کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4080825 1267568 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Intercondylar notch dysplasia in open-physis anterior cruciate ligament injuries: A case-control study
ترجمه فارسی عنوان
دیسپلازی نزول اینترکندیلار در آسیب های رباط متقاطع پیشانی باز: مطالعه مورد - شاهدی
کلمات کلیدی
رباط صلیبی قدامی بیمار کودکان، فاصله بین کاندیدلار، شاخص عرض نچ
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

BackgroundThe incidence of anterior cruciate ligament (ACL) tears in children is rising steadily due to a variety of factors including growing participation in sports. A narrow intercondylar notch is an intrinsic risk factor that is well documented in adults but rarely investigated in children. The objective of this study was to evaluate the potential association between a narrow intercondylar notch and ACL tears in children.HypothesisA narrow intercondylar notch is associated with ACL tears.Material and methodsIn a paediatric case-control study, we compared intercondylar notch morphology as assessed by magnetic resonance imaging (MRI) in 49 patients with ACL tears (33 males and 16 females with a mean age of 13.6 years) and 50 controls with normal knees (18 boys and 32 girls with a mean age of 13.8 years). In each participant, posterior tibial slope was measured, as well as the notch width index (NWI) (width of the intercondylar notch over bicondylar width at the same level). In addition, to evaluate anterior impingement, the angle formed by Blumensaat's line and the axis of the tibia (α angle) was measured with the knee extended.ResultsThe NWI was significantly lower in the cases than in the controls (0.244 ± 0.02 and 0.263 ± 0.02, respectively; P < 0.05). The α angle was also significantly smaller in the cases (138.74°±4.6° vs. 141.30°±7.9° in the controls; P < 0.05).DiscussionACL tears are associated with a small NWI in children. A narrow intercondylar notch is an established risk factor for ACL tears and should be sought routinely to determine whether notch-plasty should be performed during the ACL reconstruction procedure in order to decrease the risk of recurrent ACL tears.Level of evidenceIII, case-control study.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Orthopaedics & Traumatology: Surgery & Research - Volume 102, Issue 2, April 2016, Pages 203–206
نویسندگان
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