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The influence of the morphometric parameters of the intercondylar notch on occurrence of meniscofemoral ligaments
- Department of Anatomy, Faculty of Medical Sciences, University of Kragujevac, Serbia
- College of Applied Health Sciences, Ćuprija, Serbia
open access
Abstract
Background: The purpose of this study was to examine the existence of correlation between the morphometric parameters of the intercondylar notch of the femur and the occurrence of meniscofemoral ligaments (MFLs) and if there is any relationship in the running angle (RA) value between narrowed and normal sized intercondylar notch.
Materials and methods: Coronal, sagittal and horizontal magnetic resonance (MR) images of 90 patients with specified exclusion criteria were included in this study. The c2 test was used for statistical analysis. In our research either one or both MFLs were identified in 70 (77.8%) of the 90 coronal MR images. In normal sized intercondylar notch, MFLs was seen in 39 (43.3%) cases and on 31 (34.4%) MR images with narrowed intercondylar notch.
Results: A significant correlation was established between the occurrence of the MFL and morphometric parameters of the intercondylar notch (p < 0.05). In normal sized intercondylar notch, 12 posterior meniscofemoral ligaments (pMFLs) of type I were detected (RA value 42°), 8 of type II (RA value 33°), 5 of type III (RA value 23°) and two were of indeterminate type, whilst 10 anterior meniscofemoral ligaments (aMFLs) were of type I (RA value 39°), 7 of type II (RA value 31°), 2 of type III (RA value 25°) and the remaining 6 were indeterminate. In narrowed intercondylar notch, 10 ligaments of pMFLs were of type I (RA value 30°), 8 of type II (RA value 25°), 5 of type III (RA value 20°), 10 ligaments of aMFLs were of type I (RA value 35°) and 9 were indeterminate. Statistically significant differences in the value of the running angle of pMFL type I and of type II were evaluated between two groups with different shaped intercondylar notch (p < 0.05).
Conclusions: The results shown in our study may be useful in medical clinical practice, reconstructive surgery, interpretation of knee MR images as well as genetic research.
Abstract
Background: The purpose of this study was to examine the existence of correlation between the morphometric parameters of the intercondylar notch of the femur and the occurrence of meniscofemoral ligaments (MFLs) and if there is any relationship in the running angle (RA) value between narrowed and normal sized intercondylar notch.
Materials and methods: Coronal, sagittal and horizontal magnetic resonance (MR) images of 90 patients with specified exclusion criteria were included in this study. The c2 test was used for statistical analysis. In our research either one or both MFLs were identified in 70 (77.8%) of the 90 coronal MR images. In normal sized intercondylar notch, MFLs was seen in 39 (43.3%) cases and on 31 (34.4%) MR images with narrowed intercondylar notch.
Results: A significant correlation was established between the occurrence of the MFL and morphometric parameters of the intercondylar notch (p < 0.05). In normal sized intercondylar notch, 12 posterior meniscofemoral ligaments (pMFLs) of type I were detected (RA value 42°), 8 of type II (RA value 33°), 5 of type III (RA value 23°) and two were of indeterminate type, whilst 10 anterior meniscofemoral ligaments (aMFLs) were of type I (RA value 39°), 7 of type II (RA value 31°), 2 of type III (RA value 25°) and the remaining 6 were indeterminate. In narrowed intercondylar notch, 10 ligaments of pMFLs were of type I (RA value 30°), 8 of type II (RA value 25°), 5 of type III (RA value 20°), 10 ligaments of aMFLs were of type I (RA value 35°) and 9 were indeterminate. Statistically significant differences in the value of the running angle of pMFL type I and of type II were evaluated between two groups with different shaped intercondylar notch (p < 0.05).
Conclusions: The results shown in our study may be useful in medical clinical practice, reconstructive surgery, interpretation of knee MR images as well as genetic research.
Keywords
intercondylar notch, meniscofemoral ligament, knee and magnetic resonance
Title
The influence of the morphometric parameters of the intercondylar notch on occurrence of meniscofemoral ligaments
Journal
Issue
Article type
Original article
Pages
190-195
Published online
2020-12-30
Page views
6368
Article views/downloads
986
DOI
Pubmed
Bibliographic record
Folia Morphol 2022;81(1):190-195.
Keywords
intercondylar notch
meniscofemoral ligament
knee and magnetic resonance
Authors
M. Minic
I. Zivanovic-Macuzic
M. Jakovcevski
M. Kovacevic
S. Minic
D. Jeremic
- Amis AA. The biomechanics of ligaments. In: Jenkins DHR (ed.). Ligament injuries and their treatment. Chapman and Hall, London 1985: 3–28.
- Amis AA, Gupte CM, Bull AMJ, et al. Anatomy of the posterior cruciate ligament and the meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc. 2006; 14(3): 257–263.
- Al-Saeed O, Brown M, Athyal R, et al. Association of femoral intercondylar notch morphology, width index and the risk of anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2013; 21(3): 678–682.
- Anderson AF, Lipscomb AB, Liudahl KJ, et al. Analysis of the intercondylar notch by computed tomography. Am J Sports Med. 1987; 15(6): 547–552.
- Balgovind SR, Raunak B, Anusree A. Intercondylar notch morphometrics in Indian population: An anthropometric study with magnetic resonance imaging analysis. J Clin Orthop Trauma. 2019; 10(4): 702–705.
- Bintoudi A, Natsis K, Tsitouridis I. Anterior and posterior meniscofemoral ligaments: MRI evaluation. Anat Res Int. 2012; 2012: 839724.
- Cho JM, Suh JS, Na JB, et al. Variations in meniscofemoral ligaments at anatomical study and MR imaging. Skeletal Radiol. 1999; 28(4): 189–195.
- Frank JM, Moatshe G, Brady AW, et al. Lateral meniscus posterior root and meniscofemoral ligaments as stabilizing structures in the ACL-deficient knee: a biomechanical study. Orthop J Sports Med. 2017; 5(6): 2325967117695756.
- Moran CJ, Poynton AR, Moran R, et al. Analysis of meniscofemoral ligament tension during knee motion. Arthroscopy. 2006; 22(4): 362–366.
- Gupte CM, Smith A, McDermott ID, et al. Meniscofemoral ligaments revisited. Anatomical study, age correlation and clinical implications. J Bone Joint Surg Br. 2002; 84(6): 846–851.
- Gupte CM, Bull AMj, Thomas RD, et al. A review of the function and biomechanics of the meniscofemoral ligaments. Arthroscopy. 2003; 19(2): 161–171.
- Heller L, Langman J. The menisco-femoral ligaments of the human knee. J Bone Joint Surg Br. 1964; 46: 307–313.
- Herzog RJ, Silliman JF, Hutton K, et al. Measurements of the intercondylar notch by plain film radiography and magnetic resonance imaging. Am J Sports Med. 1994; 22(2): 204–210.
- Hutchinson MR, Ireland ML. Knee injuries in female athletes. Sports Med. 1995; 19(4): 288–302.
- Kaplan EB. The lateral meniscofemoral ligament of the knee joint. Bull Hosp Joint Dis. 1956; 17(2): 176–182.
- Kusayama T, Harner CD, Carlin GJ, et al. Anatomical and biomechanical characteristics of human meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc. 1994; 2(4): 234–237.
- Ohori T, Mae T, Shino K, et al. Complementary function of the meniscofemoral ligament and lateral meniscus posterior root to stabilize the lateral meniscus posterior horn: a biomechanical study in a porcine knee model. Orthop J Sports Med. 2019; 7(1): 2325967118821605.
- Röhrich S, Kainberger F, Hirtler L. Evaluation of age-dependent morphometrics of the meniscofemoral ligaments in reference to the posterior cruciate ligament in routine MRI. Eur Radiol. 2018; 28(6): 2369–2379.
- Shelbourne KD, Davis TJ, Klootwyk TE. 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): 402–408.
- Stijak L, Malis M, Maksimović R, et al. [The influence of the morphometric parameters of the intercondylar notch on rupture of the anterior cruciate ligament]. Vojnosanit Pregl. 2012; 69(7): 576–580.
- Tanzer M, Lenczner E. The relationship of intercondylar notch size and content to notchplasty requirement in anterior cruciate ligament surgery. Arthroscopy. 1990; 6(2): 89–93.
- Tillman MD, Smith KR, Bauer JA, et al. Differences in three intercondylar notch geometry indices between males and females: a cadaver study. Knee. 2002; 9(1): 41–46.
- Tomczyk J, Rachalewski M, Bianek-Bodzak A, et al. Anatomical variations of knee ligaments in magnetic resonance imaging: pictorial essay. Folia Morphol. 2019; 78(3): 467–475.
- Yamamoto M, Hirohata K. Anatomical study of the menisco-femoral ligaments of the knee. Kobe J Med Sci. 1991; 37((4-5)).
- Zhang C, Zhang X, Fang Z, et al. The correlation between common 2D femoral notch parameters and 3D notch volume: a retrospective MRI study. BMC Musculoskelet Disord. 2019; 20(1): 146.