ArticleBMC musculoskeletal disorders2022
Increased lateral femoral condyle ratio measured by MRI is associated with higher risk of noncontact anterior cruciate ligament injury.
Article in BMC musculoskeletal disorders, 2022. 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, 28 citations in OpenAlex.
- MRI-Based Knee Morphometry and Pediatric Anterior Cruciate Ligament Injury: A Machine Learning Case-Control Study.Journal of clinical medicine · 2026Article
- Machine learning model identifies tibial anatomical variables as potential risk factors for anterior cruciate ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Disparities in ACL Injury and Management: The Impact of Sex, Race, and Social Determinants of Health.Current reviews in musculoskeletal medicine · 2026Review
- 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
- Anterior cruciate ligament injury incidence in male and female soccer players: A longitudinal study over six consecutive seasons.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Precise and efficient measurement of tibial slope on magnetic resonance imaging (MRI): two novel autonomous pipelines by traditional and deep learning algorithms.Quantitative imaging in medicine and surgery · 2024Article
- Evaluating the reliability of the lateral femoral condyle measuring methods by different modalities for patients with lateral patellar dislocation.BMC musculoskeletal disorders · 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
- Increased lateral femoral condyle ratio measured by MRI is associated with higher risk of solitary meniscus injury.Frontiers in bioengineering and biotechnology · 2024Article
- The relationship between lateral femoral condyle ratio measured by MRI and anterior cruciate ligament injury.Frontiers in bioengineering and biotechnology · 2024Article
- Statistical shape modeling of the geometric morphology of the canine femur, tibia, and patella.Frontiers in veterinary science · 2024Article
- Anterior cruciate ligament femoral footprint is oblong-ovate, triangular, or two-tears shaped in healthy young adults: three-dimensional MRI analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Anatomical factors associated with the development of anterior tibial spine fractures based on MRI measurements.Journal of orthopaedic surgery and research · 2023Article
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2 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies have shown a significant association between the radiographically measured lateral femoral condyle ratio (LFCR) and anterior cruciate ligament (ACL) injury. However, it is unclear whether LFCR measured by magnetic resonance imaging (MRI) is associated with a higher risk of noncontact ACL injury.
objectiveTo investigate the effect of LFCR on the risk of noncontact ACL injury by MRI. 2 to investigate the association of LFCR measured by MRI with multiple bone morphological risk factors and evaluate the most sensitive risk predictors of noncontact ACL injury.
methodsA total of 116 patients, including 58 subjects with noncontact ACL injury and 58 age-matched and sex-matched controls with only meniscus injury, were included in this retrospective case-control study. LFCR, lateral tibial slope (LTS), lateral tibial height (LTH), medial tibial slope (MTS), and medial tibial depth (MTD) were measured on MRI. The differences in each index between the two groups were compared, and risk factors were screened by single-factor logistic regression analysis. Indicators with P values < 0.1 were included in the logistic regression equation. The critical values and areas under the curve (AUCs) of independent risk factors were determined by receiver operating characteristic (ROC) curve analysis. Finally, the diagnostic performance of each risk factor was evaluated by the Z-test.
resultsA total of 116 patients who met the inclusion criteria were included in the final analysis (58 cases in the noncontact ACL injury group and 58 cases in the control group). Patients with noncontact ACL injury had a higher femoral LFCR (0.64 ± 0.03) than patients with isolated meniscus tears. Among all the risk factors for ACL injury, the AUC for LFCR was the largest, at 0.81 (95% CI, 0.73-0.88), and when the critical value was 0.61, the sensitivity and specificity for the diagnosis of ACL injury were 0.79 and 0.67, respectively. When combined with LTH (> 2.35 mm), the diagnostic performance was improved. The AUC was 0.85 (95% CI, 0.78-0.92), the sensitivity was 0.83, and the specificity was 0.76.
conclusionThis study shows that an increased LFCR is related to an increased risk of noncontact ACL injury as determined by MRI. LFCR and LTH are sensitive risk factors for noncontact ACL injury and may help clinicians identify individuals prone to ACL injury, allowing prevention and intervention measures to be applied.
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