Meta-analysis on the relationship between femoral intercondylar notchsize and anterior cruciate ligament injury

doi:10.3969/j.issn.2095-4344.2013.22.016

Abstract

Abstract:

BACKGROUND: Previous studies have explored the relationship between femoral intercondylar notch size and anterior cruciate ligament injury, but there is no unified conclusion, and there is no relative meta-analysis.
OBJECTIVE: To analyze the relationship between femoral intercondylar notch size and anterior cruciate ligament injury, in order to provide a scientific basis for the causes of anterior cruciate ligament injury andeffective prevention and control measures.
METHODS: The Medline database, AMED database, Embase database, Cochrane Library and Chinese Biomedical database were searched, and the case-control studies and prospective cohort studies on the relationship between femoral intercondylar notch size and anterior cruciate ligament injury were collected. The Revman5.0 and STATA11.0 software package were used for data analysis.
RESULTS AND CONCLUSION: Twenty meta-analysis literatures were involved, including 16 case-control studies and 4 prospective cohort studies. A total of 4 532 subjects were included (1 316 subjects in the injury group and 3 216 in the control group). The pooled weighted mean difference for femoral intercondylar notch index between the injury group and the control group was [-0.04, 95% confidence interval:(-0.05, -0.02), P < 0.05]. The pooled weighted mean difference for femoral intercondylar notch width between the injury group and the control group was [-1.47, 95% confidence interval: (-1.92, -1.02), P < 0.05]. The results of this meta-analysis suggest that there is correlation between femoral intercondylar notch size and anterior cruciate ligament injury, but more high-quality and large sample studies are needed to confirm this conclusion.

Key words: bone and joint implants, evidence based medicine of bone and joint, anterior cruciate ligament, injury, Meta-analysis, femur, intercondylar notch index, intercondylar notch width, intercondylar notch parameter, risk factor, correlation

CLC Number:

R318

Wei Jie, Zeng Chao, Gao Shu-guang, Yang Tu-bao, Lei Guang-hua. Meta-analysis on the relationship between femoral intercondylar notchsize and anterior cruciate ligament injury[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(22): 4099-4106.

Figures/Tables 6

References

[1]Simon RA, Everhart JS, Nagaraja HN, et al. A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech. 2010;43(9):1702-1707.

[2]Lee JJ, Choi YJ, Shin KY,et al. Medial meniscal tears in anterior cruciate ligament-deficient knees: effects of posterior tibial slope on medial meniscal tear. Knee Surg Relat Res. 2011;23(4):227-230.

[3]Chung SC, Chan WL, Wong SH. Lower limb alignment in anterior cruciate ligament-deficient versus -intact knees.J Orthop Surg (Hong Kong). 2011;19(3):303-308.

[4]Kimura Y, Ishibashi Y, Tsuda E,et al. Increased knee valgus alignment and moment during single-leg landing after overhead stroke as a potential risk factor of anterior cruciate ligament injury in badminton.Br J Sports Med. 2012;46(3): 207-213.

[5]Vyas S, van Eck CF, Vyas N,et al. Increased medial tibial slope in teenage pediatric population with open physes and anterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc. 2011;19(3):372-377.

[6]Sonnery-Cottet B, Archbold P, Cucurulo T, et al. The influence of the tibial slope and the size of the intercondylar notch on rupture of the anterior cruciate ligament. J Bone Joint Surg Br. 2011;93(11):1475-1478.

[7]Domzalski M, Grzelak P, Gabos P. Risk factors for Anterior Cruciate Ligament injury in skeletally immature patients: analysis of intercondylar notch width using Magnetic Resonance Imaging. Int Orthop. 2010;34(5):703-707.

[8]Hoteya K, Kato Y, Motojima S,et al. Association between intercondylar notch narrowing and bilateral anterior cruciate ligament injuries in athletes. Arch Orthop Trauma Surg. 2011; 131(3):371-376.

[9]Ireland ML, Ballantyne BT, Little K, et al. A radiographic analysis of the relationship between the size and shape of the intercondylar notch and anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2001;9(4):200-205.

[10]Lombardo S, Sethi PM, Starkey C. Intercondylar notch stenosis is not a risk factor for anterior cruciate ligament tears in professional male basketball players: an 11-year prospective study. Am J Sports Med. 2005;33(1):29-34.

[11]Uhorchak JM, Scoville CR, Williams GN, et al. Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med. 2003;31(6):831-842.

[12]LaPrade RF, Burnett QM 2nd. Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study. Am J Sports Med. 1994;22(2):198-202.

[13]Lund-Hanssen H, Gannon J, Engebretsen L, et al. 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):529-532.

[14]Souryal TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med. 1993;21(4):535-539.

[15]Teitz CC, Lind BK, Sacks BM. Symmetry of the femoral notch width index. Am J Sports Med. 1997;25(5):687-690.

[16]Simon RA, Everhart JS, Nagaraja HN, et al. A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech. 2010;43(9):1702-1707.

[17]Everhart JS, Flanigan DC, Simon RA, et al. Association of noncontact anterior cruciate ligament injury with presence and thickness of a bony ridge on the anteromedial aspect of the femoral intercondylar notch. Am J Sports Med. 2010; 38(8):1667-1673.

[18]Kocher MS, Mandiga R, Klingele K, et al. Anterior cruciate ligament injury versus tibial spine fracture in the skeletally immature knee: a comparison of skeletal maturation and notch width index. J Pediatr Orthop. 2004;24(2):185-188.

[19]Lee GC, Cushner FD, Vigoritta V, et al. Evaluation of the anterior cruciate ligament integrity and degenerative arthritic patterns in patients undergoing total knee arthroplasty. J Arthroplasty. 2005;20(1):59-65.

[20]Motohashi M. Profile of bilateral anterior cruciate ligament injuries: a retrospective follow-up study.J Orthop Surg (Hong Kong). 2004;12(2):210-215.

[21]Hernigou P, Garabedian JM. Intercondylar notch width and the risk for anterior cruciate ligament rupture in the osteoarthritic knee: evaluation by plain radiography and CT scan. Knee. 2002;9(4):313-316.

[22]Souryal TO, Moore HA, Evans JP. Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch stenosis. Am J Sports Med. 198816(5):449-454.

[23]Shelbourne KD, Facibene WA, Hunt JJ. 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):229-233.

[24]Stein V, Li L, Guermazi A, et al. The relation of femoral notch stenosis to ACL tears in persons with knee osteoarthritis. Osteoarthritis Cartilage. 2010;18(2):192-199.

[25]Begg CB, Mazumdar M.Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50(4): 1088-1101.

[26]Egger M, Davey Smith G, Schneider M, et al. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629-634.

[27]Palmer I. On the injuries to the ligaments of the knee joint, A clinical study. Acta Chir Scand Suppl.1938;53:1-28.

[28]Souryal TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med. 1993;21(4):535-539.

[29]Boden BP, Dean GS, Feagin JA Jr, et al. Mechanisms of anterior cruciate ligament injury.Orthopedics. 2000; 23(6): 573-578.

[30]Dienst M, Schneider G, Altmeyer K, et al. Correlation of intercondylar notch cross sections to the ACL size: a high resolution MR tomographic in vivo analysis. Arch Orthop Trauma Surg. 2007;127(4):253-260.

[31]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.

[32]Bjordal JM, Arn?y F, Hannestad B, et al. Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med. 1997;25(3):341-345.

[33]Toth AP, Cordasco FA. Anterior cruciate ligament injuries in the female athlete. J Gend Specif Med. 2001;4(4):25-34.

[34]Ruedl G, Webhofer M, Helle K,et al. Leg dominance is a risk factor for noncontact anterior cruciate ligament injuries in female recreational skiers. Am J Sports Med. 2012;40(6): 1269-1273.

[35]Ageberg E, Forssblad M, Herbertsson P,et al. Sex differences in patient-reported outcomes after anterior cruciate ligament reconstruction: data from the Swedish knee ligament register. Am J Sports Med. 2010;38(7):1334-1342.

[36]Wolters F, Vrooijink SH, Van Eck CF, et al. Does notch size predict ACL insertion site size. Knee Surg Sports Traumatol Arthrosc. 2011;19 Suppl 1:S17-S21.

[37]van Eck CF, Martins CA, Lorenz SG,et al. Assessment of correlation between knee notch width index and the three-dimensional notch volume. Knee Surg Sports Traumatol Arthrosc. 2010;18(9):1239-1244.