EVALUATION OF THE TIBIAL TUBERCLE - TROCHLEAR GROOVE DISTANCE AND PATELLAR HEIGHT AS A RISK FACTOR FOR ANTERIOR CRUCIATE LIGAMENT INJURY
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 2
Abstract
OBJECTIVE: This study aimed to evaluate the differences in patellar height and tibial tubercle- trochlear groove distance (TT-TGd) between patients with an intact anterior cruciate ligament (ACL) and ruptured ACL. MATERIAL AND METHODS: A total of 2019 patients (1015 with ruptured ACL and 1004 with an intact ACL) aged between 18-40 years were included. The Insall Salvati index (ISI) was used to determine the patellar height measurement. The TT-TGd was measured based on axial magnetic resonance images. Two orthopedic surgeons independently studied 50 patients’ images for two weeks to assess intra-observer and inter-observer reliability. The mean patellar height and TT-TGd measurements were compared between patients with ruptured ACL and those with an intact ACL. RESULTS: Interobserver and intraobserver agreement were excellent for both measurements (p = 0.001 and k> 0.850 for all measurements). Patellar height and TT-TGd were significantly higher in ACL ruptured patients than in the control group (1.09± 0.37 vs. 1.06± 0.56, p<0.001, 10.0± 3.3 vs. 8.5± 3.0, p<0.001, respectively). The ISI was significantly higher in women than in men (1.13 vs. 1.07, p<0.001). There was no significant difference between the sexes regarding the TT-TGd (9.5 vs. 9.3, p=0.792). CONCLUSIONS: Although significantly increased in patellar height and TT–TGd was detected in patients with ruptured ACL, these differences are not clinically important because they are in the normal range.
Authors and Affiliations
Yakup ALPAY, Atakan EZİCİ, Murat ÖNDER, Abdulhamit MISIR, Canan GÖNEN AYDIN, Avni İlhan BAYHAN
Keywords
Related Articles
- EP ID EP702623
- DOI https://doi.org/10.18229/kocatepetip.832371
- Views 89
- Downloads 0
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