Li Yujia, Chou Ke, Zhu Wei, Xiong Jiepeng, Yu Min
Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Department of Orthopedics, Changsha Central Hospital, Shaoshan South Road 161#, Changsha, Hunan 410004, China.
Med Hypotheses. 2020 Nov;144:110230. doi: 10.1016/j.mehy.2020.110230. Epub 2020 Sep 2.
Anterior cruciate ligament (ACL) is a primary stabilizer of the knee and constrains joint motion, and its injury is very common in clinic. There are many studies on the risk factors of ACL injury such as the ACL diameter, intercondylar notch width index (NWI), sagittal condylar shape, tibial posterior slope, tibia eminence size and so on. Large amount of research data has confirmed that all above are closely related to ACL injury. Among them the morphological characteristics of femoral condyle and tibial plateau are closely related to ACL injury. For example the tibial eminence, which is the hot topic of recent research. Whether or how does it relate to ACL injury has draw much interest of researchers. Since the tibial eminence and the ACL are both located in the intercondylar notch and adjacent to each other, we hypothesize the size of the tibial eminence may relate to the rupture of ACL. For there is report have found that reduced medial tibial eminence was associated with ACL injury, we suggest a hypothesis that enlarged tibia eminence may be a protective factor of ACL.
前交叉韧带(ACL)是膝关节的主要稳定结构,限制关节活动,其损伤在临床上非常常见。关于ACL损伤的危险因素有很多研究,如ACL直径、髁间切迹宽度指数(NWI)、髁的矢状面形状、胫骨后倾角、胫骨髁间隆起大小等。大量研究数据证实,上述所有因素均与ACL损伤密切相关。其中,股骨髁和胫骨平台的形态特征与ACL损伤密切相关。例如,胫骨髁间隆起是近期研究的热点。它与ACL损伤是否有关以及如何相关引起了研究人员的极大兴趣。由于胫骨髁间隆起和ACL都位于髁间切迹内且彼此相邻,我们推测胫骨髁间隆起的大小可能与ACL的断裂有关。因为有报道发现内侧胫骨髁间隆起减小与ACL损伤有关,我们提出一个假说,即增大的胫骨髁间隆起可能是ACL的一个保护因素。
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