کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4046539 1603579 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Radiographic Classification of the Femoral Intercondylar Notch Posterolateral Rim
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Radiographic Classification of the Femoral Intercondylar Notch Posterolateral Rim
چکیده انگلیسی

Purpose: The purpose of this study was to determine whether posterolateral rim morphology can be delineated on plain radiographic images. Methods: We obtained 20 femora from the Cleveland Museum of Natural History (10 each with distinct and indistinct posterolateral rims). Four blinded reviewers evaluated radiographic posterolateral rim morphology on lateral radiographs. The reviewers included a musculoskeletal radiologist, a fellowship-trained sports medicine surgeon, a pediatric orthopaedic surgeon, and a junior orthopaedic resident. Interobserver and intraobserver reliability was determined. Results: Radiographically, posterolateral rim morphology was classified into 2 types. Type 1 rims have a defined transition from Blumensaat's line to the posterior femoral cortex. Type 2 rims have an indistinct transition. Interobserver reliability showed substantial agreement during the first (κ = 0.65) and second (κ = 0.70) sessions. Intraobserver reliability was nearly perfect, with κ values ranging from 0.8 to 1.0. Conclusions: It has been shown anatomically that the posterolateral rim has variable morphology. We have shown that posterolateral rim morphology can be delineated on lateral plain film images. Radiographic type 1 rims correlate with distinct posterolateral rim morphology. Radiographic type 2 rims correlate with indistinct posterolateral rim morphology. Clinical Relevance: For surgeons who reference the posterolateral rim for femoral tunnel placement during anterior cruciate ligament reconstruction, indistinct posterolateral rim morphology may result in errant tunnel placement. Improved awareness of posterolateral rim morphology preoperatively may help avoid technical errors with placement of the femoral tunnel.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 24, Issue 10, October 2008, Pages 1109–1114
نویسندگان
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