| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Department of Orthopedic Surgery and Rehabilitation, St. Thomas Hospital, Nashville, Tennessee
Department of Orthopedic Surgery and Rehabilitation, St. Thomas Hospital, Nashville, Tennessee
Department of Orthopedic Surgery and Rehabilitation, St. Thomas Hospital, Nashville, Tennessee
Department of Orthopedic Surgery and Rehabilitation, St. Thomas Hospital, Nashville, Tennessee
The purposes of this study were to document the dimensions and configuration of the intercondylar notch in the normal knee; to compare normal knee intercon dylar notches to those of knees with unilateral and bilateral ACL tears to determine if there is a relationship between intercondylar notch stenosis and ACL tears; and to determine if generalized ligamentous laxity is associated with intercondylar notch stenosis and ACL tears. Three groups were compared: Group I, bilateral ACL tears; Group II, unilateral tears; and Group III, normal knees. Notch dimensions were computer-gen erated from CT scans. All patients were examined for ligamentous laxity. Statistically significant differences were found between normal and ACL-injured knees in regard to opening notch angle, ratio of notch width at two-thirds of the notch length to condylar width, and ratio of maximum notch width to condylar width, sug gesting a significant association between anterior outlet stenosis and unilateral and bilateral ACL tears. The shapes of the notches were determined from tracings of the distal CT scan. Shapes ranged from inverted U to cresting wave. Narrow notches tended to be wave- shaped, but more study is needed in this area. Notch- plasty is recommended for those with documented stenosis. The ratio of maximum notch width at two- thirds of the notch height to maximum condyle width should not be much less than 0.2, and the opening notch angle should be at least 50°.
This article has been cited by other articles:
|
|
 |
|
  L. Y. Griffin, M. J. Albohm, E. A. Arendt, R. Bahr, B. D. Beynnon, M. DeMaio, R. W. Dick, L. Engebretsen, W. E. Garrett Jr, J. A. Hannafin, et al. Understanding and Preventing Noncontact Anterior Cruciate Ligament Injuries: A Review of the Hunt Valley II Meeting, January 2005 Am. J. Sports Med., September 1, 2006; 34(9): 1512 - 1532. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Chandrashekar, J. Slauterbeck, and J. Hashemi Sex-Based Differences in the Anthropometric Characteristics of the Anterior Cruciate Ligament and Its Relation to Intercondylar Notch Geometry: A Cadaveric Study Am. J. Sports Med., October 1, 2005; 33(10): 1492 - 1498. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Lombardo, P. M. Sethi, and C. Starkey Intercondylar Notch Stenosis Is Not a Risk Factor for Anterior Cruciate Ligament Tears in Professional Male Basketball Players: An 11-Year Prospective Study Am. J. Sports Med., January 1, 2005; 33(1): 29 - 34. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. M. Larson, D. A. Fischer, J. P. Smith, and J. L. Boyd Bilateral Anterior Cruciate Ligament Reconstruction as a Single Procedure: Evaluation of Cost and Early Functional Results Am. J. Sports Med., January 1, 2004; 32(1): 197 - 200. [Abstract] [Full Text]
|
|
|
|
|
|
J. M. Uhorchak, C. R. Scoville, G. N. Williams, R. A. Arciero, P. St. Pierre, and D. C. Taylor Risk Factors Associated with Noncontact Injury of the Anterior Cruciate Ligament: A Prospective Four-Year Evaluation of 859 West Point Cadets Am. J. Sports Med., November 1, 2003; 31(6): 831 - 842. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. M. Wojtys, L. J. Huston, H. J. Schock, J. P. Boylan, and J. A. Ashton-Miller Gender Differences in Muscular Protection of the Knee in Torsion in Size-Matched Athletes J. Bone Joint Surg. Am., May 1, 2003; 85(5): 782 - 789. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. P. H. Charlton, T. A. St. John, M. G. Ciccotti, N. Harrison, and M. Schweitzer Differences in Femoral Notch Anatomy between Men and Women : A Magnetic Resonance Imaging Study Am. J. Sports Med., May 1, 2002; 30(3): 329 - 333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. M. Wojtys, J. A. Ashton-Miller, and L. J. Huston A Gender-Related Difference in the Contribution of the Knee Musculature to Sagittal-Plane Shear Stiffness in Subjects with Similar Knee Laxity J. Bone Joint Surg. Am., January 1, 2002; 84(1): 10 - 16. [Abstract] [Full Text]
|
|
|
|
 |
|
 L Shepstone, J Rogers, J R Kirwan, and B W Silverman Shape of the intercondylar notch of the human femur: a comparison of osteoarthritic and non-osteoarthritic bones from a skeletal sample Ann Rheum Dis, October 1, 2001; 60(10): 968 - 973. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Anderson, D. C. Dome, S. Gautam, M. H. Awh, and G. W. Rennirt Correlation of Anthropometric Measurements, Strength, Anterior Cruciate Ligament Size, and Intercondylar Notch Characteristics to Sex Differences in Anterior Cruciate Ligament Tear Rates Am. J. Sports Med., January 1, 2001; 29(1): 58 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D. Miller and A. D. Olszewski The Appearance of Roofplasties on Lateral Hyperextension Radiographs Am. J. Sports Med., July 1, 1999; 27(4): 513 - 516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. L. Rozzi, S. M. Lephart, W. S. Gear, and F. H. Fu Knee Joint Laxity and Neuromuscular Characteristics of Male and Female Soccer and Basketball Players Am. J. Sports Med., May 1, 1999; 27(3): 312 - 319. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. A. Mann, K. P. Black, D. J. Zanotti, M. Barr, and T. Teater The Natural History of the Intercondylar Notch After Notchplasty Am. J. Sports Med., March 1, 1999; 27(2): 181 - 188. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. D. Shelbourne, T. J. Davis, and T. E. Klootwyk The Relationship Between Intercondylar Notch Width of the Femur and the Incidence of Anterior Cruciate Ligament Tears: A Prospective Study Am. J. Sports Med., May 1, 1998; 26(3): 402 - 408. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. C. Teitz, B. K. Lind, and B. M. Sacks Symmetry of the Femoral Notch Width Index Am. J. Sports Med., September 1, 1997; 25(5): 687 - 690. [Abstract] [PDF]
|
|
|
|
|
|
T. Muneta, K. Takakuda, and H. Yamamoto Intercondylar Notch Width and Its Relation to the Configuration and Cross-Sectional Area of the Anterior Cruciate Ligament: A Cadaveric Knee Study Am. J. Sports Med., January 1, 1997; 25(1): 69 - 72. [Abstract] [PDF]
|
|
|
|
|
|
E. Arendt and R. Dick Knee Injury Patterns Among Men and Women in Collegiate Basketball and Soccer: NCAA Data and Review of Literature Am. J. Sports Med., December 1, 1995; 23(6): 694 - 701. [Abstract] [PDF]
|
|
|
|
|
|
L. E. Paulos, D. C. Wnorowski, and A. E. Greenwald Infrapatellar Contracture Syndrome: Diagnosis, Treatment, and Long-Term Followup Am. J. Sports Med., July 1, 1994; 22(4): 440 - 449. [Abstract] [PDF]
|
|
|
|
|
|
R. J. Herzog, J. F. Silliman, K. Hutton, W. G. Rodkey, and J. R. Steadman Measurements of the Intercondylar Notch by Plain Film Radiography and Magnetic Resonance Imaging Am. J. Sports Med., March 1, 1994; 22(2): 204 - 210. [Abstract] [PDF]
|
|
|
|
|
|
C. D. Harner, L. E. Paulos, A. E. Greenwald, T. D. Rosenberg, and V. C. Cooley Detailed Analysis of Patients with Bilateral Anterior Cruciate Ligament Injuries Am. J. Sports Med., January 1, 1994; 22(1): 37 - 43. [Abstract] [PDF]
|
|
|
|
|
|
T. O. Souryal and T. R. Freeman Intercondylar notch size and anterior cruciate ligament injuries in athletes: A prospective study Am. J. Sports Med., July 1, 1993; 21(4): 535 - 539. [Abstract] [PDF]
|
|
|
|
|
|
M. S. Schickendantz and G. G. Weiker The predictive value of radiographs in the evaluation of unilateral and bilateral anterior cruciate ligament injuries Am. J. Sports Med., January 1, 1993; 21(1): 110 - 113. [Abstract] [PDF]
|
|
|
|
|
|
S. M. Howell, J. A. Clark, and T. E. Farley A rationale for predicting anterior cruciate graft impingement by the intercondylar roof: A magnetic resonance imaging study Am. J. Sports Med., June 1, 1991; 19(3): 276 - 282. [Abstract] [PDF]
|
|
|
|
|
|
K. Sommerlath, J. Lysholm, and J. Gillquist The long-term course after treatment of acute anterior cruciate ligament ruptures: A 9 to 16 year followup Am. J. Sports Med., March 1, 1991; 19(2): 156 - 162. [Abstract] [PDF]
|
|
|
|
|
|
T. O. Souryal, H. A. Moore, and J. P. Evans Bilaterality in anterior cruciate ligament injuries: Associated intercondylar notch stenosis Am. J. Sports Med., September 1, 1988; 16(5): 449 - 454. [Abstract] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
