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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

12.06.2019 | Arthroscopy and Sports Medicine

Multivariable analysis of anatomic risk factors for anterior cruciate ligament injury in active individuals

verfasst von: Xianyue Shen, Jianlin Xiao, Yuhui Yang, Tong Liu, Shangjun Chen, Zhongli Gao, Jianlin Zuo

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 9/2019

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Abstract

Objective

The aim of the present study was to compare the morphometric differences between patients with or without anterior cruciate ligament (ACL) injury, and identify the anatomic risk factors associated with ACL injury in active individuals.

Methods

The knee joint magnetic resonance images (MRI) of 100 subjects were included in this study. Data from the ACL-injured group (50 patients) and matched controls (50 subjects) were obtained from the same hospital. These data were analyzed by univariable analysis or multivariable conditional logistic regression analysis to examine the effects of the following variables on the risk of suffering ACL injury for the first time: TT-TG distance, medial and lateral tibial slope, intercondylar notch width and depth, femur condylar width, lateral femoral condylar depth, notch width index (NWI), notch shape index (NSI), notch depth index (NDI), and cross-sectional area (CSA).

Results

In the univariable analysis, the ACL-injured group had a larger TT-TG distance, increased medial and lateral tibial slope, narrower intercondylar notch width, deeper lateral femoral condylar depth, lesser NWI and NSI, and CSA when compared with the control group (P < 0.05). However, there were no significant between-group differences in intercondylar notch depth (P = 0.174), femur condylar width (P = 0.797), and NDI (P = 0.436). The multivariable analysis revealed that TT-TG distance [odds ratio (OR) = 1.37, 95% CI = 1.04–1.81, P = 0.028], medial tibial slope (OR = 1.30, 95% CI = 1.02–1.66, P = 0.036) and NWI (OR = 0.46, 95% CI = 0.24–0.91, P = 0.025) had significant multivariable associations with the sole independent risk of ACL injury.

Conclusion

Larger TT-TG distance, increased MTS, and lesser NWI are independent anatomic risk factors for active individuals with ACL injury.

Level of evidence

Case-control study; Level of Evidence, III.

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Titel: Multivariable analysis of anatomic risk factors for anterior cruciate ligament injury in active individuals
verfasst von: Xianyue Shen
Jianlin Xiao
Yuhui Yang
Tong Liu
Shangjun Chen
Zhongli Gao
Jianlin Zuo
Publikationsdatum: 12.06.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 9/2019
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03210-x

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Springer Medizin

Multivariable analysis of anatomic risk factors for anterior cruciate ligament injury in active individuals

Abstract

Objective

Methods

Results

Conclusion

Level of evidence

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Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Level of evidence

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