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首页> 外文期刊>Arthroscopy: the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association >An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width
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An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width

机译：影像学的con间切口狭窄与男性前十字韧带损伤之间的关联性评估：切口角度比切口宽度更好

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Purpose: To evaluate the association of anterior cruciate ligament (ACL) injuries with the intercondylar notch angle and notch width in male patients. The secondary purpose was to evaluate the association of these injuries with other novel morphologic parameters. Methods: Male patients undergoing primary ACL reconstruction between 2010 and 2013 for injury through noncontact mechanisms with preoperative magnetic resonance imaging were compared with an age-matched control group of male patients (patients who underwent knee operations other than ACL reconstruction) regarding the following magnetic resonance imagingeassessed parameters: intercondylar notch angle, width, and depth; condylar width; medial/lateral condylar widths; medial/lateral posterior tibial plateau slopes; anterior sagittal tibial slope (corresponding to the level of the tibial ACL footprint); coronal tibial slope; and angle between the Blumensaat line and anterior tibial slope. Results: In both the coronal and axial planes, patients with ACL injury had a significantly lower intercondylar notch angle (P < .001 and P = .008, respectively) than the control group, but there were no significant between-group differences for intercondylar notch width (P = .9 and P = .97, respectively). In the sagittal plane, patients with ACL injury had significantly higher medial (P < .001) and lateral (P = .02) posterior tibial slopes, a significantly lower anterior tibial slope (P = .01), and a significantly higher angle between the Blumensaat line and anterior tibial slope (P = .02) than the control group. Conclusions: Narrowing of the intercondylar notch may be associated with ACL injury in male patients. However, the intercondylar notch angle may be a better parameter to evaluate notch narrowing and its potential association with ACL injuries compared with the notch width. The association between the angle formed by the Blumensaat line and anterior tibial slope and ACL injuries in male patients needs more investigation. This study further suggests that increased posterior tibial slope may be associated with ACL injury in male patients.
机译：目的：评估男性前交叉韧带（ACL）损伤与con间切口角度和切口宽度的关系。第二个目的是评估这些损伤与其他新的形态学参数的关联。方法：将2010年至2013年间通过非接触式术前磁共振成像进行非原发性ACL重建术的男性患者与术前年龄匹配的男性患者（除ACL重建术以外接受膝盖手术的患者）进行以下磁共振比较成像评估参数：con间切迹角，宽度和深度;宽度内侧/外侧con宽度;胫骨平台后内侧/外侧斜坡;胫骨前矢状斜度（对应于胫骨前交叉韧带的水平）;冠状胫骨坡;和Blumensaat线与胫骨前坡之间的夹角。结果：在冠状面和轴面，ACL损伤患者的inter间切角均显着低于对照组（分别为P <.001和P = .008），但是con间的组间差异无统计学意义。槽口宽度（分别为P = 0.9和P = 0.97）。在矢状面内，ACL损伤患者的胫骨后内侧斜度（P <.001）和外侧（P = .02）显着较高，胫骨前斜度（P = .01）较低，并且Blumensaat线和胫骨前斜度（P = .02）比对照组高。结论：男性患者not间切口狭窄可能与ACL损伤有关。但是，con间切口角可能是评估切口变窄及其与ACL损伤的潜在关联（与切口宽度相比）的更好参数。男性患者的Blumensaat线与胫骨前倾斜和ACL损伤形成的角度之间的关联需要进一步研究。这项研究进一步表明，男性患者胫骨后倾斜度增加可能与ACL损伤有关。

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