Interesting new perspective on what causes ACL injuries

Health Imaging reports:

An analysis of MR scans of male and female athletes with non-contact anterior cruciate ligament (ACL) injuries and similar athletes without a history of ligament injury found that injured athletes had shorter, more highly convex articulating surfaces than non-injured athletes, according to a study published Feb. 1 in The Journal of Bone and Joint Surgery.

Women have an ACL injury rate two to five times greater than men. Cumulative annual costs of ACL ruptures in the U.S. are estimated at $1 billion, and a great deal of research has attempted to uncover the cause of female athletes’ predisposition to ACL injury.

Christopher J. Wahl, MD, of the department of orthopaedics and sports medicine at University of Washington in Seattle, and colleagues hypothesized that articular surfaces of the lateral aspect of the tibial plateau and/or the distal aspect of the femur would be more highly convex in patients with ACL injuries. They also suspected that the convex geometry would be more prevalent among female athletes.

Three observers, blinded to patient information, analyzed knee MRI scans of 112 athletes with a non-contact ACL injury and 61 activity-matched athletes without an ACL injury. They measured femoral anteroposterior length (FAP), tibial plateau anteroposterior length (TPAP), tibial plateau radius of curvature (TPr) and fibonacci femoral radius of curvature (Fr).

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