Correlation Between the Morphometric Parameters of the Anterior Cruciate Ligament and the Intercondylar Width: Gender and Age Differences

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2009 May 8

PMID 19421737

Citations 36

Authors

Lazar Stijak

Vidosava Radonjic

Valentina Nikolic

Zoran Blagojevic

Milan Aksic

Branislav Filipovic

Affiliations

Soon will be listed here.

Abstract

The study was conducted on 50 cadavers (32 male and 18 female, aged 15-53 years; mean 34; SD 11) with intact anterior cruciate ligament (ACL), without diagnosed gonarthrosis of the knee joint. The following anatomical parameters of the ACL were measured: the length of anteromedial and posterolateral bundle, the mean length and the width of the ligament, the length and width of tibial insertion, the length and width of femoral insertion. The intercondylar width was measured at the level of popliteal groove. The width of male intercondylar notch (22 mm) was statistically significantly greater (P < 0.05) than the width of female intercondylar notch (18 mm). The width of the male ACL (12 mm) was significantly greater (P < 0.05) than the width of the female ACL (10 mm). The length of the male ACL femoral insertion (14 mm) was statistically significantly greater (P < 0.05) than in the female ACL femoral insertion (12 mm). Accordingly, with greater width of intercondylar notch, men have wider ACL than women. ACL width is in positive correlation with the male intercondylar notch width but it is not in correlation with the female intercondylar notch width. The width of male intercondylar notch correlates with the length and width of ACL femoral insertion. Taking into account the length and width of femoral insertion in examined cadaver knees, double bundle reconstruction would theoretically be possible in 76% of cases.

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References

Giron F, Cuomo P, Aglietti P, Bull A, Amis A . Femoral attachment of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2005; 14(3):250-6. DOI: 10.1007/s00167-005-0685-y. View

Shelbourne K, Davis T, Klootwyk T . The relationship between intercondylar notch width of the femur and the incidence of anterior cruciate ligament tears. A prospective study. Am J Sports Med. 1998; 26(3):402-8. DOI: 10.1177/03635465980260031001. View

Arnoczky S . Anatomy of the anterior cruciate ligament. Clin Orthop Relat Res. 1983; (172):19-25. View

Edwards A, Bull A, Amis A . The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament: Part 1: tibial attachment. Knee Surg Sports Traumatol Arthrosc. 2007; 15(12):1414-21. DOI: 10.1007/s00167-007-0417-6. View

Anderson A, LIPSCOMB A, Liudahl K, Addlestone R . Analysis of the intercondylar notch by computed tomography. Am J Sports Med. 1987; 15(6):547-52. DOI: 10.1177/036354658701500605. View

Gannon J, Engebretsen L, Holen K, Anda S, Vatten L . Intercondylar notch width and the risk for anterior cruciate ligament rupture. A case-control study in 46 female handball players. Acta Orthop Scand. 1994; 65(5):529-32. DOI: 10.3109/17453679409000907. View

Iwahashi T, Shino K, Nakata K, Nakamura N, Yamada Y, Yoshikawa H . Assessment of the "functional length" of the three bundles of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2007; 16(2):167-74. DOI: 10.1007/s00167-007-0456-z. View

Griffin L, Agel J, Albohm M, Arendt E, Dick R, Garrett W . Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000; 8(3):141-50. DOI: 10.5435/00124635-200005000-00001. View

GIRGIS F, Marshall J, Monajem A . The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop Relat Res. 1975; (106):216-31. DOI: 10.1097/00003086-197501000-00033. View

10.

Koukoubis T, Glisson R, Bolognesi M, Vail T . Dimensions of the intercondylar notch of the knee. Am J Knee Surg. 1997; 10(2):83-7; discussion 87-8. View

11.

Anderson A, Dome D, Gautam S, Awh M, Rennirt G . Correlation of anthropometric measurements, strength, anterior cruciate ligament size, and intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. Am J Sports Med. 2001; 29(1):58-66. DOI: 10.1177/03635465010290011501. View

12.

Shelbourne K, Facibene W, Hunt J . 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. DOI: 10.1007/s001670050055. View

13.

Davis T, Shelbourne K, Klootwyk T . Correlation of the intercondylar notch width of the femur to the width of the anterior and posterior cruciate ligaments. Knee Surg Sports Traumatol Arthrosc. 1999; 7(4):209-14. DOI: 10.1007/s001670050150. View

14.

Edwards A, Bull A, Amis A . The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament. Part 2: femoral attachment. Knee Surg Sports Traumatol Arthrosc. 2007; 16(1):29-36. DOI: 10.1007/s00167-007-0410-0. View

15.

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. DOI: 10.1177/036354659702500113. View

16.

Murshed K, Cicekcibasi A, Karabacakoglu A, Seker M, Ziylan T . Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surg Radiol Anat. 2004; 27(2):108-12. DOI: 10.1007/s00276-004-0295-2. View

17.

Norwood Jr L, Cross M . The intercondylar shelf and the anterior cruciate ligament. Am J Sports Med. 1977; 5(4):171-6. DOI: 10.1177/036354657700500406. View

18.

Bradley J, Fitzpatrick D, Daniel D, Shercliff T, OConnor J . Orientation of the cruciate ligament in the sagittal plane. A method of predicting its length-change with flexion. J Bone Joint Surg Br. 1988; 70(1):94-9. DOI: 10.1302/0301-620X.70B1.3339068. View

19.

Dienst M, Schneider G, Altmeyer K, Voelkering K, Georg T, Kramann B . Correlation of intercondylar notch cross sections to the ACL size: a high resolution MR tomographic in vivo analysis. Arch Orthop Trauma Surg. 2006; 127(4):253-60. DOI: 10.1007/s00402-006-0177-7. View

20.

Staeubli H, 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. DOI: 10.1016/s0749-8063(99)70051-4. View