Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Magnetic Resonance Imaging | Research article

The correlation between common 2D femoral notch parameters and 3D notch volume: a retrospective MRI study

Authors: Chengyuan Zhang, Xuancheng Zhang, Zhaoyi Fang, Feng Wang, Feng Yuan, Guoming Xie, Jinzhong Zhao

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

Login to get access

Abstract

Background

Although the stenotic femoral intercondylar notch was associated with anterior cruciate ligament (ACL) injuries, the parameters for notch assessment were numerous. The present study aimed to compare the 2-dimensional (2D) femoral notch parameters, including the notch width (NW) and notch width index (NWI), with the 3-dimensional (3D) notch volume based on magnetic resonance imaging (MRI), to determine appropriate femoral parameters for ACL injuries.

Methods

Two hundred forty individuals were included in this study, including 120 patients with ACL ruptures and 120 age- and gender-matched individuals without ACL ruptures. The NWs and NWIs were measured at four sites (the popliteal groove, the notch inlet and outlet, and the ACL attachment), and the notch volumes were calculated. The Pearson correlation coefficients between the 2D and 3D parameters were calculated. A multivariate analysis of the ACL injuries was conducted with these parameters and the demographic data.

Results

The associations of the NW and NWI with the notch volume at each of the four locations of the femoral notch were poor in the subgroup analysis, with the exception of the NW in the male ACL-intact group (R = 0.307, 0.256, 0.404 and 0.387 at the popliteal groove, notch inlet and outlet, and ACL attachment, respectively). The multivariate analysis revealed that the notch volume (OR = 0.679, P < 0.001) and the NW at the popliteal groove (OR = 0.844, P = 0.004), notch inlet (OR = 0.720, P < 0.001) and ACL attachment (OR = 0.871, P = 0.028) were predictable parameters to the risk of ACL injuries.

Conclusions

The correlations between the 2D parameters and the 3D volumes were weak. The notch volume and the NW at the popliteal groove, notch inlet and ACL attachment were useful parameters for predicting the risk of ACL injuries.

Level of evidence

Level III, case-control study.
Literature
1.
Souryal TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med. 1993;21(4):535–9.CrossRef
2.
Petersen W, Tillmann B. Structure and vascularization of the cruciate ligaments of the human knee joint. Anat Embryol. 1999;200(3):325–34.CrossRef
3.
Anderson AF, Lipscomb AB, Liudahl KJ, Addlestone RB. Analysis of the intercondylar notch by computed tomography. Am J Sports Med. 1987;15(6):547–52.CrossRef
4.
Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med. 2004;32(4):1002–12.CrossRef
5.
Staeubli HU, Adam O, Becker W, Burgkart R. Anterior cruciate ligament and intercondylar notch in the coronal oblique plane: anatomy complemented by magnetic resonance imaging in cruciate ligament-intact knees. Arthroscopy. 1999;15(4):349–59.CrossRef
6.
Shelbourne KD, Facibene WA, Hunt JJ. Radiographic and intraoperative intercondylar notch width measurements in men and women with unilateral and bilateral anterior cruciate ligament tears. Knee Surg Sports Traumatol Arthrosc. 1997;5(4):229–33.CrossRef
7.
Muneta T, Takakuda K, Yamamoto H. 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. 1997;25(1):69–72.CrossRef
8.
Simon RA, Everhart JS, Nagaraja HN, Chaudhari AM. A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech. 2010;43(9):1702–7.CrossRef
9.
Van Eck CF, Martins CA, Kopf S, Lertwanich P, Fu FH, Tashman S. Correlation between the 2-dimensional notch width and the 3-dimensional notch volume: a cadaveric study. Arthroscopy. 2011;27(2):207–12.CrossRef
10.
Swami VG, Mabee M, Hui C, Jaremko JL. Three-dimensional intercondylar notch volumes in a skeletally immature pediatric population: a magnetic resonance imaging-based anatomic comparison of knees with torn and intact anterior cruciate ligaments. Arthroscopy. 2013;29(12):1954–62.CrossRef
11.
Wratten CJ, Tetsworth K, Hohmann E. Three-dimensional femoral notch volume in anterior cruciate ligament-deficient versus anterior cruciate ligament-intact patients: a matched case-control study with inter-gender comparison. Arthroscopy. 2015;31(6):1117–22.CrossRef
12.
Whitney DC, Sturnick DR, Vacek PM, DeSarno MJ, Gardner-Morse M, Tourville TW, Smith HC, Slauterbeck JR, Johnson RJ, Shultz SJ, et al. Relationship between the risk of suffering a first-time noncontact ACL injury and geometry of the femoral notch and ACL: a prospective cohort study with a nested case-control analysis. Am J Sports Med. 2014;42(8):1796–805.CrossRef
13.
van Eck CF, Kopf S, van Dijk CN, Fu FH, Tashman S. Comparison of 3-dimensional notch volume between subjects with and subjects without anterior cruciate ligament rupture. Arthroscopy. 2011;27(9):1235–41.CrossRef
14.
Charlton WP, St John TA, Ciccotti MG, Harrison N, Schweitzer M. Differences in femoral notch anatomy between men and women: a magnetic resonance imaging study. Am J Sports Med. 2002;30(3):329–33.CrossRef
15.
Zhang C, Xie G, Fang Z, Zhang X, Huangfu X, Zhao J. Assessment of relationship between three dimensional femoral notch volume and anterior cruciate ligament injury in Chinese Han adults: a retrospective MRI study. Int Orthop. 2018. https://​doi.​org/​10.​1007/​s00264-018-4068-7. [Epub ahead of print]. PMID: 30069592.
16.
Alentorn-Geli E, Pelfort X, Mingo F, Lizano-Diez X, Leal-Blanquet J, Torres-Claramunt R, Hinarejos P, Puig-Verdie L, Monllau JC. 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. Arthroscopy. 2015;31(10):2004–13.CrossRef
17.
van Eck CF, Martins CA, Lorenz SG, Fu FH, Smolinski P. Assessment of correlation between knee notch width index and the three-dimensional notch volume. Knee Surg Sports Traumatol Arthrosc. 2010;18(9):1239–44.CrossRef
18.
Chaudhari AM, Zelman EA, Flanigan DC, Kaeding CC, Nagaraja HN. Anterior cruciate ligament-injured subjects have smaller anterior cruciate ligaments than matched controls: a magnetic resonance imaging study. Am J Sports Med. 2009;37(7):1282–7.CrossRef
19.
Ireland ML, Ballantyne BT, Little K, McClay IS. A radiographic analysis of the relationship between the size and shape of the intercondylar notch and anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2001;9(4):200–5.CrossRef
20.
Stijak L, Bumbasirevic M, Kadija M, Stankovic G, Herzog R, Filipovic B. Morphometric parameters as risk factors for anterior cruciate ligament injuries - a MRI case-control study. Vojnosanit Pregl. 2014;71(3):271–6.CrossRef
21.
Hernigou P, Garabedian JM. Intercondylar notch width and the risk for anterior cruciate ligament rupture in the osteoarthritic knee: evaluation by plain radiography and CT scan. Knee. 2002;9(4):313–6.CrossRef
22.
Thein R, Spitzer E, Doyle J, Khamaisy S, Nawabi DH, Chawla H, Lipman JD, Pearle AD. The ACL graft has different cross-sectional dimensions compared with the native ACL: implications for graft impingement. Am J Sports Med. 2016;44(8):2097–105.CrossRef
23.
Chandrashekar N, Slauterbeck J, Hashemi J. 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. 2005;33(10):1492–8.CrossRef
24.
Sturnick DR, Vacek PM, DeSarno MJ, Gardner-Morse MG, Tourville TW, Slauterbeck JR, Johnson RJ, Shultz SJ, Beynnon BD. Combined anatomic factors predicting risk of anterior cruciate ligament injury for males and females. Am J Sports Med. 2015;43(4):839–47.CrossRef
25.
Li G, DeFrate LE, Park SE, Gill TJ, Rubash HE. In vivo articular cartilage contact kinematics of the knee: an investigation using dual-orthogonal fluoroscopy and magnetic resonance image-based computer models. Am J Sports Med. 2005;33(1):102–7.CrossRef
26.
Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R. Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med. 2007;35(3):359–67.CrossRef
27.
Hoteya K, Kato Y, Motojima S, Ingham SJ, Horaguchi T, Saito A, Tokuhashi Y. Association between intercondylar notch narrowing and bilateral anterior cruciate ligament injuries in athletes. Arch Orthop Trauma Surg. 2011;131(3):371–6.CrossRef
28.
Al-Saeed O, Brown M, Athyal R, Sheikh M. Association of femoral intercondylar notch morphology, width index and the risk of anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2013;21(3):678–82.CrossRef
29.
Geng B, Wang J, Ma JL, Zhang B, Jiang J, Tan XY, Xia YY. Narrow intercondylar notch and anterior cruciate ligament injury in female nonathletes with knee osteoarthritis aged 41-65 years in plateau region. Chin Med J. 2016;129(21):2540–5.CrossRef
30.
Shelbourne KD, Kerr B. The relationship of femoral intercondylar notch width to height, weight, and sex in patients with intact anterior cruciate ligaments. Am J Knee Surg. 2001;14(2):92–6.PubMed
31.
Lombardo S, Sethi PM, Starkey C. 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. 2005;33(1):29–34.CrossRef
32.
Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G. Differences of knee anthropometry between Chinese and white men and women. J Arthroplast. 2011;26(1):124–30.CrossRef
33.
Harvey WF, Niu J, Zhang Y, McCree PI, Felson DT, Nevitt M, Xu L, Aliabadi P, Hunter DJ. Knee alignment differences between Chinese and Caucasian subjects without osteoarthritis. Ann Rheum Dis. 2008;67(11):1524–8.CrossRef
Metadata
Title
The correlation between common 2D femoral notch parameters and 3D notch volume: a retrospective MRI study
Authors
Chengyuan Zhang
Xuancheng Zhang
Zhaoyi Fang
Feng Wang
Feng Yuan
Guoming Xie
Jinzhong Zhao
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-2530-3

Other articles of this Issue 1/2019

BMC Musculoskeletal Disorders 1/2019 Go to the issue

Research article

Effects of spinal manipulative therapy biomechanical parameters on clinical and biomechanical outcomes of participants with chronic thoracic pain: a randomized controlled experimental trial

Research article

Health professional views on the assessment and management of foot problems in people with psoriatic arthritis in Australia and New Zealand: a qualitative investigation

Research article

Accelerated knee osteoarthritis is associated with pre-radiographic degeneration of the extensor mechanism and cruciate ligaments: data from the Osteoarthritis Initiative

Research article

Nutritional factors associated with femoral neck bone mineral density in children and adolescents

Research article

Effect of Vitamin D supplementation on synovial tissue volume and subchondral bone marrow lesion volume in symptomatic knee osteoarthritis

Study protocol

An individualized patient-reported outcome measure (PROM) based patient decision aid and surgeon report for patients considering total knee arthroplasty: protocol for a pragmatic randomized controlled trial