · 2025Article
- Outcomes After Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon in Adolescent Athletes at Mean Follow-up of 4 Years.Orthopaedic journal of sports medicine · 2024Article
- Investigation of Morphometric Factors Associated With Adolescent ACL Rupture.Orthopaedic journal of sports medicine · 2023Article
- [Management status of anterior cruciate ligament injury in children and adolescents].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purposes of this study were to evaluate the notch width index (NWI) as a risk factor for anterior cruciate ligament (ACL) rupture in the pediatric and adolescent patient population via multicenter analysis and to detect any differences in the NWI among cohorts having sustained either a unilateral or bilateral ACL rupture.
methodsA consecutive series of patients ≤19 years old was enrolled from January 1999 through July 2010 at 2 academic pediatric orthopaedic tertiary-care hospitals. Demographic and anatomic morphology data were collected for 3 cohorts: unilateral ACL ruptures, bilateral ACL ruptures, and a control group. A single blinded reviewer determined notch width measurements via T2 coronal magnetic resonance imaging sequences in a standardized manner, using a previously described technique.
resultsOf the 68 patients included for analysis, 22 sustained unilateral ACL rupture, 23 sustained bilateral ruptures, and 23 comprised the control group. There was a statistically significant difference appreciated in direct comparison of the NWI in the bilateral rupture group and the control group, as well as between the unilateral rupture group and the control group. There was no statistically significant difference between the NWI in the unilateral versus the bilateral rupture group.
conclusionGiven the known inconsistencies in the existing literature, our findings provide further support of a narrow NWI as a significant contributing factor to both unilateral and bilateral ACL injury risk in the pediatric and adolescent patient population. LEVEL OF EVIDENCE: III, retrospective cohort study.
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Registered trials
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.