Posterior cruciate ligament injury is influenced by intercondylar shape and size of tibial eminence
| Autor: | Max Reijman, K. S. R. van Kuijk, Jan H. Waarsing, Duncan E. Meuffels, Sita M A Bierma-Zeinstra |
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| Přispěvatelé: | Orthopedics and Sports Medicine, General Practice |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rupture Orthodontics Knee Joint Tibia business.industry technology industry and agriculture Knee Injuries macromolecular substances Middle Aged equipment and supplies musculoskeletal system medicine.anatomical_structure Risk Factors Case-Control Studies Posterior cruciate ligament Humans Medicine Female Posterior Cruciate Ligament Orthopedics and Sports Medicine Surgery business |
| Zdroj: | The bone & joint journal, 101B(9), 1058-1062. British Editorial Society of Bone and Joint Surgery |
| ISSN: | 2049-4394 |
| Popis: | Aims Little is known about the risk factors that predispose to a rupture of the posterior cruciate ligament (PCL). Identifying risk factors is the first step in trying to prevent a rupture of the PCL from occurring. The morphology of the knee in patients who rupture their PCL may differ from that of control patients. The purpose of this study was to identify any variations in bone morphology that are related to a PCL. Patients and Methods We compared the anteroposterior (AP), lateral, and Rosenberg view radiographs of 94 patients with a ruptured PCL to a control group of 168 patients matched by age, sex, and body mass index (BMI), but with an intact PCL after a knee injury. Statistical shape modelling software was used to assess the shape of the knee and determine any difference in anatomical landmarks. Results We found shape variants on the AP and Rosenberg view radiographs to be significantly different between patients who tore their PCL and those with an intact PCL after a knee injury. Overall, patients who ruptured their PCL have smaller intercondylar notches and smaller tibial eminences than control patients. Conclusion This study shows that differences in the shape of the knee are associated with the presence of a PCL rupture after injury. A smaller and more sharply angled intercondylar notch and a more flattened tibial eminence are related to PCL rupture. This suggests that the morphology of the knee is a risk factor for sustaining a PCL rupture. Cite this article: Bone Joint J 2019;101-B:1058–1062. |
| Databáze: | OpenAIRE |
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