| Femoral intercondylar notch shape and dimensions in ACL-injured patients. | |
| | |
MedLine Citation:
|
PMID: 20390246 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The femoral intercondylar notch has been an anatomic site of interest as it houses the anterior cruciate ligament (ACL). The objective of this study was to arthroscopically evaluate the femoral notch in patients with known ACL injury. This evaluation included establishing a classification for notch shapes, identifying the shape frequency, measuring notch dimensions, and determining correlation between notch shape, notch dimensions, and demographic patient data. In this clinical cohort study, 102 consecutive patients underwent diagnostic arthroscopic evaluation of the notch. Several intra-operative photos, videos, and measurements were taken of the notch. Demographic data for each patient were recorded including age, gender, height, weight, and BMI. Three categories of notch shape were established: 1. A-shaped; 2. U-shaped; and 3. W-shaped. Two blinded independent orthopedic surgeons were asked to categorize the recorded notches. Notch shape, dimensions, and demographic factors were correlated. Of the 102 notches evaluated, 55 notches were found to be "A-shaped," 42 "U-shaped," and 5 "W-shaped." "A-shaped" notches were narrower in all width dimensions than "U-shaped" notches. Only patient height was found to influence notch shape with a positive association between taller patients and "U-shaped" and "W-shaped" notches (P = 0.011). Women had a smaller notch width at the base and middle of the notch. With this data, surgeons who enter the knee and appreciate an "A-shaped" notch should consider placing the arthroscope in the anteromedial portal and drill the femoral tunnel through an accessory medial portal to improve visualization and accuracy in anatomic femoral tunnel creation. |
| | |
Authors:
|
Carola F van Eck; Cesar A Q Martins; Shail M Vyas; Umberto Celentano; C Niek van Dijk; Freddie H Fu |
Related Documents
:
|
3180576 - Two-stage reimplantation in infected total knee arthroplasty. 17120886 - Pathognomonic radiological signs for predicting prognosis in patients with chronic atla... 16933136 - Results in the treatment of paralytic calcaneus-valgus feet with the westin technique. 3162576 - Bilateral internal derangements of temporomandibular joint: evaluation by magnetic reso... 1450796 - Upper gastrointestinal complaints and complications in chronic rheumatic patients in co... 3261966 - Development of connective tissue disease in patients presenting with raynaud's phenomen... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 18 ISSN: 1433-7347 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-30 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
|
Languages: eng Pagination: 1257-62 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufman Building Suite 1011, Pittsburgh, PA 15213, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Anterior Cruciate Ligament / anatomy & histology, injuries* Arthroscopy Cohort Studies Female Femur / anatomy & histology* Humans Knee Joint / anatomy & histology* Male Middle Aged Sex Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fine-mapping of qRL6.1, a major QTL for root length of rice seedlings grown under a wide range of NH...
Next Document: Factors affecting injury severity among recreational skiers and snowboarders: an epidemiology study.