ArticleSurgical and radiologic anatomy : SRA2023
The relationship of distal femur and proximal tibia morphology with anterior cruciate ligament injuries.
Article in Surgical and radiologic anatomy : SRA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- 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
- Evaluation of the relationship between non-contact anterior cruciate ligament rupture and eminential morphometry: a cross-sectional and MRI based study.BMC musculoskeletal disorders · 2024Article
- Undersizing of the tibial component in Oxford unicompartmental knee arthroplasty (UKA) increases the risk of periprosthetic fractures.Archives of orthopaedic and trauma surgery · 2024Article
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Authors and funding
3 authors.
Funding
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Abstract
purposeThe study aims to determine the correlations between the anatomical structures of the distal femur and proximal tibia associated with the anterior cruciate ligament (ACL).
methodsBilateral extremities of 293 patients [143 ACL-ruptured, 150 ACL-intact] (all male) were included in the study. Femoral bi-condylar width (BCW), intercondylar notch width (NW) in the distal femur, proximal tibia width (TW), and tibial eminence width (EW) parameters were measured in the proximal tibia. Indexes are calculated as intercondylar notch width index (NWI) = NW/BCW, tibial eminence width index (EWI) = EW/TW.
resultsBCW, NW, TW, and EW measurements were lower in the ACL-ruptured group, but the difference was statistically significant only in the NW (p = 0.009) and TW (p = 0.005) measurements. There was no difference between groups in the NWI. The EWI parameters were calculated higher in the ACL-ruptured group, and the difference was statistically significant (p = 0.02). In both groups, there were very strong correlations between BCW and TW (ACL-ruptured r = 0.820, ACL-intact r = 0.877) and between NW and NWI (ACL-ruptured r = 0.862, ACL-intact r = 0.852), also EW and EWI in ACL-intact group (r = 0.947).
conclusionsThe NW and TW measurements may give an idea about injury risk or prevention in morphological measurements. Correlations also show that the femur and tibia should consider together for ACL injuries.
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