Axial and sagittal knee geometry as a risk factor for noncontact anterior cruciate ligament tear: a case-control study

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Leslie J Bisson, Jennifer Gurske-DePerio

Abstract

The purpose of this study was to compare the axial and sagittal geometry of the distal femur and proximal tibia in men and women with and without noncontact anterior cruciate ligament (ACL) tears to determine whether a difference existed in these groups. Twenty men and 20 women with noncontact ACL tears and preoperative magnetic resonance imaging scans of their knees were compared with 20 men and 20 women who had magnetic resonance imaging for meniscal pathology. Patients were not matched for age, weight, or height. We measured the anteroposterior dimensions of the femoral condyles, the medial-lateral width of the femur, and the angle of intersection between the transepicondylar axis and the long axis of the femoral condyles. We also measured the anteroposterior dimension of the tibial plateaus, as well as the width of the proximal tibia. Finally, the posterior tibial slope was measured for the medial and lateral tibial plateaus. All dimensional measurements were standardized and compared statistically. When compared with normal men, normal women had proportionally deeper medial (3%, P = .049) and lateral (7%, P < .001) femoral condyles, as well as deeper medial tibial plateaus (5%, P = .025). There were no differences between ...Continue Reading

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Citations

May 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Erik HohmannKevin Tetsworth
Sep 13, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuichi HoshinoScott Tashman
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Nov 2, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Chao ZengGuang-hua Lei
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