ArticleArchives of orthopaedic and trauma surgery2022
Lateral femoral notch sign and posterolateral tibial plateau fractures and their associated injuries in the setting of an anterior cruciate ligament rupture.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled 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
- Current concepts in the management of high-energy tibial plateau fractures: a narrative review.EFORT open reviews · 2026Review
- 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
- Bone Bruise Patterns After Noncontact Anterior Cruciate Ligament Tears Differ Between Alpine Skiers and Pivoting Sports Athletes.The American journal of sports medicine · 2025Article
- Posterolateral Tibial Plateau Fractures in Adult Anterior Cruciate Ligament Avulsion Effect on Postoperative Knee Function.Orthopaedic surgery · 2025Article
- The Incidence of Posterolateral Tibial Plateau Fractures in the Setting of Knee Dislocations.Orthopaedic journal of sports medicine · 2025Article
- Posterolateral tibial plateau impaction fractures in patients undergoing primary anterior cruciate ligament reconstruction-An MRI analysis of 556 cases.Journal of experimental orthopaedics · 2025Article
- High Detection Rate of Posterolateral Tibial Plateau Fractures and Poor Functional Outcomes in Type IIIB Impaction Fractures After Anterior Cruciate Ligament Rupture and Reconstruction.Orthopaedic surgery · 2025Article
- Incidence and Characteristics of Knee Ligament and Meniscal Injuries in Patients With Posterolateral Tibial Plateau Fractures.Orthopaedic journal of sports medicine · 2024Article
- Does an early post traumatic knee brace reduce the incidence of knee rotational instability?Archives of orthopaedic and trauma surgery · 2024Article
- Effectiveness of bone grafting versus cannulated screw fixation in the treatment of posterolateral tibial plateau compression fractures with concomitant ACL injury: a comparative study.Journal of orthopaedic surgery and research · 2024Article
- Reduction of a Depressed Femoral Lateral Notch at the Time of Lateral Extra-articular Tenodesis.Arthroscopy techniques · 2023Article
- Clinical Analysis of the Frosch Approach in the Treatment of Posterolateral Tibial Plateau Fractures Combined with Lateral Tibial Plateau Fractures.Orthopaedic surgery · 2023Article
- Association of medial collateral ligament complex injuries with anterior cruciate ligament ruptures based on posterolateral tibial plateau injuries.Sports medicine - open · 2023Article
- Letter to the editor of: "posterior tibial plateau impaction fractures are not associated with increased knee instability: a quantitative pivot shift analysis".Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Extent of posterolateral tibial plateau impaction fracture correlates with anterolateral complex injury and has an impact on functional outcome after ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The Association Between Bone Bruises and Concomitant Ligaments Injuries in Anterior Cruciate Ligament Injuries: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2023Review
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionACL injury is one of the most common injuries of the knee joint in sports. As accompanying osseous injuries of the ACL rupture a femoral impression the so-called lateral femoral notch sign and a posterolateral fracture of the tibial plateau are described. However, frequency, concomitant ligament injuries and when and how to treat these combined injuries are not clear. There is still a lack of understanding with which ligamentous concomitant injuries besides the anterior cruciate ligament injury these bony injuries are associated. MATERIALS AND
methodsOne hundred fifteen MRI scans with proven anterior cruciate ligament rupture performed at our center were retrospectively evaluated for the presence of a meniscus, collateral ligament injury, a femoral impression, or a posterolateral impression fracture. Femoral impressions were described according to their local appearance and posterolateral tibial plateau fractures were described using the classification of Menzdorf et al.
resultsIn 29 cases a significant impression in the lateral femoral condyle was detected. There was a significantly increased number of lateral meniscal (41.4% vs. 18.6% p = 0.023) and medial ligament (41.4% vs. 22.1%; p = 0.040) injuries in the group with a lateral femoral notch sign. 104 patients showed a posterolateral bone bruise or fracture of the tibial plateau. Seven of these required an intervention according to Menzdorf et al. In the group of anterior cruciate ligament injuries with posterolateral tibial plateau fracture significantly more lateral meniscus injuries were seen (p = 0.039).
conclusionIn the preoperative planning of ACL rupture accompanied with a positive femoral notch sign, attention should be paid to possible medial collateral ligament and lateral meniscus injuries. As these are more likely to occur together. A posterolateral impression fracture of the tibial plateau is associated with an increased likelihood of the presence of a lateral meniscal injury. This must be considered in surgical therapy and planning and may be the indication for necessary early surgical treatment.
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