Orthopedics and Traumatology Department, Ankara City Hospital, Ankara, Turkey.
Orthopedics and Traumatology Department, Ankara Yildirim Beyazit University Faculty of Medicine, Ankara, Turkey.
BMC Musculoskelet Disord. 2024 Oct 30;25(1):870. doi: 10.1186/s12891-024-07999-6.
The literature does not clearly convey the relationship between eminential morphometry and non-contact anterior cruciate ligament (ACL) ruptures. This study attempts to reveal whether there is a relationship between non-contact ACL ruptures and eminential morphometry.
Knee magnetic resonance images (MRIs) taken for the various indications between January 2022 and June 2023 were retrospectively scanned. The patients were categorized into 2 groups: those with an ACL rupture and those with an intact ACL. For each patient, eminential angle 1, eminential angle 2, medial eminential height, lateral eminential height, total eminential height, eminential width, and the ratio of tibial plateau width and eminential width to the tibial plateau width were measured by 2 different orthopedists. Patients whose MRIs were used for measurement were evaluated and grouped according to their age, sex, and injury side.
In total, 400 MRIs of 400 patients were included in the study. While 200 patients had an ACL rupture, 200 had an intact ACL. The total eminential height in the ACL rupture group was measured at 16.1 ± 2.6 mm and 15.5 ± 2.7 mm (p = 0.035) in the ACL intact group. Eminental width in the ACL rupture group was measured at 12.1 ± 1.9 mm and 13.0 ± 2.0 mm in the ACL intact group (p = 0.0001). The tibial plateau width was 75.4 ± 15.7 mm in the ACL rupture group and 73.6 ± 5.8 mm in the ACL intact group (p = 0.002). According to the logistic regression analysis, the p-value for males was 0.0001, and for eminential width, the p-value was 0.0001.
A significant difference was found between the ACL rupture and the ACL intact groups regarding eminential height, eminential width, and tibial plateau width parameters. Being male and having a low eminential width were identified as independent risk factors for non-contact ACL.
Not applicable.
文献并未明确传达前交叉韧带（ACL）非接触性撕裂与前交叉韧带隆起形态之间的关系。本研究试图揭示非接触性 ACL 撕裂与前交叉韧带隆起形态之间是否存在关系。
回顾性扫描 2022 年 1 月至 2023 年 6 月期间因各种适应证进行的膝关节磁共振成像（MRI）。将患者分为两组：ACL 撕裂组和 ACL 完整组。每位患者的前交叉韧带隆起 1 角、前交叉韧带隆起 2 角、内侧前交叉韧带隆起高度、外侧前交叉韧带隆起高度、总前交叉韧带隆起高度、前交叉韧带隆起宽度以及胫骨平台宽度与前交叉韧带隆起宽度之比均由 2 位不同的骨科医生进行测量。对用于测量的 MRI 患者进行评估，并根据年龄、性别和损伤侧进行分组。
共有 400 名患者的 400 份 MRI 纳入本研究。200 名患者 ACL 撕裂，200 名患者 ACL 完整。ACL 撕裂组的总前交叉韧带隆起高度为 16.1±2.6mm，ACL 完整组为 15.5±2.7mm（p=0.035）。ACL 撕裂组的前交叉韧带隆起宽度为 12.1±1.9mm，ACL 完整组为 13.0±2.0mm（p=0.0001）。ACL 撕裂组的胫骨平台宽度为 75.4±15.7mm，ACL 完整组为 73.6±5.8mm（p=0.002）。根据逻辑回归分析，男性的 p 值为 0.0001，前交叉韧带隆起宽度的 p 值为 0.0001。
ACL 撕裂组和 ACL 完整组在前交叉韧带隆起高度、前交叉韧带隆起宽度和胫骨平台宽度参数方面存在显著差异。男性和低前交叉韧带隆起宽度被确定为非接触性 ACL 的独立危险因素。
不适用。
