Size and Shape of the Human Anterior Cruciate Ligament and the Impact of Sex and Skeletal Growth: A Systematic Review.
Size and Shape of the Human Anterior Cruciate Ligament and the Impact of Sex and Skeletal Growth: A Systematic Review.
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DOI：
10.2106/jbjs.rvw.18.00145
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发表时间：
2019-06
期刊：
影响因子：
2.3
通讯作者：
Fisher MB
中科院分区：
文献类型：
--
作者：
Cone SG;Howe D;Fisher MB
在骨骼未成熟和成熟的人群中，前交叉韧带（ACL）损伤和手术重建的高比例导致了许多关于健康韧带大小和形状的研究。本研究的目的是汇编现有的前交叉韧带几何形状、束和插入位置的定量测量数据，并描述常见协变量（如性别和年龄）的影响。检索了1900年1月1日至2018年4月11日发表的关于前交叉韧带长度、横截面积、体积、方向和插入位置的研究。两名审稿人独立筛选和审查文章，以收集每个参数的定量数据。本系统综述收集了92篇文章的定量数据。在成人研究中，ACL的平均长度、横截面积和体积分别为26 ~ 38mm、30 ~ 53mm2和854 ~ 1858 mm3。报告值通常根据性别和骨骼成熟度以及测量技术而变化。虽然前交叉韧带的几何形状已在文献中被广泛描述，但定量测量可能取决于性别、年龄和测量方式，导致研究之间存在差异。因此，必须注意考虑到这些因素。本研究浓缩了描述前交叉韧带的几何形状、其单个束和插入位置的测量，尽可能地考虑了共同的协变量，为临床和科学界提供了资源。ACL几何形状的定量测量为制定ACL重建等临床治疗提供了信息。年龄和性别会影响这些参数。
High rates of anterior cruciate ligament (ACL) injury and surgical reconstruction in both skeletally immature and mature populations have led to many studies investigating the size and shape of the healthy ligament. The purposes of the present study were to compile existing quantitative measurements of the geometry of the ACL, its bundles, and its insertion sites and to describe effects of common covariates such as sex and age. A search of the Web of Science was conducted for studies published from January 1, 1900, to April 11, 2018 describing length, cross-sectional area, volume, orientation, and insertion sites of the ACL. Two reviewers independently screened and reviewed the articles to collect quantitative data for each parameter. Quantitative data were collected from 92 articles in this systematic review. In studies of adults, reports of average ACL length, cross-sectional area, and volume ranged from 26 to 38 mm, 30 to 53 mm2, and 854 to 1,858 mm3, respectively. Reported values were commonly found to vary according to sex and skeletal maturity as well as measurement technique. Although the geometry of the ACL has been described widely in the literature, quantitative measurements can depend on sex, age, and measurement modality, contributing to variability between studies. As such, care must be taken to account for these factors. The present study condenses measurements describing the geometry of the ACL, its individual bundles, and its insertion sites, accounting for common covariates when possible, to provide a resource to the clinical and scientific communities. Quantitative measures of ACL geometry are informative for developing clinical treatments such as ACL reconstruction. Age and sex can impact these parameters.