Koen S R van Kuijk1,2, Vincent Eggerding1, Max Reijman1, Belle L van Meer3, Sita M A Bierma-Zeinstra1,4, Ewoud van Arkel5, Jan H Waarsing1, Duncan E Meuffels1. 1. Department of Orthopedic Surgery, Erasmus MC University Medical Centre, 3015 CN Rotterdam, The Netherlands. 2. Department of Radiology, Albert Schweitzer hospital, 3318 AT Dordrecht, The Netherlands. 3. Department of Sports Medicine, St Antonius Hospital, 3543 AZ Utrecht, The Netherlands. 4. Department of General Practice, Erasmus MC University Medical Centre, 3015 CN Rotterdam, The Netherlands. 5. Department of Orthopaedic Surgery, Haaglanden Medical Centre Haaglanden, 2512 VA The Hague, The Netherlands.
Abstract
OBJECTIVE: Anterior cruciate ligament (ACL) injury prevention programs could be more effective if we could select patients at risk for sustaining an ACL rupture. The purpose of this study is to identify radiographic shape variants of the knee between patients with and patients without an ACL rupture. METHODS: We compared the lateral and Rosenberg view X-rays of 168 prospectively followed patients with a ruptured ACL to a control group with intact ACLs, matched for gender, after knee trauma. We used statistical shape modeling software to examine knee shape and find differences in shape variants between both groups. RESULTS: In the Rosenberg view X-rays, we found five shape variants to be significantly different between patients with an ACL rupture and patients with an intact ACL but with knee trauma. Overall, patients who had ruptured their ACL had smaller, flatter intercondylar notches, a lower lateral tibia plateau, a lower medial spike of the eminence, and a smaller tibial eminence compared to control patients. CONCLUSION: Patients with an ACL rupture have smaller intercondylar notches and smaller tibial eminences in comparison to patients with an intact ACL after knee trauma.
OBJECTIVE:Anterior cruciate ligament (ACL) injury prevention programs could be more effective if we could select patients at risk for sustaining an ACL rupture. The purpose of this study is to identify radiographic shape variants of the knee between patients with and patients without an ACL rupture. METHODS: We compared the lateral and Rosenberg view X-rays of 168 prospectively followed patients with a ruptured ACL to a control group with intact ACLs, matched for gender, after knee trauma. We used statistical shape modeling software to examine knee shape and find differences in shape variants between both groups. RESULTS: In the Rosenberg view X-rays, we found five shape variants to be significantly different between patients with an ACL rupture and patients with an intact ACL but with knee trauma. Overall, patients who had ruptured their ACL had smaller, flatter intercondylar notches, a lower lateral tibia plateau, a lower medial spike of the eminence, and a smaller tibial eminence compared to control patients. CONCLUSION:Patients with an ACL rupture have smaller intercondylar notches and smaller tibial eminences in comparison to patients with an intact ACL after knee trauma.
Authors: Vincent Eggerding; Duncan E Meuffels; Sita M A Bierma-Zeinstra; Jan A Verhaar; Max Reijman Journal: J Orthop Sports Phys Ther Date: 2015-01 Impact factor: 4.751
Authors: Belle L van Meer; Edwin H G Oei; Duncan E Meuffels; Ewoud R A van Arkel; Jan A N Verhaar; Sita M A Bierma-Zeinstra; Max Reijman Journal: Am J Sports Med Date: 2016-03-10 Impact factor: 6.202
Authors: Moon Jong Chang; Jin Hwa Jeong; Chong Bum Chang; Young Jun Kim; Bo-Kyung Seo; Min Kyu Song; Taehoon Kang; Seung-Baik Kang Journal: Scand J Med Sci Sports Date: 2018-09-05 Impact factor: 4.221