Stijak Lazar, Bumbasirević Marko, Kadija Marko, Stanković Gordana, Herzog Richard, Filipović Branislav
Vojnosanit Pregl. 2014 Mar;71(3):271-6. doi: 10.2298/vsp1403271s.
BACKGROUND/AIM: The anterior cruciate ligament (ACL) is the most frequently injured ligament of the knee, representing 50% of all knee injuries. The aim of this study was todeter mine the differences in the morphometry of knee injury patients with an intact and a ruptured anterior cruciate ligament.
The study included 33 matched pairs of patients divided into two groups: the study group with the diagnosis of anterior cruciate ligament rupture, and the control group with the diagnosis of patellofemoral pain but no anterior cruciate ligament lesion. The patients were matched on the basis of 4 attributes: age, sex, type of lesion (whether it was profession-related), and whether the lesion was left- or right-sided. Measurements were carried out using magnetic resonance imaging (MRI).
The anterior and posterior edges of the anterior cruciate ligament in the control group were highly significantly smaller (p < 0.01; in both cases). The control group showed a statistically significantly larger width of the anterior cruciate ligament (p < 0.05). A significant correlation between the width of the anterior cruciate ligament and the width (p < 0.01) and height (p < 0.05) of the intercondylar notch was found to exist in the control group, but not in the study group (p > 0.05). The patients in the control group showed a shorter but wider anterior cruciate ligament in comparison to their matched pairs. The control group of patients was also characterized by the correlation between the width of the intercondylar notch and the width of the anterior cruciate ligament, which was not the case in the study group.
According to the results of our study we can say that a narrow intercondylar notch contains a proportionally thin anterior cruciate ligament, but we cannot say that this factor necessarily leads to rupture of the anterior cruciate ligament.
背景/目的：前交叉韧带（ACL）是膝关节最常受伤的韧带，占所有膝关节损伤的50%。本研究的目的是确定前交叉韧带完整和断裂的膝关节损伤患者在形态测量上的差异。
该研究纳入了33对匹配的患者，分为两组：诊断为前交叉韧带断裂的研究组和诊断为髌股疼痛但无前交叉韧带损伤的对照组。患者根据4个属性进行匹配：年龄、性别、损伤类型（是否与职业相关）以及损伤是左侧还是右侧。使用磁共振成像（MRI）进行测量。
对照组前交叉韧带的前缘和后缘明显更小（两种情况均为p < 0.01）。对照组前交叉韧带的宽度在统计学上显著更大（p < 0.05）。在对照组中发现前交叉韧带宽度与髁间切迹的宽度（p < 0.01）和高度（p < 0.05）之间存在显著相关性，但在研究组中未发现（p > 0.05）。与匹配的对组相比，对照组患者的前交叉韧带更短但更宽。对照组患者的髁间切迹宽度与前交叉韧带宽度之间也存在相关性，而研究组并非如此。
根据我们的研究结果，可以说狭窄的髁间切迹包含比例上较细的前交叉韧带，但不能说这个因素必然导致前交叉韧带断裂。
