Evaluation of risk factors of anterior cruciate ligament (ACL) Injury: A prospective comparative analysis
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction Anterior Cruciate Ligament ACL is the most frequently injured knee ligament Combination of valgus force with internal rotation is the most common mechanism involved in ACL injury Both modifiable and nonmodifiable risk factors are responsible for the ACL injuryPurpose To determine the risk factors causing ACL injury by comparing lower limb anatomical features ACL size and body mass index BMI between ACL deficient and ACL intact kneesMaterials and Methods Mechanical axis deviation from vertical axis tibiofemoral angle hip neckshaft angle posterior tibial slope notch width index were compared using radiography BMI and ultrasonographic USG diameter of ACL were also measured for comparisonResults Among the anatomical lower limb parameters mechanical axis deviation from vertical axis hip neck shaft angle and tibiofemoral angle showed nonsignificant p value005 differences while there were significant differences of femoral notch width index p 0014 and posterior tibial slope angle p lt0001 between the two groups ACL diameter size and BMI also showed significant differences plt005 ACL deficient knees have higher BMI mean 2582 vs 2333 plt0001 and lesser diameter mean 731 mm vs 799 mm plt0001 compared to the ACL intact kneesConclusion Higher posterior tibial slope and smaller notch width index are associated with higher risk of ACL injury Individuals with lesser diameter of ACL or higher BMI have more chances of injury to the ligament Keywords Anterior cruciate ligament ACL Risk factors Body mass index Posterior tibial slope PTS Notch width index NWI
Authors and Affiliations
Chanchal Barman, Ashish Devgan, Monish Malhotra, Rajesh Rohilla, Pradeep Yadav
Keywords
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- EP ID EP476693
- DOI 10.18231/2395-1362.2018.0069
- Views 116
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