Cargando…

Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography

BACKGROUND: Two relatively common forms of injury exist in the posterior cruciate ligament (PCL) after the onset of trauma: PCL tear and tibial avulsion fracture. The mechanism for the occurrence of these different forms of injury is not known. Herein, we aimed to investigate this mechanism by compa...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Wen-Tao, Kang, Kai, Yang, Jin-Yu, Sun, Hui, Li, Tong, Wang, Han, Gao, Shi-Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784257/
https://www.ncbi.nlm.nih.gov/pubmed/36550563
http://dx.doi.org/10.1186/s13018-022-03451-4
_version_ 1784857767231619072
author Huang, Wen-Tao
Kang, Kai
Yang, Jin-Yu
Sun, Hui
Li, Tong
Wang, Han
Gao, Shi-Jun
author_facet Huang, Wen-Tao
Kang, Kai
Yang, Jin-Yu
Sun, Hui
Li, Tong
Wang, Han
Gao, Shi-Jun
author_sort Huang, Wen-Tao
collection PubMed
description BACKGROUND: Two relatively common forms of injury exist in the posterior cruciate ligament (PCL) after the onset of trauma: PCL tear and tibial avulsion fracture. The mechanism for the occurrence of these different forms of injury is not known. Herein, we aimed to investigate this mechanism by comparing the intercondylar notch parameters between patients with PCL tears and those with PCL avulsion fractures of the tibial insertion. METHODS: Fifty-three patients with PCL tears (37 male, 16 female: median age of 37 years: range 18–54 years) and 46 patients with avulsion fractures of tibial insertion (33 male, 13 female: median age of 33 years: range 18–55 years) were included in this study. Three-dimensional computed tomography (CT) was applied to measure the intercondylar notch width index and intercondylar notch volume. The intercondylar notch volume was simulated as the truncated-pyramid shape. Measurements of the top and bottom areas of this model were conducted on the slice containing the most proximal (S(1)) and most distal (S(2)) levels of Blumensaat’s line. Femoral condyle height (h) was defined as the vertical distance between two parallel planes, and the volume was calculated as h(S(1) + S(2) + √(S(1)S(2)))/3. The values of S(1), S(2), h, notch volume, the body mass index (BMI), intercondylar notch width (NW), femoral condylar width (FW) and notch width index (NWI) were compared among the PCL tear and avulsion-fracture groups. RESULTS: The results show a significant difference in the S(2) and normalized intercondylar notch volumes among patients with PCL tears and tibial avulsion injuries. Patients with PCL tears have smaller S(2) and intercondylar notch volumes than those with tibial avulsion. There were no significant differences between the two groups in S(1) or the 2D notch measurement parameters, such as the NW, FW and NWI. In addition, logistic regression analysis revealed notch volume and body mass index (BMI) as two significant independent predictors for PCL tears. CONCLUSION: Decreased intercondylar notch volume and increased BMI are associated with an increased incidence of PCL tears. The occurrence of PCL tears and tibial avulsion injuries is influenced by the femoral intercondylar notch volume, and the measurement of the notch volume could be useful for identifying patients at risk for PCL tears.
format Online
Article
Text
id pubmed-9784257
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-97842572022-12-24 Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography Huang, Wen-Tao Kang, Kai Yang, Jin-Yu Sun, Hui Li, Tong Wang, Han Gao, Shi-Jun J Orthop Surg Res Research Article BACKGROUND: Two relatively common forms of injury exist in the posterior cruciate ligament (PCL) after the onset of trauma: PCL tear and tibial avulsion fracture. The mechanism for the occurrence of these different forms of injury is not known. Herein, we aimed to investigate this mechanism by comparing the intercondylar notch parameters between patients with PCL tears and those with PCL avulsion fractures of the tibial insertion. METHODS: Fifty-three patients with PCL tears (37 male, 16 female: median age of 37 years: range 18–54 years) and 46 patients with avulsion fractures of tibial insertion (33 male, 13 female: median age of 33 years: range 18–55 years) were included in this study. Three-dimensional computed tomography (CT) was applied to measure the intercondylar notch width index and intercondylar notch volume. The intercondylar notch volume was simulated as the truncated-pyramid shape. Measurements of the top and bottom areas of this model were conducted on the slice containing the most proximal (S(1)) and most distal (S(2)) levels of Blumensaat’s line. Femoral condyle height (h) was defined as the vertical distance between two parallel planes, and the volume was calculated as h(S(1) + S(2) + √(S(1)S(2)))/3. The values of S(1), S(2), h, notch volume, the body mass index (BMI), intercondylar notch width (NW), femoral condylar width (FW) and notch width index (NWI) were compared among the PCL tear and avulsion-fracture groups. RESULTS: The results show a significant difference in the S(2) and normalized intercondylar notch volumes among patients with PCL tears and tibial avulsion injuries. Patients with PCL tears have smaller S(2) and intercondylar notch volumes than those with tibial avulsion. There were no significant differences between the two groups in S(1) or the 2D notch measurement parameters, such as the NW, FW and NWI. In addition, logistic regression analysis revealed notch volume and body mass index (BMI) as two significant independent predictors for PCL tears. CONCLUSION: Decreased intercondylar notch volume and increased BMI are associated with an increased incidence of PCL tears. The occurrence of PCL tears and tibial avulsion injuries is influenced by the femoral intercondylar notch volume, and the measurement of the notch volume could be useful for identifying patients at risk for PCL tears. BioMed Central 2022-12-23 /pmc/articles/PMC9784257/ /pubmed/36550563 http://dx.doi.org/10.1186/s13018-022-03451-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Huang, Wen-Tao
Kang, Kai
Yang, Jin-Yu
Sun, Hui
Li, Tong
Wang, Han
Gao, Shi-Jun
Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title_full Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title_fullStr Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title_full_unstemmed Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title_short Intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
title_sort intercondylar notch volume in patients with posterior cruciate ligament tears and tibial avulsion injuries: a study applying computed tomography
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784257/
https://www.ncbi.nlm.nih.gov/pubmed/36550563
http://dx.doi.org/10.1186/s13018-022-03451-4
work_keys_str_mv AT huangwentao intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT kangkai intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT yangjinyu intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT sunhui intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT litong intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT wanghan intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography
AT gaoshijun intercondylarnotchvolumeinpatientswithposteriorcruciateligamenttearsandtibialavulsioninjuriesastudyapplyingcomputedtomography