Tibial articular cartilage and meniscus geometries combine to influence female risk of anterior cruciate ligament injury.

Tibial articular cartilage and meniscus geometries combine to influence female risk of anterior cruciate ligament injury.
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DOI:
10.1002/jor.22702
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发表时间:
2014-11
期刊:
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
影响因子:
--
通讯作者:
Beynnon BD
Beynnon BD
中科院分区:
其他
文献类型:
--
作者:
Sturnick DR;Van Gorder R;Vacek PM;DeSarno MJ;Gardner-Morse MG;Tourville TW;Slauterbeck JR;Johnson RJ;Shultz SJ;Beynnon BD

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胫骨平台软骨下骨几何结构与非接触性ACL损伤风险相关;然而,关于半月板和关节软骨界面几何结构对风险的影响知之甚少。我们假设胫骨平台关节软骨表面和半月板的几何形状分别与非接触性ACL损伤的风险相关。此外,我们假设这种关联与潜在的软骨下骨几何形状无关。对88名遭受非接触性ACL损伤的受试者(27名男性,61名女性)和88名从受伤受试者的队友中选择的匹配对照受试者进行MRI扫描,并在性别,运动,比赛水平和受伤风险方面进行匹配。对女性数据的多变量分析显示,中间关节软骨区域的后下定向倾斜度增加和外侧间室半月板后角高度降低与首次非接触性ACL损伤风险增加相关,相互独立,与胫骨平台软骨下骨的倾斜度无关。没有措施与男性非接触性ACL损伤的风险独立相关。
Tibial plateau subchondral bone geometry has been associated with the risk of sustaining a non-contact ACL injury; however, little is known regarding the influence of the meniscus and articular cartilage interface geometry on risk. We hypothesized that geometries of the tibial plateau articular cartilage surface and meniscus were individually associated with the risk of non-contact ACL injury. In addition, we hypothesized that the associations were independent of the underlying subchondral bone geometry. MRI scans were acquired on 88 subjects that suffered non-contact ACL injuries (27 males, 61 females) and 88 matched control subjects that were selected from the injured subject’s teammates and were thus matched on sex, sport, level of play, and exposure to risk of injury. Multivariate analysis of the female data revealed that increased posterior-inferior directed slope of the middle articular cartilage region and decreased height of the posterior horn of the meniscus in the lateral compartment were associated with increased risk of sustaining a first time, non-contact ACL injury, independent of each other and of the slope of the tibial plateau subchondral bone. No measures were independently related to risk of non-contact ACL injury among males.
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