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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2020

01-08-2020 | Cruciate Ligament Injury | KNEE

Increased femoral anteversion related to infratrochanteric femoral torsion is associated with ACL rupture

Authors: Yakup Alpay, Atakan Ezici, Muhammed Bilal Kurk, Osman Nuri Ozyalvac, Evren Akpinar, Avni Ilhan Bayhan

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2020

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Abstract

Purpose

To determine the association between femoral torsion and anterior cruciate ligament (ACL) rupture and determine the level of torsion using magnetic resonance imaging (MRI).

Methods

The medical records of patients who were diagnosed with ACL injury were reviewed retrospectively. This descriptive epidemiological study included 2344 patients. MRI scans were examined and patients with femur and knee MRI scans obtained at the same time were identified (ACL-deficient group). Twenty-eight of them had femur and knee MRI scans because of an incidental benign lesion in the distal femur. Patients who were diagnosed with enchondroma were followed up by MRI evaluation of the femur and were randomly selected as controls. Supratrochanteric torsion (STT), infratrochanteric torsion (ITT), and femoral anteversion (FA) were measured by orthopedic surgeons with at least 5 years of experience.

Results

Age, sex, and side properties were similar in both groups. The mean FA values were 19.4 ± 3.0 degrees and 11.9 ± 2.0 degrees in the ACL-deficient and control groups, respectively (p < 0.001). STT was similar in the ACL-deficient and control groups [mean: 38.2 ± 4.3 and 37.7 ± 3.3, respectively, (n.s.)]. ITT was increased in the ACL-deficient group compared with the control group (mean − 18.8 ± 4.3 and − 25.8 ± 3.8, respectively; p < 0.001).

Conclusions

According to our results, increased FA was associated with ACL rupture. Further, the torsional abnormality was developed from the ITT. We concluded that each ACL-deficient patient should be assessed by a clinician for torsional abnormality using physical examination.

Level of evidence

III
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Metadata
Title
Increased femoral anteversion related to infratrochanteric femoral torsion is associated with ACL rupture
Authors
Yakup Alpay
Atakan Ezici
Muhammed Bilal Kurk
Osman Nuri Ozyalvac
Evren Akpinar
Avni Ilhan Bayhan
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-020-05874-0

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