Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries

Abstract Background The anterior cruciate ligament (ACL) is regarded as the primary stabilizer of the knee joint, and it is commonly injured. Anatomical features are thought to be the root causes of ACL tears. It is closely associated with the appearance and dimensions of the intercondylar notch. Th...

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Main Authors: Nadine Hamdy Abdel Reheem, Ali Abdel Karim Farahat, Ihab Badawi, Rim Bastawi
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-025-01420-5
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author Nadine Hamdy Abdel Reheem
Ali Abdel Karim Farahat
Ihab Badawi
Rim Bastawi
author_facet Nadine Hamdy Abdel Reheem
Ali Abdel Karim Farahat
Ihab Badawi
Rim Bastawi
author_sort Nadine Hamdy Abdel Reheem
collection DOAJ
description Abstract Background The anterior cruciate ligament (ACL) is regarded as the primary stabilizer of the knee joint, and it is commonly injured. Anatomical features are thought to be the root causes of ACL tears. It is closely associated with the appearance and dimensions of the intercondylar notch. The aim of this work was to assess the relationship of parameters and morphological appearance of intercondylar notch in cases with ACL injuries using magnetic resonance imaging. Results A positive correlation was found between A-shaped intercondylar notch and increased incidence of ACL injury. The mean intercondylar notch width (NW) and intercondylar notch width index (NWI) were found to be smaller in ACL-injured group. Intercondylar notch angle was found to be wider in patient’s group. By comparing different intercondylar notch parameters in both genders, only notch width was found to be significantly narrower. No significant correlation was noticed between the type of tear and the intercondylar notch parameters. Both NW and NWI were found to be significantly narrower in patients with twisting injury during performing daily routine activities as compared to the other mechanisms of injury. Conclusions Our study showed that intercondylar notch parameters including notch type may contribute in increasing risk of anterior cruciate ligament injuries with stenotic intercondylar notch enhancing the likelihood of an ACL injury.
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series The Egyptian Journal of Radiology and Nuclear Medicine
spelling doaj-art-f02dc8b0eecd47f9923beb0703e902e32025-02-02T12:13:49ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622025-01-0156111410.1186/s43055-025-01420-5Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuriesNadine Hamdy Abdel Reheem0Ali Abdel Karim Farahat1Ihab Badawi2Rim Bastawi3Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria UniversityDepartment of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria UniversityDepartment of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria UniversityDepartment of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria UniversityAbstract Background The anterior cruciate ligament (ACL) is regarded as the primary stabilizer of the knee joint, and it is commonly injured. Anatomical features are thought to be the root causes of ACL tears. It is closely associated with the appearance and dimensions of the intercondylar notch. The aim of this work was to assess the relationship of parameters and morphological appearance of intercondylar notch in cases with ACL injuries using magnetic resonance imaging. Results A positive correlation was found between A-shaped intercondylar notch and increased incidence of ACL injury. The mean intercondylar notch width (NW) and intercondylar notch width index (NWI) were found to be smaller in ACL-injured group. Intercondylar notch angle was found to be wider in patient’s group. By comparing different intercondylar notch parameters in both genders, only notch width was found to be significantly narrower. No significant correlation was noticed between the type of tear and the intercondylar notch parameters. Both NW and NWI were found to be significantly narrower in patients with twisting injury during performing daily routine activities as compared to the other mechanisms of injury. Conclusions Our study showed that intercondylar notch parameters including notch type may contribute in increasing risk of anterior cruciate ligament injuries with stenotic intercondylar notch enhancing the likelihood of an ACL injury.https://doi.org/10.1186/s43055-025-01420-5ACL injuriesACL tearsFemoral condylarNotch widthNotch width indexIntercondylar notch angle
spellingShingle Nadine Hamdy Abdel Reheem
Ali Abdel Karim Farahat
Ihab Badawi
Rim Bastawi
Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
The Egyptian Journal of Radiology and Nuclear Medicine
ACL injuries
ACL tears
Femoral condylar
Notch width
Notch width index
Intercondylar notch angle
title Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
title_full Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
title_fullStr Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
title_full_unstemmed Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
title_short Role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
title_sort role of magnetic resonance imaging in assessment of relationship between intercondylar notch parameters and anterior cruciate ligament injuries
topic ACL injuries
ACL tears
Femoral condylar
Notch width
Notch width index
Intercondylar notch angle
url https://doi.org/10.1186/s43055-025-01420-5
work_keys_str_mv AT nadinehamdyabdelreheem roleofmagneticresonanceimaginginassessmentofrelationshipbetweenintercondylarnotchparametersandanteriorcruciateligamentinjuries
AT aliabdelkarimfarahat roleofmagneticresonanceimaginginassessmentofrelationshipbetweenintercondylarnotchparametersandanteriorcruciateligamentinjuries
AT ihabbadawi roleofmagneticresonanceimaginginassessmentofrelationshipbetweenintercondylarnotchparametersandanteriorcruciateligamentinjuries
AT rimbastawi roleofmagneticresonanceimaginginassessmentofrelationshipbetweenintercondylarnotchparametersandanteriorcruciateligamentinjuries