What are the Risk Factors for Anterior Cruciate Ligament Tear?

Research Paper Title

The Effect of the Intercondylar Notch Shape and Notch Width Index on Anterior Cruciate Ligament Injuries.

Background

Anterior cruciate ligament is one of the commonly injured ligaments in knee.

The shape and dimension of the femoral notch has been linked with the risk of anterior cruciate ligament injury.

The aim of this study was to study the risk of Anterior cruciate ligament injury with notch morphology in the Nepalese population.

Methods

This study is a case control study. Cases undergoing arthroscopic surgery at 2 tertiary level centres were enrolled.

Patients with arthroscopic confirmation of Anterior cruciate ligament tear were taken as case and those without tear were taken as control.

Axial Magnetic resonance Imaging sequence was used to study notch.

Sections at the level of popliteal groove was taken for study and shapes were identified as A, U and W type, and notch width index was calculated.

These variables were correlated with presence or absence of Anterior cruciate ligament tear.

Results

Out of 118 cases, 59 had tear, and 59 had no tear.

Tear was found in 74% of Type A notch compared to 30.15% in Type U notch. The femoral notch width index was low in 42.59% of A type notch patients compared to 20.63% with U type notch.

Analysis of notch width index among patients with Anterior cruciate ligament tears, showed that 40.67% of Anterior cruciate ligament torn knee had narrow notch compared to 22% in non- injured group, which was statistically significant.

Conclusions

Type A notch and narrow notch both are risk factors for Anterior cruciate ligament tear.

Reference

Basukala, B., Joshi, A. & Pradhan, I. (2020) The Effect of the Intercondylar Notch Shape and Notch Width Index on Anterior Cruciate Ligament Injuries. Journal of Nepal Health Research Council. 17(4), pp.532-536. doi: 10.33314/jnhrc.v17i4.1858.

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